Nurse Practitioner, Adult and/or Gerontology

CommuniCare•Baltimore, MD

2d•Hybrid

About The Position

Personalized Health Partners (PHP) is seeking a Nurse Practitioner (NP) passionate about delivering high-quality, person-centered primary care to residents in various healthcare settings, including skilled nursing facilities, assisted living, and independent living communities, as well as via telehealth. The NP will diagnose, treat, and manage acute and chronic illnesses, focusing on wellness, early detection of changes, and timely treatment. This role involves collaboration with Primary Care Physicians (PCPs) and interdisciplinary teams to manage patient populations, involving residents and their families in care planning. This high-touch model aims to reduce hospital admissions and emergency room visits, fostering a culture of excellent customer experience and satisfaction.

Requirements

Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate
National certification of AANP or ANCC
Active, unrestricted state license
Active DEA license
US work authorization
2+ years clinical experience as a Nurse or Nurse Practitioner in geriatric, adult or family practice setting
Ability to work in a flexible environment and schedule
Strong oral and written communication skills
Detail oriented with an ability to work well both independently and in a team setting
Customer service approach with teams and residents
Strong time management skills required.
Must be able to prioritize and adhere to competing deadlines while achieving goals.

Nice To Haves

Training or clinical experience in geriatrics
3+ years clinical experience as a Nurse Practitioner
Experience with coding, ICD-10 and HCC (Hierarchical Condition Categories)
Experience or training working in a metrics, results driven healthcare model
Be open to professional development through training, obtaining certifications if necessary, and attending team meetings
Experience working in value-based care models
Training or experience in geriatric, assisted living, and/or skilled nursing setting
Experience working in a collaborative healthcare setting to drive positive outcomes and achieve goals
Training or experience in outpatient primary care setting

Responsibilities

Assess, diagnose, and manage chronic and acute conditions.
Provide health education.
Develop treatment plans and communicate them to residents, caregivers, and other appropriate providers.
Order and interpret lab and diagnostic testing, adjusting treatment plans as needed.
Maintain appropriate and compliant documentation within the EMR software.
Collaborate with local and regional operations and clinical leadership to achieve goals.
Support strategic initiatives regarding value-based care.
Provide an excellent customer experience to foster high customer satisfaction/retention.
Practice ethically and in accordance with the Scope and Standards of Practice of their profession and Board Certification.
Follow all state and federal regulations, guidelines, and laws.
Collaborate with PCP and interdisciplinary care team at facility.
Coordinate care with other providers and specialists, including telemedicine providers.
Complete all regulatory required monthly, quarterly, and/or annual visits and acute visits as needed.
Participate in family conferences and provide advanced care planning and education when needed.
Address pharmacy recommendations or pharmacist communications regarding residents.
Be present in assigned facilities during work hours to ensure adequate face-to-face coverage for resident care and facility needs.