As a key member of the clinical team in the skilled nursing facility, the nurse practitioner provides preventive care, diagnoses both acute and chronic illnesses, orders and interprets diagnostic tests, prescribes medications, refers to specialists as appropriate, establishes a plan of care with short-term and long-term goals, and is a resource to members, families, and staff.
Demonstrates both autonomy and proficiency in performance of comprehensive health assessments.
Collaborates with member’s primary care physician to create a care plan focused on prevention, early detection and timely intervention.
Observes the scope of practice in the state in which he or she is licensed and working in.
Communicates with physicians and family members during transitions of care.
Effectively communicates with all members of the care team and facilitates a medically appropriate and effective plan of care to avoid unnecessary duplication of testing, and fragmentation of care.
Participates in case rounds to review skilled and hospitalized members.
Minimum of 3 years clinical care experience.
Clinical competence and understanding of evidenced-based practice.
Proficient in basic computer skills- confidence in learning and using unfamiliar computer programs and electronic devices.
Skilled Nursing Facility/Long Term Care experience preferred.
Case management experience preferred
Knowledge of current standard medical practices and experience with Medicare/Medicaid.
Detailed knowledge of I-SNP MOC and I-SNP population.
Proficiency in nursing/medical databases and Microsoft programs.
Positive and enthusiastic attitude.
LICENSURE, CREDENTIALING AND CERTIFICATION
Currently licensed as an Acute, Adult/Gerontological or Family Nurse Practitioner in the state of practice.
Meets the Provider Partner Health Plan credentialing requirements.
Holds or is eligible for DEA licensure and CDS licensure (if required in the state of practice)
Basic Cardiac Life Support certification.
Current unrestricted RN license for the state in which the Nurse Care Coordinator is practicing.