Advanced Practice Nurse

1 month ago


Big Stone Gap, Virginia, United States MOUNTAIN EMPIRE OLDER CITIZENS INC Full time
Position Overview

Role Summary: The Advanced Practice Nurse provides essential medical services to participants in collaboration with a supervising physician.

Key Responsibilities:

  1. Participates as a member of the interdisciplinary team.
  2. Conducts thorough medical evaluations, including initial, semi-annual, and unscheduled assessments.
  3. Creates, updates, and maintains individualized treatment plans for participants.
  4. Aligns clinical treatment strategies with the comprehensive care plan for each participant.
  5. Works alongside physicians, nursing staff, and the interdisciplinary team to address the healthcare needs of participants in various settings, including home and clinic, to avert serious health crises requiring hospitalization.
  6. Assesses and manages participants with acute, episodic, and chronic health conditions, collaborating with physicians for optimal patient care.
  7. Prescribes medications as necessary and oversees their use.
  8. Facilitates referrals to medical specialists and monitors the care provided by other healthcare professionals.
  9. Coordinates with inpatient physicians for necessary hospital admissions and oversees each admission for effective service utilization and clinical outcomes.
  10. Advises the interdisciplinary team and hospital case managers on discharge planning.
  11. Oversees the care of homebound participants and those in nursing facilities through regular visits and phone consultations.
  12. Conducts scheduled visits to homebound participants and additional visits as required.
  13. Supervises care delivered by visiting nursing staff.
  14. Communicates any changes in participant health status to team members and documents these changes in medical records.
  15. Educates participants, their families, and caregivers on various health-related topics.
  16. Engages in family meetings, team discussions, committees, and workgroups as necessary.
  17. Contributes to the Compliance Committee and Management Team.
  18. Involved in the Quality Assurance and Performance Improvement initiatives.
  19. Participates in the coordination of a 24-hour care delivery system, sharing on-call responsibilities with the physician.
  20. Ensures all documentation in medical records is completed as required.
  21. Maintains a safe and hygienic working environment.
  22. Follows infection control protocols and procedures.
  23. Adheres to established clinical guidelines in family practice.
  24. Operates within the boundaries of professional licensure.

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