Remote Advanced Practice Provider, Nurse Practitioner, NP, Weekends, (part time)

ChenMed•St. Louis, MO

3d•$111,140 - $158,771•Remote

About The Position

The Advanced Practice Provider (APP) I, CareLine, provides diagnostic patient care primarily through remote video or telephone consultations and serves as the dispositional authority for after-hours and weekend clinical calls. The role assesses, diagnoses, and treats patients, and precisely documents their physical and psychosocial health status using collected health data. The weekly schedule is a Friday meeting from 1530 to 1630, Saturdays from 0900 to 2030, and Sundays from 0900 to 2030. The position requires at least four holidays per calendar year and may involve travel for meetings, training, and state-required onsite physician observation and medical record reviews. Travel may be required up to 10% of the time. The APP collaborates with PCPs, on-call physicians, and other care team members to deliver safe, effective telehealth care, support patient outcomes, and improve telehealth practices. The position requires independent judgment and practice under a written or electronic practice agreement, in accordance with applicable laws and regulations.

Requirements

Bachelor’s degree in Nursing (BSN) and graduation from a school of nursing for Advanced Practice Nursing with certification in the area of specialty.
Master’s degree in Nursing.
Board certification by AANP or ANCC.
Basic Life Support (BLS) certification from the American Heart Association or American Red Cross upon hire.
Current DEA number for Schedule II–V controlled substances may be required depending on the state of practice.
Multistate licensure including Florida, plus licenses in at least three of the following states: Virginia, Georgia, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, Texas, Illinois, Kentucky, Louisiana, or Kansas.
At least 3 years of acute or primary care clinical work experience.
Expert-level business acuity and expert knowledge of job-related functions, practices, processes, procedures, techniques, and methods.
Knowledge of medical practice sufficient to function independently as a certified practitioner and in collaboration and consultation with physicians, specialists, and other medical providers.
Demonstrated record of consistently achieving clinical performance metrics.
Technical ability to conduct telemedicine visits in compliance with state and federal regulations.
Excellent clinical judgment, problem-solving ability, and ability to prioritize and work under pressure.
Ability to provide constructive feedback and communicate and collaborate professionally with physicians, patients, and team members.
Ability to work effectively as part of a multidisciplinary team.
Proficiency in Microsoft Office products, including Excel, Word, PowerPoint, and Outlook, and competence in keyboarding and other systems required for the position.
Ability and willingness to travel for meetings and training up to 10% of the time, and to travel to states requiring onsite physician observation and medical-record review.
Depending on the assigned schedule, availability to work evenings, overnights, and/or weekends; minimum requirement to work four holidays per calendar year.
Spoken and written fluency in English.
Ability and willingness to obtain independent or autonomous NP practice in applicable states.
Ability to acquire knowledge and skills to maintain expertise in the area of practice.
For Georgia patient support, compliance with state law requiring travel to Georgia quarterly or as otherwise mandated for onsite observation and medical record review by the delegating physician.
For Tennessee patient support, compliance with state law requiring travel to Tennessee biannually or as otherwise mandated for onsite observation and medical record review by the delegating physician.
Compliance with other state laws that may require travel for onsite observation by the delegating physician.

Nice To Haves

At least 2 years of telehealth work experience.
Bilingual ability in Spanish or Creole.

Responsibilities

Assess acute and non-acute clinical problems through virtual video conference or telephone; perform and document physical evaluations and patient histories; analyze patient-condition trends; and develop, document, and implement patient management plans.
Aid in developing plans of care that may include health education, physician referrals, case management referrals, and patient or family counseling.
Plan care based on knowledge of the patient population and applicable protocols, considering cultural background, understanding, personality, and support systems; serve as a patient advocate.
Collect comprehensive and focused health data for patients and families, analyze the data, and determine appropriate health maintenance or improvement methods.
Confer with patients’ PCPs and other medical providers to report health data and support compliance with guidelines.
Use telemedicine and appropriate protocols to help achieve optimal patient outcomes; collaborate with the on-call PCP as needed and evaluate progress toward expected outcomes.
Work with key contributors to improve the quality of telehealth practices and systems using data demonstrating program effectiveness and success.
Communicate through a variety of formats, tools, and technologies to build professional relationships and provide care across the continuum.
Use appropriate resources to plan and provide safe, effective, and financially responsible services.
Provide professional, high-quality customer service to internal and external customers.
May participate in clinical rounds and conferences, risk and quality management programs, and relevant clinical and other meetings.
Adhere to departmental goals, standards of performance, regulatory requirements, quality patient care requirements, policies, and procedures; practice in accordance with a written or electronic practice agreement.
Participate with the clinical team in developing telehealth and telemedicine policies, procedures, and protocols.
Initiate or participate in quality improvement activities that result in approved outcomes.
Participate in committees supporting organizational growth and provide feedback about others’ practice to improve patient care.
Coordinate services with other programs and perform other duties as assigned or modified at the manager’s discretion.
Travel to Georgia, Tennessee, or other states when required by state law for onsite observation and medical record review by the delegating physician.