Nurse Practitioner: Risk Adjustment

Hoag•Costa Mesa, CA

11h•$71 - $110•Hybrid

About The Position

The Nurse Practitioner provides high quality advanced nursing care in accordance with professional regulatory standards and within the scope of the nurse practitioner license. This role provides multidisciplinary care providing patient evaluations and assessments, patient education, interventions, and documents plan of care. Requests physician consultations and multidisciplinary consults. Recognizes that ethical/legal/medical dilemmas exist in the nursing practice, and confers with the appropriate resources and staff when making ethical decisions. May work as an independent provider and/or under indirect supervision of a supervising physician. May see all and treat a variety of age populations. Depending on area, may work different hours, weekends and holidays. May require on-call time. Privileges granted by the Medical Staff Department can include arranging admission and transfer of patients, performing and dictating exams, history and physicals, rounding on assigned patients and writing progress notes with plan of care, and dictating discharge summary. Also may furnish medications (non-narcotic) and durable medical equipment (DME), controlled substances III, IV, V with appropriate licensure/certification, and controlled substances II with appropriate licensure/certification. May order blood products, laboratory tests, radiological, ultrasound, nuclear medicine, and neurological studies, oxygen therapy, respiratory treatment, and pulmonary tests. May perform drain and suture removal. May order and administer medications and IV therapy with the ability to assess and adjust appropriate dosing. Performs other duties as assigned. Hoag Compass – Jamboree: In addition to the above the Hoag Compass Nurse Practitioner provides support through a face to face, chat, texting, or video platform. Must be competent in the use of Consumer Health technologies and software, for example, fitness wearables and health software applications. Hospice: In addition, the Hospice Nurse Practitioner is responsible for providing explanation of benefits to GIP program and home hospice candidates (or their DPOA), and admitting patients to the hospice GIP program. The Hospice NP functions as an integral member of the hospice interdisciplinary team and provides daily visits for hospice care patients and coordinates their plan of care with other designated hospice and hospital staff, and, on an as-needed basis, fulfills the requirements of the “face-to-face encounter” with a Medicare beneficiary enrolled in hospice. Heart Valve Clinic: In addition to the above, the Heart Valve Clinic Nurse Practitioner may be responsible for providing advanced clinical care to patients with complex heart failure across inpatient and outpatient settings, working closely with cardiologists, surgeons, and the multidisciplinary team. Risk Adjustment: In addition, the Risk Adjustment Nurse Practitioner is responsible for the execution of guided processes to complete Annual Health Assessments “AHAs” for Hoag Clinic’s Medicare patient population. Works with patients with chronic illnesses commonly encountered in the adult and geriatric patient population. Responsible for assessment, diagnosis, education, health promotion, and care coordination for patients with acute and chronic health needs. In addition, must have advanced knowledge of HCC Coding and Documentation, and Quality Measure guidelines.

Requirements

Master’s in Nursing (MSN) or DNP required.
Completion of proctoring by Medical Staff Office.
Advanced clinical knowledge and skills in the care and management of patients.
Experience in Family or Internal Medicine and/or Geriatric Care preferred.
Current license in good standing to practice as a Registered Nurse and Nurse Practitioner in California
Furnishing license issued by the State of California and personal DEA number (For all areas other than Breast Center).
BLS required.
National board certification as Nurse Practitioner in area of specialty required (except Outpatient Oncology).
ACLS required.

Nice To Haves

Bilingual or multilingual preferred
Endoscopy Clinic: DEA license required within 6 months of position effective date.
HATC Admin: Psychiatric Mental Health Nurse Practitioner license designated by manager
Infusion Centers: DEA license required within 90 days of position effective date
Neurosurgery – Pituitary: NPF – Nurse Practitioner Furnishing
Neurosciences C&L Psychiatric: PMHNP strongly preferred
Hoag Orthopedic Institute: Completion of an ECG course and testing or equivalency required.
Neuro/Oncology Clinic: ONS certification preferred.
Hoag Orthopedic Institute: Orthopedic Nurse Certification preferred.

Responsibilities

Provides high quality advanced nursing care in accordance with professional regulatory standards and within the scope of the nurse practitioner license.
Provides multidisciplinary care providing patient evaluations and assessments, patient education, interventions, and documents plan of care.
Requests physician consultations and multidisciplinary consults.
Recognizes that ethical/legal/medical dilemmas exist in the nursing practice, and confers with the appropriate resources and staff when making ethical decisions.
May work as an independent provider and/or under indirect supervision of a supervising physician.
May see all and treat a variety of age populations.
Arranging admission and transfer of patients, performing and dictating exams, history and physicals, rounding on assigned patients and writing progress notes with plan of care, and dictating discharge summary.
Furnishing medications (non-narcotic) and durable medical equipment (DME), controlled substances III, IV, V with appropriate licensure/certification, and controlled substances II with appropriate licensure/certification.
Ordering blood products, laboratory tests, radiological, ultrasound, nuclear medicine, and neurological studies, oxygen therapy, respiratory treatment, and pulmonary tests.
Performing drain and suture removal.
Ordering and administering medications and IV therapy with the ability to assess and adjust appropriate dosing.
Performs other duties as assigned.
Provides support through a face to face, chat, texting, or video platform.
Responsible for providing explanation of benefits to GIP program and home hospice candidates (or their DPOA), and admitting patients to the hospice GIP program.
Functions as an integral member of the hospice interdisciplinary team and provides daily visits for hospice care patients and coordinates their plan of care with other designated hospice and hospital staff, and, on an as-needed basis, fulfills the requirements of the “face-to-face encounter” with a Medicare beneficiary enrolled in hospice.
Providing advanced clinical care to patients with complex heart failure across inpatient and outpatient settings, working closely with cardiologists, surgeons, and the multidisciplinary team.
Responsible for the execution of guided processes to complete Annual Health Assessments “AHAs” for Hoag Clinic’s Medicare patient population.
Works with patients with chronic illnesses commonly encountered in the adult and geriatric patient population.
Responsible for assessment, diagnosis, education, health promotion, and care coordination for patients with acute and chronic health needs.
Must have advanced knowledge of HCC Coding and Documentation, and Quality Measure guidelines.