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Nurse Practitioner Per Diem Savannah, GA
2 months ago
We are seeking a highly skilled and experienced Nurse Practitioner to join our team in a per diem capacity. As a key member of our Senior Community Care (SCC) product, you will provide high-quality care to patients in their homes, nursing homes, and assisted living facilities.
Key Responsibilities- Primary Care Delivery
- Deliver cost-effective, quality care to assigned patients
- Manage both medical and behavioral, chronic and acute conditions effectively, and in collaboration with a physician or specialty provider
- Perform comprehensive assessments and document findings in a concise/comprehensive manner that is compliant with documentation requirements and regulations
- Responsible for ensuring that all diagnoses are coded accurately and documented appropriately to support the diagnosis at that visit
- The APC is responsible for ensuring that all quality elements are addressed and documented
- The APC will do an initial medication review, annual medication review and a post-hospitalization medication reconciliation
- Facilitate agreement and implementation of the patient's plan of care by engaging the facility staff, families/responsible parties, primary and specialty care physicians
- Evaluate the effectiveness, necessity and efficiency of the plan, making revisions as needed
- Utilizes practice guidelines and protocols established by CCM
- Must attend and complete all mandatory educational and training requirements
- Travel between care sites is mandatory
- Care Coordination
- Understand the Payer/Plan benefits, CCM associate policies, procedures and articulate them effectively to providers, patients and key decision-makers
- Assess the medical necessity/effectiveness of ancillary services to determine the appropriate initiation of benefit events and communicate the process to providers and appropriate team members
- Coordinate care as patients transition through different levels of care and care settings
- Monitor the needs of patients and families while facilitating any adjustments to the plan of care as situations and conditions change
- Review orders and interventions for appropriateness and response to treatment to identify most effective plan of care that aligns with the patient's needs and wishes
- Evaluate plan of care for cost effectiveness while meeting the needs of patients, families and providers to decreases high costs, poor outcomes and unnecessary hospitalizations
- Program Enhancement
- Regular and effective communication with internal and external parties including physicians, patients, key decision-makers, nursing facilities, CCM staff and other provider groups
- Actively promote the CCM program in assigned facilities by partnering with key stakeholders (i.e. internal sales function, provider relations, facility leader) to maintain and develop membership growth
- Exhibit original thinking and creativity in the development of new and improved methods and approaches to concerns/issues
- Function independently and responsibly with minimal need for supervision
- Ability to enter available hours into web-based application, at least one month prior to available work time
- Demonstrate initiative in achieving individual, team, and organizational goals and objectives
- Participate in CCM quality initiatives
- Availability to check Optum email intermittently for required trainings, communications, and monthly scheduling
- Certified Nurse Practitioner through a national board
- Active and unrestricted license in the state which you reside
- Current active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice)
- Access to reliable transportation that will enable you to travel to client and/or patient sites within a designated area
- Ability to lift a 30-pound bag in and out of car and to navigate stairs and a variety of dwelling conditions and configurations
- Availability to work 24 hours per month, with expectations that 16 of the 24 hours/month could be during off-hours (after 5 pm, on weekends, and/or holidays) not to exceed 960 hours in a calendar year
- Ability to gain a collaborative practice agreement, if applicable in your state
- 1+ years of hands-on post grad experience within Long Term Care
- Understanding of Geriatrics and Chronic Illness
- Understanding of Advanced Illness and end of life discussions
- Proficient computer skills including the ability to document medical information with written and electronic medical records
- Ability to develop and maintain positive customer relationships
- Adaptability to change
