Nurse Practitioner Landmark Home Visits - Pottawattamie County, IA

$10,000** Sign-on Bonus for External Candidates**

Home Based In-Home and Telehealth Visits

Area of Coverage is Pottawatomie County and Limited Areas of Northern MO

Neola, Oakland, Shelby, McClelland, Minden, Oakland, Treynor, Hancock, Underwood Walnut

Home Based Medical Care, Internal Medicine, Urgent Care, SNF, LTAC , Palliative

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:

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

Preferred Qualifications:

• 2+ years 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
• Home Based Care, Urgent, Emergent, Internal Medicine, SNF, LTAC
• Telehealth