Nurse Practitioner (DCC)

DaVita Kidney Care • 01301 - DaVita Medical Home-Virginia Ops, VA

5d • Hybrid

About The Position

Performs wellness assessments to identify and evaluate patients’ co-morbid conditions and identifies and assists with patients’ needs including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members. Manages the care of ESRD patients, using enhanced wellness visits or CHE as a foundational history and physical, focusing on medical cost/utilization and preventing/reducing hospitalizations, and re-admissions through proactive post-discharge planning and follow-up with patients most at risk. Leads the clinical team and ensures care management and care coordination activities complement and support medical treatment plans while integrating psychosocial, and physiological needs of the patients. Documents findings in patient medical record using an Electronic Health Record (EHR) system, ensuring that appropriate diagnoses are evaluated and accurately documented. Communicates with Nephrologists, DVPs, Directors, and other NPs on clinical and operational outcomes. Collaborates with Nephrologists, other providers ICHD TMs, IKC TMs, and Medical Directors regarding the healthcare needs of the patients. Provide support for patients after normal business hours if acute clinical needs arise. Knows and complies with DaVita policies and procedures in accordance with State and Federal regulations for patient care and services (CMS, HIPAA, OSHA, or other governing agencies); Standards necessary to maintain organizational accreditation (such as NCQA); and, State or Federal regulations of Injury Prevention and Safety Training Program. Other duties as assigned (ex: participation in a QI or pilot program, serving as an active participant on a committee, creation/delivery of clinical education delivered within a DCC forum).

Requirements

• 5+ years of independent primary care practice
• Master's degree
• Demonstrated proficiency in clinical assessment, diagnosis, planning, implementation, documentation, and evaluation regarding the needs and care of chronic disease
• Required License to practice autonomously and prescribe medications
• Enthusiasm to be one of the first hires in a new program and to be an active participant in program iteration, innovation, and care redesign.
• Ability to work from a number of DaVita clinics and accommodate patient dialysis times.
• Effectively engage providers and develop strong clinical rapport
• Ability to learn and execute clinical protocol specific to ESRD patients
• Ability to become credentialed with DaVita Kidney Care, Medicare, and private payers
• Demonstrated knowledge and understanding of data and managing to clinical, financial, and patient satisfaction outcomes
• Deals with confidential information and/or issues using discretion and judgment
• Functional proficiency with EHR applications within 90 days of employment
• Intermediate computer skills and proficiency in MS Word, Excel, and Outlook
• High level communication skills in clinical and business settings with other practitioners and upper management
• Active CPR certification
• Active DEA license and experience prescribing medications
• Current valid driver’s license and insurance within state of residence

Nice To Haves

• Experience in dialysis and nephrology
• Prior experience with Epic
• Current NP license; Certificate of completion from an accredited NP Program

Responsibilities

• Performs wellness assessments to identify and evaluate patients’ co-morbid conditions and identifies and assists with patients’ needs including but not limited to medical, social, emotional, and financial concerns through medical record review, consultation with patient, family, and healthcare team members.
• Manages the care of ESRD patients, using enhanced wellness visits or CHE as a foundational history and physical, focusing on medical cost/utilization and preventing/reducing hospitalizations, and re-admissions through proactive post-discharge planning and follow-up with patients most at risk.
• Leads the clinical team and ensures care management and care coordination activities complement and support medical treatment plans while integrating psychosocial, and physiological needs of the patients.
• Documents findings in patient medical record using an Electronic Health Record (EHR) system, ensuring that appropriate diagnoses are evaluated and accurately documented.
• Communicates with Nephrologists, DVPs, Directors, and other NPs on clinical and operational outcomes.
• Collaborates with Nephrologists, other providers ICHD TMs, IKC TMs, and Medical Directors regarding the healthcare needs of the patients.
• Provide support for patients after normal business hours if acute clinical needs arise.
• Knows and complies with DaVita policies and procedures in accordance with State and Federal regulations for patient care and services (CMS, HIPAA, OSHA, or other governing agencies); Standards necessary to maintain organizational accreditation (such as NCQA); and, State or Federal regulations of Injury Prevention and Safety Training Program.
• Other duties as assigned (ex: participation in a QI or pilot program, serving as an active participant on a committee, creation/delivery of clinical education delivered within a DCC forum)

Benefits

• Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Family resources, EAP counseling sessions, Headspace®, backup child and elder care, maternity/paternity leave
• DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita’s online training platform StarLearning.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior