Nurse practioner

PACE Southeast Michigan•Dearborn, MI

11d•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
Comply with PACE guidelines for TB screenings, infection control, BLS and mandatory in-service requirements
Ability to establish and maintain interpersonal and interdepartmental relationships
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.
One (1) year of experience with a frail or elderly population.

Responsibilities

Performing monthly quota of comprehensive annual and semi-annual assessments
Conducting Chronic Care Management visits every 3 months
Managing 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
Initiating 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
Coordinating care with the IDT, PCT, UM, and other PACE services communicating participant changes to the interdisciplinary team
Providing Preventative Care Services
Managing Acute Care Management and Treatment
Providing Patient Education
Documenting in the medical record in the “SOAP Format”, Completion of notes with full assessment preferably within 24 hours but no later than 72 hours
Facilitating Coding capture of Hierarchical Chronic Conditions
Contributing to Utilization Management
Facilitating Advanced Directives
Facilitating Goals of Care and End-of-Life Discussions with participants and families
Managing end-of-life with support of consulting hospice service
Providing care in Clinic, Participants Home, Nursing Facility and Telemedicine
Participating in after-hours on-call medical assistance on a rotating basis via telephone triage or after-hours home visits to participants as needed
Participating in Monthly Education Conference