Nurse Practitioner - Webster - Great Pay, Great benefits, Schedule M-F 8:30 - 5:00 PM - Great Job!

Fallon Health•Webster, MA

3d•Onsite

About The Position

Fallon Health's Summit ElderCare is a Program of All-Inclusive Care for the Elderly (PACE) that helps people 55 and older continue living safely at home, serving as an alternative to nursing home care. This role manages a primary care panel of participants, providing continuity of primary health care with a focus on goal-oriented, person-centered care, disease progression, disease prevention, wellness, and management of chronic and episodic illness. The Nurse Practitioner works collaboratively with the PACE Interdisciplinary Team to establish realistic goals and develop and manage individualized plans of care for program participants. The position emphasizes addressing advance directives in a participant-focused manner and maintaining accurate documentation and coding. Fallon Health is committed to diversity and inclusion, believing that individual differences enhance their ability to serve members.

Requirements

Master’s degree required.
Graduate of an accredited Nurse Practitioners program
Licensed by the Commonwealth of Massachusetts Board of Registration in Nursing.
Must possess a valid drivers’ license
Must attest to no disqualifiers per Driver Safety Policy
Must possess and provide proof of minimal state required auto insurance
Must have reliable transportation
Satisfactory Criminal Offender Record Information (CORI) results

Nice To Haves

One to three years of Nurse Practitioner experience preferred
At least one year of experience in geriatric care.
Experience working in a healthcare setting as a member of a professional clinical team.
Experience with care coordination.

Responsibilities

Performs post enrollment visits, biannual exams of participants and appropriately identifies and documents problems/issues in medical records
Evaluates episodic illnesses and issues appropriate diagnostic and therapeutic orders
Collaborates with physicians and other interdisciplinary team members to manage episodic and chronic medical needs of participants
Addresses and documents Advance Directives/MOLST discussion for participants a minimum of annually and when a change in participant condition occurs
Performs diagnostic, therapeutic and nursing intervention as indicated
Provides continuity in monitoring of chronic, stable illnesses
Implements the participant plan of care in a safe and effective manner
Participates in interdisciplinary team meetings
Evaluates effectiveness of previously implemented treatment
Conducts home and nursing home visits as indicated
Maintains accurate documentation and coding of all services provided according to professional standards
Identifies utilization and service delivery problems and participates in identifying a resolution
Identifies grievances and brings forward to leadership
Participates in quality assessment activities including but not limited to record reviews, outcome measurement and review/revision of policies and procedures
Provides education and training to participants, caregivers and staff in relevant topics
Acts a resource to program staff and participates in defining care standards and practices
Serves on appropriate committees, participates in all site and provider staff meetings including behavioral rounds and psychiatric rounds as indicated.
Enhances personal professional growth and self-development through participation in professional activities including educational programs, current literature, in-service programs, trainings and workshops.
Maintains BLS certification and professional certification as appropriate.
May be asked to perform other duties that align with Fallon Health’s mission, including but not limited to participation on clinical committees, providing education, quality initiatives and/or other activities.