Nurse Practitioner for Continuum of Care

3 days ago


Green Bay, Wisconsin, United States Prevea Health Full time

Responsibilities:

* Implements evidence-based treatment guidelines for clinically diagnosed conditions
* Prepares charts for assigned patients prior to appointments
* Follows protocols for standing orders for medication refills, ordering tests, and delivering routine preventative services
* Educates patients and families about managing their condition or disease
* Conducts pre-visit planning with providers
* Writes individual care plans with treatment goals
* Assesses patient barriers to unsuccessful outcomes as it relates to medication, appointments, and goals
* Coordinates visits with multiple clinicians and/or diagnostic tests during one visit
* Determines through triage how soon patients need to be seen
* Provides telephonic advice on clinic issues
* Identifies health insurance or financial resources for patients
* Systematically sends or communicates medical information to patients
* Reviews clinical measurements with patients at visits
* Reviews information from facilities (discharge summary, hospital admission, or ER visits) to determine if patients require a follow-up visit or who are at risk for adverse outcomes
* Contacts patients after discharge from facilities
* Provides or coordinates follow-up care to patients/families who have been discharged
* Develops written transition plans in collaboration with family and patients when transitioning to another facility or provider
* Aids in identifying a new primary care physician or specialist or consultant and offers ongoing consultation



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