Nurse Practitioner

PACE Southeast Michigan•Burt Township, MI

16h•Hybrid

About The Position

The Nurse Practitioner (NP) is responsible for primary care to an assigned panel of participants at PACE SEMI. As such, they are responsible for participant acute and chronic care management under direction and supervision of the center Physician-In-Charge (PIC).

Requirements

Maintain current Michigan NP License in good standing and fulfills CME requirements
The nurse practitioner must comply with PACE guidelines for TB screenings, infection control, BLS and mandatory in-service requirements.
The nurse practitioner acts as a role model for professional nursing practice among his/her peers.
The nurse practitioner supports and contributes to the development of nursing students as well as students of other health-related disciplines.
The ability to establish and maintain interpersonal and interdepartmental relationships.
The ability to apply principles of teaching/learning theories in planning and implementing educational activities.

Nice To Haves

Three (3) to five (5) years of progressively more responsible experience as an RN in a clinical setting with expertise substantiated in the area of geriatrics is preferred, through education, experience and credentials.
Must have one (1) year of experience with a frail or elderly population.

Responsibilities

Responsible for performing monthly quota of comprehensive annual and semi-annual assessments
Chronic Care Management visits done every 3 months
Changes in chronic disease or new diagnoses, and updating management and treatment plans accordingly
Conferring with the Physician and other clinical team members with changes in participant status
Pharmacy Prescribing including controlled substances, Schedule 3- Schedule 5 medications, that the supervising physician has delegated
Specialty and diagnostic referrals with staff physician guidance
Initiating appropriate diagnostic studies, such as laboratory, x-ray and other specialty procedures with physician approval/oversight
Coordinates care with the IDT , PCT, UM, and other PACE services communicating participant changes to the interdisciplinary team
Preventative Care Services
Acute Care Management and Treatment
Patient Education
Documents in the medical record in the “SOAP Format”, Completion of notes with full assessment preferably within 24 hours but no later than 72 hours
Facilitates Coding capture of Hierarchical Chronic Conditions
Contributes to Utilization Management Goals of Care
Facilitates Advanced Directives, Facilitates Goals of Care and End-of Life Discussions with participants and families
Manages end-of-life with support of consulting hospice service.
Clinic (mostly), Participants Home, Nursing Facility and Telemedicine
May participate in after hours on-call medical assistance on a rotating basis via telephone triage or after-hours home visits to participants as needed.
Participation in Monthly Education Conference