Nurse practitioner

Vitability Health • Full-time • The Bronx, NY, US • 1w ago

GENERAL JOB SUMMARY

An exempt clinical position where the nurse practitioner (NP) is responsible for providing direct patient care. The NP participates as a leader of the skilled nursing facility (SNF) care team. Visits managed care and fee-for-service patients at skilled and long-term levels of care in designated SNFs facilities. Provides appropriate evidence-based geriatric medicine. Coordinates care with hospitalists, primary care physicians and care managers. Makes home visits as directed by the medical staff to meet patient needs and provide continuity of care.

ESSENTIAL JOB FUNCTIONS

Maintains privileges in multiple Nursing Homes as directed by ACA
Maintains license and malpractice insurance
Consults supervising attending as needed
Documents patient visits electronically at least 90% of the time
Participates in documentation and other quality improvement programs
Available via phone weekdays 8am- 7pm and when on call.
Will reviews, approves, and modifies admission orders
Creates a detailed admit note for each admission within 24 hours of patient admission to SNF, including medication reconciliation
Initiates/documents Advanced Directives
Determines if Health Care Proxy status is correct and invoke if appropriate
On weekends, takes call for admissions and see new patients within 24 hours of admission on a rotating basis with other practitioners in the program.

Daily Visits

Initiates and review orders, including medications, on a daily basis
Reviews labs, radiology reports, and consults on all patients
Talks to and examines each assigned skilled-level patient on daily rounds Monday through Friday
Writes at least one daily progress note for each skilled patient
Assess patient’s medical stability daily. Consults/coordinates with specialists as needed
Addresses acute mental status changes via non-pharmacologic or pharmacologic measures, consultation or transfer
Coordinates/assess rehab progress on a daily basis
Discusses concerns with the patient, family, rehab, and case management. Educates patient and family members regarding acute and chronic illness management
Attends family meetings as necessary
Assists PCP’s that participate in SNF management
Informs attending and/or ACA medical director of significant changes in medical condition
Participates in weekly utilization meetings, collaborating with the SNF care team and ACA care managers
Coordinates with PCP’s, Hospitalists, ACA Medical Directors and Case Managers
Performs home visits on selected patients
Addresses /coordinates any legal issues.

Discharge

Develops a discharge plan utilizing input from case management and rehab. Identify barriers to discharge
Creates a detailed discharge summary for each admission on all patients, including medication reconciliation, and sends to the PCP at the time of SNF discharge
Ensures that patients have all appropriate drug and DME prescriptions at discharge
Coordinates visits with the PCP post-discharge
Discharges summary to be sent to the PCP at discharge
Updates all patients in Care Screen™ before discharge
Coordinates transition from skilled to long term placement.

Long-Term Care

Assists case management in the evaluation of selected long term patients
Follows “new” long term patients every 30 days
Assists the attending physician with management for complex long-term patients

Qualifications

EDUCATION AND EXPERIENCE

License to practice as a Registered Nurse and a certificate to practice as a Nurse Practitioner issued by the State Board of Registered Nursing.
Geriatrics specialty certification preferred
Minimum of three years of clinical nursing experience preferred, including work in a skilled nursing facility.

20 days PTO,
Health insurance,
401 k %2,
Malpractice insurance.

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