Nurse Practitioner, Telehealth, Remote, Full time Weekends

ChenMed•St. Louis, MO
•$111,140 - $158,771•Remote

About The Position

The Advanced Practice Provider, CareLine provides urgent care to internal patients during evenings and weekends when ChenMed centers are closed. The role primarily delivers diagnostic patient care through remote video or telephone consultation and serves as the dispositional authority for after-hours and weekend clinical calls. The provider assesses, diagnoses, treats, and documents patients’ physical and psychosocial health status through the collection and interpretation of health data. The schedule includes Monday 16:30–00:00, Friday 15:30–00:00, and Saturday and Sunday 11:00–23:00, with Tuesday through Thursday off. An every-other-week Wednesday meeting runs 14:30–15:30; on weeks when that meeting is attended, the Friday shift ends at 23:00. The role requires availability for evenings, overnights as assigned, weekends, and at least four holidays each calendar year. Travel for meetings and training may be required up to 10% of the time, along with state-specific travel for physician observation and medical record review where required by law. This position works with patients, primary care providers, on-call physicians, and multidisciplinary teams to plan and coordinate care, support clinical outcomes, and improve telehealth practices and systems. It also contributes to policies, protocols, quality improvement, committee work, and feedback intended to improve patient care.

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 that includes 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.
  • Ability to obtain independent or autonomous practice as an NP in applicable states.
  • Ability to exercise independent judgment and demonstrate excellent clinical judgment and problem-solving skills.
  • Ability to prioritize and work under pressure, provide constructive feedback, and communicate and collaborate professionally with physicians, patients, and team members.
  • Ability to work effectively with a multidisciplinary team.
  • Proficiency with Microsoft Office Suite, including Excel, Word, PowerPoint, and Outlook, and competent keyboarding and use of other required systems.
  • Spoken and written fluency in English.
  • Ability and willingness to travel for meetings and training up to 10% of the time and to states requiring onsite observation and medical record review by the delegating physician.
  • Ability to work evenings or overnights as scheduled, weekends, and at least four holidays per calendar year.
  • For Georgia patient support, travel to Georgia quarterly or as otherwise required by law for onsite observation and medical record review by the delegating physician.
  • For Tennessee patient support, travel to Tennessee twice yearly or as otherwise required by law for onsite observation and medical record review by the delegating physician.
  • Adherence to any other applicable state laws that require travel for onsite observation by the delegating physician.
  • Acquire knowledge and skills to maintain expertise in the area of practice.

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.
  • Perform and document physical evaluations and patient histories; analyze trends and develop, document, and implement patient management plans based on findings.
  • Develop plans of care that may include health education, physician referrals, case management referrals, and patient or family counseling.
  • Plan patient care based on the patient population and applicable protocols, considering cultural background, understanding, personality, and support systems; serve as a patient advocate.
  • Collect and analyze comprehensive and focused health data to identify appropriate health maintenance and improvement methods.
  • Confer with patients’ primary care providers and other medical providers to report health data and support compliance with guidelines.
  • Use telemedicine to support optimal patient outcomes, collaborating with the on-call primary care provider as needed and implementing and evaluating appropriate protocols and expected outcomes.
  • Work with key contributors to improve the quality of telehealth practices and systems using data on program effectiveness and success.
  • Communicate through varied formats, tools, and technologies to build professional relationships and deliver care across the continuum.
  • Use appropriate resources to plan and 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 other relevant meetings.
  • Follow departmental goals, performance standards, regulatory requirements, quality-of-care requirements, policies, procedures, and a written or electronic practice agreement.
  • Participate with the clinical team in developing telehealth and telemedicine policies, procedures, and protocols.
  • Initiate or participate in quality improvement activities and committee work that support approved outcomes and organizational growth.
  • Provide feedback regarding others’ practice to improve patient care and coordinate services with other programs.
  • Perform other duties as assigned or modified by management.

Benefits

  • Compensation and comprehensive employee benefits are mentioned; specific benefit offerings are not listed in the job description.
  • Career development and advancement opportunities.
  • Work-life balance.
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