APP - Skilled Nursing Facility

• City/State: Fredericksburg, VA
• Specialty: Nurse Practitioner
• Schedule: Full-time
• Job ID: R-22466

Start the day excited to make a difference…end the day knowing you did. Come join our team.

Job Summary:The Nurse Practitioner (NP) is responsible for providing direct patient care in a Long-Term Care, Skilled Nursing Facility. The NP will participate as a leader of the skilled nursing facility (SNF) care team. The NP will provide appropriate evidence-based geriatric medicine and coordinate care with hospitalists, primary care physicians and care managers in providing quality, efficient, continuous, and cost-effective care for the residents of the skilled nursing facility.

Essential Functions & Responsibilities:

• Obtains, records, and dictates medical histories and physical examinations.
• Makes daily rounds, records progress notes, writes routine orders (comfort and diet, laboratory tests, non-invasive examinations, etc.).
• Performs procedures such as, general wound care, intravenous (IV) therapy, injections, catheter care, physical therapy, and monitoring of vital signs and medical equipment
• Ordering, performing, and interpreting diagnostic tests such as lab work.
• Act as liaison between patients, nurses.
• Requests consults from appropriate physicians.
• Diagnoses and treats acute and chronic conditions such as diabetes, high blood pressure, infections, and injuries.
• Prescribes medications and other treatments.
• Manages patients' overall care.
• Performs other duties as assigned.

SKILLED NURSING FACILITY SPECIFIC

• Maintains privileges in multiple Nursing Homes as directed by ACA.
• Maintains license and malpractice insurance.
• Consults supervising attending and Medical Director as needed.
• Documents patient visits electronically.
• Participates in documentation and other quality improvement programs.
• Available via phone weekdays 8am until 5pm and when on call.
• Participates in on-call schedule.
• Reviews, approves, and modifies admission orders.
• Creates detailed admit note for each admission within 24 hours of patient admission to SNF, including medication reconciliation.
• Initiates/documents Advanced Directives.
• Determines if Health Care Proxy status is correct and invoke, if appropriate.

DAILY VISITS

• Initiates and reviews orders, including medications, on a daily basis,
• Reviews labs, radiology reports, and consults on all patients.
• Examines and interacts with each assigned skilled-level patient Monday through Friday.
• Writes at least one daily progress note for each assigned patient.
• Assesses each patient's medical stability daily. Consults coordinates with specialists as needed.
• Addresses acute mental status changes via non-pharmacological or pharmacological measures consultation or transfer.
• Coordinates/assesses rehab progress on a daily basis.
• Discusses concerns with the patient, family, rehab and case management. Educates patient and family members regarding acute and chronic illness management.
• Informs attending and or ACA medical director of significant changes in medical condition.
• Participates in weekly utilization meetings collaborating with the SNF care team and ACA care managers.
• Coordinates with PCP's, Hospitalists, ACA Medical Directors and Case Managers.
• Addresses/coordinates any legal issues.

DISCHARGE

• Develops a discharge plan utilizing input from case management and rehab. Identifies barriers to discharge.
• Creates detailed discharge summary for each admission on all patients, including medication reconciliation, and sends to the PCP at the time of the SNF discharge.
• Ensures that patients have all appropriate drug and DME prescriptions at discharge.
• Coordinates visits with the PCP post discharge.
• Sends discharge summary to the PCP at discharge.
• Coordinates transition from skilled to long term placement.

Long-Term Care

• Assists case management in the evaluation of selected long-term patients.
• Follows "new" long term patients every 30 days.
• Assists the attending physician with management for complex long-term patients.

Qualifications:

• MSN required.
• Registered Nurse licensed to practice in Virginia or eligible required.
• Current Virginia state certification as an Adult Nurse Practitioner required.
• AHA BLS Provider required at hire.
• Valid DEA certificate required.

As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status.

Let's talk about your career plans and how we can make them a reality.

Manager, Provider Recruitment