ISNP Nurse Practitioner, Medical Provider

Nascentia Health•Syracuse, NY

About The Position

Nascentia Health is expanding our Institutional Special Needs Plan (ISNP) service to provide seamless, coordinated, and comprehensive care for our facility-based patients. We recognize the unique contributions of Nurse Practitioners (NPs) to improving the overall health of their patients and we want you to be on our team! We follow an NP led patient-centered, value-based care model and we are looking to add experienced NPs to our team as we work to transform healthcare for our members. The ISNP Nurse Practitioner Medical Provider (NPMP) is a position that embraces a collaborative Team approach to enhance care. You will be supported by a great group of physicians and NP partners who are knowledgeable and extremely approachable. You will be overseeing member care as the NPMP, consulting regularly with the interdisciplinary staff and allied health providers to provide a seamless delivery of care and services in accordance with CMS guidelines. As a key member of the clinical team, you will practice evidence-based medicine within your scope of practice, including: preventive screening and health promotion; diagnosis and treatment of a wide variety of common, acute, and complex problems; ordering and interpreting diagnostic tests; prescribing medications; referring to specialists and collaborating other providers as appropriate; providing basic emergency care if necessary; and providing education and resources to members, families, and staff.

Requirements

NPs: Graduate of an accredited masters degree in nursing (MSN) program and board certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC), Adult-Gerontology Acute Care Nurse Practitioners (AG AC NP), Adult, Family or Gerontology Nurse Practitioners with preferred certification as ANP, FNP, or GNP
Active and unrestricted license in NYS
Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
Must have NPI number and be Medicare Enrolled with Medicare Identification Number (or PTAN) OR be eligible for Medicare Enrollment within 6 months of hire
Possess Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) certification prior to performing work
Working knowledge of EMR Software and excellent computer maneuverability.
Knowledge of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems
Access to reliable transportation that will enable you to travel to patient sites within a designated area
Ability to lift a 30-pound bag in and out of car and to navigate stairs

Nice To Haves

2+ years of hands-on post grad experience within Long Term Care or 2+ years of hands-on post grad experience as a Hospitalist managing older adult and complex patients.
Applicants with more than 1 years experience in geriatrics or hospital medicine will be considered
Understanding of I-SNP MOC and I-SNP population.
Understanding of Geriatrics and Chronic Illness
Understanding of Palliative Care and End of Life Care including counseling on Advance Directives and MOLST preparations
MEDENT experience
Ability to develop and maintain positive customer relationships

Responsibilities

Clinical Perform comprehensive assessments and document findings in a complete, concise manner that is compliant with Nascentia documentation requirements and Center for Medicare and Medicaid Services (CMS) regulations
Deliver cost-effective, quality care to assigned members
Regularly evaluate the plan of care for cost effectiveness while meeting the needs of members, families and providers to decrease high costs, poor outcomes and unnecessary hospitalizations
Manage medical and behavioral, acute and chronic conditions effectively, and in collaboration with a Care Team providers or specialty providers.
Responsible for ensuring that all diagnoses are ICD10, coded accurately, and documented appropriately to support the diagnosis at that visit
The NPMP is responsible for ensuring that all quality elements are addressed and documented per Nascentia and CMS guidelines
The NPMP will perform scheduled medication reviews and post-hospitalization medication reconciliations
Facilitate agreement and implementation of the members plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians
Evaluate the effectiveness, necessity and efficiency of the plan in conjunction with the Team, making revisions as needed
Utilizes evidence-based practice guidelines and protocols established by Nascentia and CMS
Must attend and complete all mandatory educational and training requirements
Must attend and provide evidence of population-based CME training annually
Care Coordination Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, members and key decision-makers
Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members
Coordinate and communicate plan of care as members transition through different levels of care and care settings
Monitor the needs of members and families while facilitating any adjustments to the plan of care as situations and conditions change
Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the members needs and wishes
Regular and effective communication with Care Team members, family or key decision-makers, nursing staff and specialists
Actively promote and support the Nascentia Health ISNP program in assigned facilities by modeling professional excellence and partnering with key stakeholders (i e : internal sales function, provider relations, facility leader) to maintain and develop membership growth
Expected Behaviors Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issues
Function independently and responsibly with minimal need for supervision
Demonstrate initiative in achieving individual, team, and organizational goals and objectives
Must have exceptional diplomatic communication skills.
Adaptability to change
Participate in Nascentia Health quality initiatives
Check Nascentia email regularly for communication, scheduling, and required training.
Perform duties as assigned within Scope of Practice.