NURSE PRACTITIONER - Beth Abraham Family of Health Services - Brooklyn, NY

Provides primary care services and medical coverage to CenterLight PACE participants; demonstrates the knowledge and skills necessary to assess, plan care for and provide care to frail elderly participants. Ensure safe, effective and efficient comprehensive care according to CenterLight standards and quality management goals. Participates in the development and revision of the participants’ plan of care as a member of the interdisciplinary team. Conducts initial and semi-annual assessments in various care settings; performs additional physical assessments on participants as needed and implements appropriate interventions. Maintains compliance with regulatory and documentation requirements including PACE program guidelines and American Nurse Credentialing Center. Contributes to the educational and research activities at CenterLight.

Responsibilities:
Evaluation and Treatment – Practice safe, effective and efficient comprehensive primary health care according to CenterLight standards and quality management goals. Conducts comprehensive History and Physicals on new participants and current participants in any care setting (clinic, member’s home in the community, nursing home, hospital, other care settings). Provides evaluation and treatment of participants during acute illness or emergence of new complaint or symptom; manages participants’ chronic illness in collaboration with the IDT. Determines the need for and facilitates referrals to other medical specialists when participant condition warrants. Evaluates the participants’ plan of care and revises as appropriate. Provides preventive health maintenance for participants including immunizations, screenings, and monitoring of pertinent indicators. Prescribes and adjusts medications within the scope of prescriptive authority and current practice guidelines. Orders, reviews, and provides instruction to participants regarding therapeutic diet. Orders, facilitates, and reviews diagnostic examinations such as laboratory, radiology, etc. In collaboration with the Site Medical Director, actively participate in the Infection Control and Surveillance activities.

Interdisciplinary Team and Plan of Care – Participates in the development and revision of the participants’ plan of care as a member of the IDT. Integrates the primary care treatment plan into the overall plan of care developed by the IDT. Collaborates with team members to meet emergent, acute and chronic needs of participants. Act as a response and consultant to team on issues related to complex care management and illness/injury prevention behaviors for geriatrics participants and caregivers. Collaborates with team members to assist participants and families to assume greater responsibility for health maintenance and illness care by providing instruction, counseling and guidance. Participates in morning report meetings, family meetings, care conferences and other meetings as necessary.

On Call, Home Care, Coverage assignment and Contracted Facilities Participates in on-call rotation and conducts home visits and nursing home visits as needed. In collaboration with PCP, manages care of participants residing in contracted provider facilities – hospitals, nursing home, assisted living. Provides primary care coverage for other primary care physician at assigned PACE Center. May provide termporary coverage assignment at other PACE Centers within or another region as assigned.

Quality Assurance – Maintains compliance with all regulated quality and documentation requirements including PACE program guidelines, and ANCC standards. Participates in quality management program activities including peer review. Maintains current, accurate and complete documentation of health care services, and prepares reports as required. Assists with the development of clinical policies, procedures and standards of care; performs ongoing monitoring and evaluation of patient care practice and service delivery; provides guidance and training to staff regarding clinical and quality issues. Prepares and codes medical billing documents timely and accurately to ensure a complete record of all patient diagnoses.

Educational and Research Activities – Contributes to the education and research activities at CenterLight. Assumes responsibility for professional activities and growth; keeps abreast of current nursing knowledge, especially in the field of geriatrics. Acts as an advocate for PACE by educating others about the program and promoting the value of PACE in caring for frail seniors. May serve as a preceptor for nursing students; conduct lectures and in-services. Participates in development of patient education tools, resources, self-management strategies. Educates staff, participants and caregivers regarding health care issues.

Qualifications:
Education:
Master degree in Nursing

Registrations:
Current NYS registration as a Professional Registered Nurse

Current NYS license and Certification as an Family, Adult, or Geriatric Nurse Practitioner, in good standing, with prescriptive authority.

Certifications:
Certification by AANP or ANCC

Valid and up-to-date DEA Certificate is required.

Experience :
Minimum 2 years’ experience working as an Adult, Family, or Geriatric NP including one year of experience working with frail elderly preferably in a long term care or primary medical care setting

Demonstrate position specific competencies for Primary Care Nurse Practitioner

Ability to work effectively as part of an interdisciplinary team

Ability to work effectively with diverse populations and cultures

Languages:
Bilingual Spanish, Chinese, Korean, Albanian, Russian, and/or French Creole highly preferred

Others:
Competency in the use of a personal/laptop computer primarily for clinical documentation

Some travel required – Ability to travel to other region/NY county as assigned. Possession of a valid unrestricted driver’s licensed with a registered/insured vehicle highly preferred