Primary Care Provider Nurse Practitioner

Kintegra Health•Gastonia, NC

About The Position

The Primary Care Provider Nurse Practitioner provides direct and indirect care to assigned Senior TLC participants in clinic, home, or community-based settings in Gaston, Cleveland, and Lincoln Counties. The role applies advanced clinical knowledge and skills to assess and manage the healthcare of chronically ill geriatric participants in the Senior TLC (STLC) program. The position reports directly to the Medical Director and indirectly to the Center Manager, and works under the Medical Director’s direct supervision as described in the NP-MD Collaborative Practice Agreement. The Nurse Practitioner may serve as temporary substitute Medical Director if an unexpected absence occurs. The role supports Senior TLC’s mission, vision, and values and embraces the team-based PACE model. The Nurse Practitioner provides primary care, coordinates participant care with physicians and the interdisciplinary team, and participates in required meetings and on-call rotation.

Requirements

Master’s degree or higher as a Nurse Practitioner from an accredited program.
Three to five years of medical experience, including at least one year of experience as a Nurse Practitioner.
At least one year of experience with a frail or elderly population.
Current Nurse Practitioner license in North Carolina and ANCC board certification.
Ability to learn, teach, and conduct research; solve problems and think analytically; treat geriatric patients; and work well with others in a team environment.
Knowledge and skills necessary to treat patients; additional training as required by the department.
Practice only within the scope of authority.
Meet Senior TLC’s standardized PACE-specific organizational competencies for the position before working independently.
Medical clearance for communicable diseases and proof of up-to-date immunizations before direct participant contact.

Responsibilities

Support Senior TLC’s mission, vision, and values.
Perform health histories, physical examinations, and patient teaching; order, interpret, and follow up on laboratory tests and results; perform selected procedures; document care orally and in writing; initiate emergency measures when indicated; and recognize abnormalities requiring immediate referral.
Facilitate participant primary care management in conjunction with physician staff in accordance with the PACE model.
Initiate, evaluate, review, and change orders for selected medications and diagnostic studies or treatments within attending-physician-approved protocols.
Complete medication reconciliations when a participant is admitted to a Skilled Nursing Facility and reconcile medications there according to STLC protocol; provide any required hard-copy prescriptions to the facility.
Assess, initiate, and coordinate direct participant care daily under the supervision of the Medical Director and/or Primary Care Physician.
Perform participant assessments required by PACE regulations and visit participants in homes and hospitals as directed or required.
Request consultations from other services in collaboration with the attending physician and/or established protocols.
Collaborate with physicians, nurses, and other healthcare professionals, providing education, communication, and support to healthcare staff, patients, and families.
Participate in participant care planning, including implementing SMART goals and interventions, and enter care-plan information promptly according to organizational protocols.
Support the Interdisciplinary Team, promote team unity, and demonstrate teamwork and collaboration with team members, coworkers, and participants.
Attend morning STLC IDT meetings, monthly advanced-practitioner supervisory meetings, Family and Team meetings as needed, and North Carolina Controlled Substance System (PMP) documentation meetings.
Dictate death notes in Primesuite (PS).
Participate in the Primary Care on-call rotation.
Perform other duties as assigned.