Internal Medicine Nurse Practitioner

The Community-based Clinician provides needed primary and urgent care in the home. Great focus on managing transitions of care, especially in the important and delicate time after hospital discharge. This position adds to a member s current care, collaborating with their current care providers. The role is immensely satisfying, as you practice enhanced primary care and have the benefit of expert care management. Seeing members in the home allows you great insight into the social factors that affect their care. This is a tremendous opportunity to impact the care of vulnerable patients.

Duties and Responsibilities

Provide community-based medical and care-coordination services for recent hospital discharges. Manage a small panel of homebound members who require primary care. Resolve acute issue in the home and clinic or by directing member to most effective and efficient solutions.

• Acute onset of a new illness.
• Evaluation of acute exacerbations of chronic conditions.
• Shortness of breath without chest pain, change in mental status or new onset hypoxia.
• CHF exacerbations
• Asthma / COPD exacerbations
• Bronchitis / pneumonia
• Hyperglycemia
• Elevated blood pressure
• Evaluation and treatment of a variety of infections
• New or worsening aches or pains, wounds, depression and / or anxiety.
• Members we know will go to the ER if not seen today.

Ensure coordination of care to include :

Education & Experience Requirements :

Preferred qualifications :

by Jobble