The Nurse Practitioner will be responsible for the delivery of personalized compassionate medical care to patients primarily with CKD and/or ESRD/ESKD. The Nurse Practitioner will be responsible for caring for patients, maintaining accurate and current patient records and scheduling, and administering follow-up appointments to patients as required. The successful candidate will work as a team with our field-based nurses, community health workers, and physicians and assist in delivering premium care to every patient. Primary duties include patient health assessment, creating strategies to improve or manage a patient health, and introduce habits for health promotion. Generally, nurse practitioners perform the important task of educating patients about preventative care and prescribed treatments. He/she may also conduct physicals, order tests, prescribe medications, and serve as a coordinator with the patient's primary healthcare provider and their specialists. Roles and Responsibilities
Conducts assessments, which includes comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment.
Counsels and educates patients and families about benefits and programs available to help them live healthier lives.
Documents items such as: appropriate chief complaint, all applicable diagnosis, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan.
Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services.
Completes all documentation and paperwork in a timely manner.
Maintains quality of care standards as defined by the practice.
This position will not be office-based but will be remote in state in which employed and will need to attend periodic training/meetings outside of that state.
Deliver evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first
Prescribe medications, order tests, and collaborate with patient’s physician.
Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily.
Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.
Assists patients with enrolling to access educational videos.
Participates in the integrated care team meetings.
Knowledge of disease diagnosis and prevention.
Make assessment of patient's health status.
Develop treatment plan.
Implement a plan consistent with appropriate plan of care.
Follow-up and evaluate patient's status.
Other duties as assigned
Position Requirements
Active and unrestricted Registered Nurse and Nurse Practitioner license.
Board certified by ANCC or AANP.
Current and unrestricted DEA certificate.
Ability to work without direct supervision and practice autonomously.
Access to transportation, a valid driver's license, and car insurance.
Must be proficient with medical instruments and equipment required by the work.
Knowledge of computer-based data management programs and information systems, as well as medical records and point-of-interview technology.
Ability to communicate effectively, in verbal and written form, with retail and medical partners at various levels, patients, family members, physicians and representatives of the community.
Sound understanding of all federal and state regulations including HIPAA and OSHA.
1 or more years of NP experience preferred.
Managed Care/IPA/Health Plan experience.
Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home.