PACE Adult Gerontology Nurse Practitioner (Stockton PACE Center)

Available Staff PositionsStockton, CA
Hybrid

About The Position

The PACE Adult-Gerontology Nurse Practitioner (AGNP) provides high-quality, compassionate medical care to participants of the Golden Valley Health Centers (GVHC) PACE program. This position works under the direct supervision of the PACE Medical Director and/or designated primary care physicians and is responsible for assessments, treatment planning, coordination, and delivery of care in the clinic, day center, homes, and residential settings. Location and Schedule: This position will work at our Central Valley Stockton PACE Center, scheduled Monday - Friday, 8:00am-5:00pm. Flexibility to work scheduled evening clinic hours, and when appropriate, act independently as a solo provider of services under telephone communication with a physician supervisor. Will train at our Modesto PACE Center, and provide support as needed. Compensation: $170,000 - $197,000 Annual Salary; Sign On Bonus and Relocation Assistance Eligible Golden Valley Health Centers offers excellent benefits including Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages; Dental; Vision; Pet Insurance, 403(b) with match, 457b FSA plans, gym discounts, and so much more!

Requirements

  • Bilingual English/Spanish highly preferred.
  • Work experience as a Registered Nurse.
  • Current basic CPR certification.
  • Meet a standardized set of competencies for the specific position description established by Central Valley PACE and approved by CMS before working independently.
  • A high level of autonomy is required for clinical management decisions while reporting to PCP and Center Manager.
  • Knowledge of physical, mental and social needs of frail older adults.
  • Effective skills in physical assessment and chronic disease management for frail older adults.
  • Able to work within the Interdisciplinary Team (IDT) setting.
  • High school diploma or equivalent.
  • Graduation from an accredited school of Registered Nursing and Family Nurse Practitioner program.
  • Current unencumbered licensure by the Board of Registered Nursing of California as a Nurse Practitioner.
  • Working experience as a Registered Nurse.
  • Current BLS or ACLS CPR Card Certified by American Heart Association.
  • One (1) year of experience with a frail or elderly population.

Responsibilities

  • Consistently adheres and/or exceeds GVHC’s communication guidelines and expectations with patients, peers, and supervisors.
  • Communicate effectively by using welcoming words, proper tone of voice, appropriate body language, eye contact and smiling with every interaction.
  • Listens skillfully and displays a willingness and ability to acknowledge the needs, expectations and values of others through the use of reflective listening and empathy conveyance.
  • Responds to needs in ways that are helpful and beyond expectation.
  • Obtain an appropriate medical history and perform a physical examination for any presenting problem(s).
  • Order specific laboratory studies and x-rays, and other studies as appropriate for the patient.
  • Perform or assist in laboratory or screening procedures routinely performed at the clinic site indicating the collection of body fluid and tissue specimens.
  • Assess and interview in the common development and behavioral problems of the family and its individual members.
  • Diagnose and treat common primary care problems according to accepted criteria and norms described in the Nurse Practitioner standardized procedure manual.
  • Collect, record, and interpret clinical data in a "problem oriented SOAP" format.
  • Maintain a current problem list, medication list and immunization record on all patient records.
  • Promote health and disease prevention in all patients through age group specific interventions including immunizations, counseling, physical examinations, and accepted screening procedures.
  • Observe all existing Golden Valley Health Centers medical protocols, personnel policies and Principles of Practice.
  • Participate regularly in quality assurance and peer review activities, as well as medical and general staff meetings.
  • May administer medication to patient, or transmit orally a prescription from the supervisory physician to pharmacist. This may be based either on a patient specific order by the supervising physician or on protocols specified in the Nurse Practitioner standardized procedures and process protocols.
  • Satisfactorily works towards achieving productivity goals established by the Golden Valley Health Centers.
  • Obtain 30 units of CME biannually, submit annual report to supervisor, and maintain national certification status.
  • Performs health histories, physical exams and PACE Participant teaching.
  • Orders, interprets and follows up on lab tests and results.
  • Performs selected procedures and documents care in writing in EMR.
  • Initiates emergency measures as indicated.
  • Recognizes abnormalities that justify immediate referral for intervention by others.
  • Initiates, evaluates, reviews and changes orders for selected medications and diagnostic studies/treatments within attending physician approved protocols.
  • Assesses, initiates and coordinates participant care on a daily basis under the supervision of the attending physician.
  • Makes referral to other physicians including specialists with staff PCP approval.
  • Requests consultations from other services as needed in collaboration with attending physician and/or established protocols.
  • Acts as liaison with physicians, nurses and other healthcare professionals providing education, communication and support for healthcare staff, participants and families.
  • Directs participant management in conjunction with physician staff.
  • Participates in the PACE provider call schedule.
  • Participates as a member of the Interdisciplinary Team.
  • Attends staff meetings and takes part in participant care planning.
  • Assists the IDT in formulating a plan for the coordination of 24 hour care
  • Documents participant changes appropriately in the medical record and communicates participant changes to team members.
  • Observe each participant for any change in physical, mental, emotional and social functioning and shall report such changes to the licensed nurse.
  • Evaluates and treats participants in their homes, assisted living facilities, nursing homes, and hospitals when medically indicated.
  • Precepts medical students and residents during their PACE rotation.
  • Encourages all participants to have Advanced Directives and provides education as needed; may discuss the Do Not Resuscitate (DNR) option with the participant and/or family members and may complete the Health Care Wishes form and write DNR orders in the medical record, in collaboration with a physician.

Benefits

  • Medical: (0 Deductible / $2,000 Individual; $4,000 Family Out-of-Pocket Max), excellent PPO coverages
  • Dental
  • Vision
  • Pet Insurance
  • 403(b) with match
  • 457b
  • FSA plans
  • gym discounts
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