Nurse Practitioner, Home Visits - Oceana, MI

Primary Responsibilities:

• Practices in accordance with the respective state laws and regulations governing the practice of advanced practice nursing or physician assistants
• Establishes and maintains effective relationships with patients, care givers, and/or their legal representatives, IDT members, PCPs, other collaborating physicians/providers, and facility staff when applicable
• Performs an initial comprehensive assessment on all newly enrolled patients and provides ongoing care thereafter. Develops a patient management care plan upon enrollment and updates it as needed when changes in condition warrant or following hospitalization. Meets with patients and/or their legal representatives to review newly developed or modified care plans; involves the PCP or supervising physician in these meetings, when applicable
• Completes follow-up and post-discharge assessments according to documented standard operating procedure
• Prescribes appropriate diagnostics and interventions to avoid unnecessary acute admissions
• Comfortable with basic procedures of nursing care, including IV placement, blood draws, injections, foley catheters, nasal packing, wound care, etc. New hire and annual skills check/training provided
• Consults with hospital, emergency or post-acute clinical team following notification of patient transfer
• Educates patients and/or their legal representatives in disease processes affecting patients and ways to manage them effectively, as well as to promote wellness
• Provides counsel, support and education to staff as appropriate
• Actively participates in ongoing meetings pertaining to patient care and clinical excellence
• Implements HEDIS measure campaigns and other quality initiatives to ensure the highest standards of care and to promote the improvement of care management and delivery
• On-call for caseload during business hours. Participation in clinical after hours on-call program on rotational basis
• Keeps current on relevant medical and nursing research, technology, and related issues by attending continuing education courses, professional meetings and journal reviews
• Perform related duties as necessary and other duties as assigned

Required Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Current NP license
• Completion of Nurse Practitioner accredited program
• Access to reliable transportation required; if you are driving a vehicle, you must comply with all the terms of the Optum Motor Vehicle Safety policy

Preferred Qualifications:

• 2+ years of clinical experience, primary care, home-based medical care, geriatrics or palliative care or emergency/urgent care
• Knowledge of long-term care, community resources and cost-effective alternatives regarding patient care delivery systems
• Knowledge of CPT, ICD-10 and HCPC codes
• Knowledge of clinical standards of care
• Awareness of NCQA requirements, CMS guidelines, Medicaid/Medicare contracts and benefit systems