Long Term Care APP

ACCESS MEDICAL CLINIC•Osceola, AR

3d•Onsite

About The Position

The Long-Term Care Advanced Practitioner (APP) is an Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) who serves as a dedicated clinical partner within skilled nursing, long-term care, and post-acute facilities. The APP provides a consistent clinical presence, supporting resident care delivery, clinical decision-making, and overall medical management alongside the medical director. The APP practices with a high level of clinical autonomy and partners with facility leadership, nursing staff, attending physicians, and interdisciplinary care teams. The role focuses on stabilizing medically complex residents within the facility, reducing potentially avoidable hospital transfers and emergency department utilization, supporting facility regulatory and clinical quality performance, improving condition-change response and escalation pathways, enhancing communication with residents, families, and care teams, and supporting appropriate healthcare resource utilization. Work involves in-person clinical care delivery in long-term care and post-acute facilities; regional travel between facilities may be required.

Requirements

MSN, DNP, MPAS, DMSc, or equivalent advanced degree.
Current registration or licensure in the applicable state, maintained in good standing throughout employment.
Board certification through AANP, ANCC, or NCCPA.
DEA certification and BLS certification.
Excellent interpersonal communication skills and the ability to interact pleasantly and professionally with the public, patients, and fellow staff.
Knowledge of professional medical practice and patient care, including the ability to give and evaluate patient care.
Knowledge of organizational policies, regulations, and procedures for administering patient care.
Knowledge of medical equipment and instruments used to administer patient care.
Ability to interpret, adapt, and apply treatment protocol guidelines and procedures.
Ability to recognize medical conditions requiring consultation with the collaborating physician and to work with that physician, in person or by phone, on cases outside established protocols.
Ability to stand, walk, bend, stoop, and twist continuously throughout the workday; functional speech, vision, touch, and hearing; lift up to 50 lbs from floor to waist and up to 20 lbs over the head; carry up to 40 lbs a reasonable distance; push or pull with 30 lbs of force; perform a sliding transfer of 150 lbs with a second person present; and operate necessary equipment.
Ability to work around mechanical, electrical, chemical, and radiation hazards and exposure to blood and body fluids, using protective clothing and equipment as necessary.

Nice To Haves

At least 2 years of clinical experience preferred.
Long-term care, skilled nursing, or geriatric experience strongly preferred.

Responsibilities

Perform comprehensive and ongoing clinical assessments for long-term care and post-acute residents.
Diagnose and manage acute and chronic disease processes common to long-term care populations.
Order and interpret necessary diagnostic, laboratory, and radiographic data.
Develop, implement, and adjust individualized care plans in collaboration with facility teams.
Manage high-risk long-term care conditions, including infections and sepsis risk, wounds, CHF, COPD and advanced chronic disease, dementia and behavioral health symptoms, polypharmacy and medication risks, and end-of-life or goals-of-care discussions when appropriate.
Maintain a consistent clinical presence within assigned facilities.
Collaborate with facility leadership to optimize clinical workflows and communication pathways.
Support clinical stabilization of new admissions and transition-of-care management.
Participate in interdisciplinary care planning and complex case review.
Provide clinical education and support to facility nursing staff when appropriate.
Support facility initiatives to reduce readmissions and improve resident stability.
Practice in alignment with federal and state long-term care regulations.
Support clinical documentation readiness for surveys and audits.
Participate in root-cause reviews of hospital transfers and adverse clinical events.
Support infection prevention, clinical quality improvement initiatives, and performance improvement efforts tied to facility quality measures.
Maintain accurate, timely, and compliant clinical documentation and follow AMC clinical protocols and documentation standards.
Maintain licensure, certification, and continuing education requirements, and comply with HIPAA, OSHA, and infection control standards.
Exercise independent clinical judgment within scope of licensure, escalate care appropriately to collaborating physicians or specialists, and prioritize resident safety and early intervention for condition changes.
Use EHR and clinical documentation systems effectively; participate in telehealth or virtual care models when appropriate; and use clinical data to support risk identification and care planning.
Attend scheduled department staff and clinical meetings.
Provide excellent customer service with diplomacy and tact while protecting confidentiality and privacy in accordance with company policies and HIPAA requirements.
Perform other duties as assigned.