PACE Advanced Practice Provider

Family HealthCare Network•Visalia, CA

28d•Onsite

About The Position

The FHCN PACE Advanced Practice Provider has the responsibility for providing direct and indirect care to the participants of the PACE Program in the context of the Interdisciplinary Team (IDT). This role involves performing comprehensive history and physicals, evaluating and treating episodic illnesses, referring to specialists, and coordinating care for participants in inpatient and nursing home settings. The provider will actively participate in family conferences, coordinate 24-hour care delivery, provide after-hours call coverage, and document participant changes promptly. They will also participate as a member of the IDT, attend staff meetings, and contribute to participant care planning. Maintaining and increasing education regarding quality/clinical standards and best practices for the geriatric population is essential. Participation in Ethics and Quality Improvement Committees is expected. The provider will encourage Advanced Directives and discuss DNR options, completing necessary forms in collaboration with a physician. They must meet Network and credentialing expectations, adhere to the Attendance and Absenteeism Policy, and be able to work at any FHCN location as needed. Other duties as assigned.

Requirements

Completion of an accredited Nurse Practitioner or Physician Assistant training program, with a minimum cumulative GPA of 2.5; or Successful attainment and maintenance of a valid, active professional license required for the role, issued by the appropriate governing or regulatory body.
Recent (within the last 12 months) active clinical practice.
Able to work within the Interdisciplinary Team (IDT) setting.
Act within the scope of his or her authority to practice medicine.
Ability to learn, team, and research; ability to solve problems and think analytically; must possess skills necessary to treat geriatric participants; ability to get along with others in a team environment.
Only act within the scope of his or her authority to practice.
Meet a standardized set of competencies for the specific position description established by the state and approved by CMS before working independently.
Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact.
Able to assess and manage the special needs of complex geriatric patients.
Culture and needs of the socially and ethnically diverse population.
Licensed in the state of California as a Nurse Practitioner or Physician Assistant.
Current Federal Drug Enforcement Administration Certificate.
Requires the employee to effectively communicate their professional opinions and extrapolations of information they collect and synthesize/analyze.
Employees must determine appropriate methods of communicating information through the use of tables, graphs, charts, and other visual forms.
Duties require the preparation and execution of presentations to large groups.
Employees will be seeing elderly patients in a busy clinic environment.
Employees must be able to stand, bend, walk, and sit for extended periods, as well as work at the computer for long periods.
Employees are required to use their hands and fingers, especially for typing on the computer and using the mouse.
Employees must be able to talk and listen, particularly for regular communication on the phone and with patients.
Employees must be able to work effectively within an interdisciplinary team model, interfacing and collaborating with a wide range of clinical and social services disciplines who work together to manage the FHCN PACE members’ care.

Nice To Haves

Minimum two years of clinical experience preferred.

Responsibilities

Perform comprehensive history and physicals on new referrals.
Perform interval history and physicals on established participants, completed quarterly or as indicated.
Evaluate and treat participants with episodic illnesses.
Refer participants to Medical Specialist(s) as indicated.
Coordinate care of participants in an inpatient setting, including primary care responsibilities, regular updates to the IDT, judicious utilization of specialty consultants, and coordinating discharge planning with the IDT.
Manage all care of participants who reside in nursing homes, including regular visits, telephone contacts with nursing home staff, and admitting nursing home participants to the hospital when necessary.
Actively participate in family conferences regarding care planning and implementation.
Coordinate 24-hour care delivery.
Provides after-hour call coverage.
Document participant changes appropriately in the medical records and communicate participant changes to IDT promptly.
Participate as a member of the IDT.
Attend staff meetings and take part in participant care planning.
Maintain and increase education regarding quality/clinical standards and best practices for the geriatric population.
Participate in the Ethics and Quality Improvement Committees and/or work groups as assigned.
Recognize department problems and take responsibility for documentation; demonstrate active participation in QI processes.
Encourage 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.
Meets Network and credentialing expectations for licensure and employment.
Responsible for adhering to the Attendance and Absenteeism Policy.
Ability to present to and work at any FHCN location, both at the beginning of a shift or during a shift, based on business need.
Performs other duties as assigned.