Nurse Practitioner, Telehealth, Remote, Full time Weekends

ChenMed•Houston, TX

1d•$111,140 - $158,771•Remote

About The Position

The Advanced Practice Provider, CareLine provides urgent-care support to internal patients during evenings and weekends when centers are closed. Care is delivered primarily through remote virtual consultations by telephone or video. The practitioner serves as the dispositional authority for after-hours and weekend clinical calls and is responsible for assessing, diagnosing, treating, and documenting patients’ physical and psychosocial health status. The schedule is Monday 16:30–00:00; Tuesday through Thursday off; every other week, a Wednesday meeting from 14:30–15:30; Friday 15:30–00:00; and Saturday and Sunday 11:00–23:00. On weeks when the Wednesday meeting is attended, the Friday shift ends at 23:00. The role assesses acute and non-acute concerns, collects and analyzes patient health information, develops and implements care plans, and coordinates with primary care providers and other clinicians. It also contributes to telehealth quality improvement, policies, procedures, and protocols, and requires compliance with applicable regulations, practice agreements, and organizational standards. Depending on state requirements, the practitioner may need to travel for onsite observation and medical-record review with a delegating physician. Travel for meetings and training may be up to 10%, and availability to work at least four holidays per calendar year is required.

Requirements

Master’s degree in Nursing.
Bachelor’s degree in Nursing (BSN) and graduation from a school of nursing for Advanced Practice Nursing, with certification in the area of specialty.
Board certification by AANP or ANCC.
Basic Life Support (BLS) certification from the American Heart Association or American Red Cross upon hire.
Current DEA number for Schedule II–V controlled substances may be required depending on the state of practice.
Multistate licensure including Florida and at least two licenses among Virginia, Georgia, Michigan, Missouri, Ohio, Pennsylvania, Tennessee, Texas, Illinois, Kentucky, and Louisiana.
At least 3 years of acute-care, primary-care, or urgent-care clinical work experience.
If supporting patients in Georgia, comply with state law requiring quarterly (or otherwise legally mandated) travel for onsite observation and medical-record review by the delegating physician.
If supporting patients in Tennessee, comply with state law requiring biannual (or otherwise legally mandated) travel for onsite observation and medical-record review by the delegating physician.
Comply with any other state laws requiring travel for onsite observation by the delegating physician.
Expert business acuity and expert knowledge of relevant job functions, practices, processes, procedures, techniques, and methods.
Knowledge of medical practices sufficient to function independently as a certified practitioner and in collaboration and consultation with physicians, specialists, and other medical providers.
Demonstrated record of consistently achieving clinical performance metrics.
Technical capability to conduct telemedicine visits in accordance with state and federal regulations.
Excellent clinical judgment and problem-solving ability; ability to prioritize and work under pressure.
Ability to provide constructive feedback and communicate and collaborate professionally with physicians, patients, and other team members.
Ability to work effectively with a multidisciplinary team.
Proficiency with Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook, and competence in keyboarding and other required systems.
Ability and willingness to travel for meetings and training up to 10% of the time.
Ability and willingness to travel to Georgia or any other state requiring onsite observation and medical-record review with the respective physician.
Availability to work at least four holidays in the calendar year.
Spoken and written fluency in English.
Ability to exercise independent judgment.
Ability and willingness to obtain independent/autonomous practice in applicable states.
Maintain expertise in the area of practice by acquiring relevant knowledge and skills.

Nice To Haves

At least 2 years of telehealth work experience.
Bilingual Spanish or Creole.

Responsibilities

Assess acute and non-acute clinical problems through virtual video conference or telephone; document evaluations and histories, analyze patient trends, and develop and implement management plans.
Support plans of care that may include health education, physician or case-management referrals, and patient or family counseling.
Plan patient care based on patient-population knowledge and protocols, taking cultural background, understanding, personality, and support systems into account; serve as a patient advocate.
Collect and analyze comprehensive and focused health data to determine appropriate health-maintenance or improvement methods.
Confer with patients’ primary care providers and other medical providers to report health data and support compliance with guidelines.
Use telemedicine and collaborate with on-call primary care providers as needed to support expected clinical outcomes; implement protocols and evaluate progress.
Work with key contributors to improve telehealth practices and systems using data that demonstrates program effectiveness and success.
Communicate through a variety of formats, tools, and technologies to build professional relationships and deliver care across the continuum.
Use appropriate resources to provide safe, effective, and financially responsible services.
Provide professional customer service to internal and external customers.
May participate in clinical rounds and conferences, risk and quality management programs, and relevant meetings.
Follow departmental objectives, performance standards, regulatory requirements, quality-of-care requirements, policies, and procedures, and practice in accordance with a written or electronic practice agreement.
Participate with the clinical team in developing telehealth policies, procedures, and protocols.
Initiate or participate in quality-improvement activities and committees that support growth; provide feedback on others’ practice to improve patient care.
Coordinate services with other programs and perform other duties as assigned or modified by management.
Travel to states that require onsite observation and medical-record review by a delegating physician, as applicable.
Attend meetings and training as needed, and work the assigned evening, overnight, weekend, and holiday schedule.