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Nurse Practitioner
Nurse PractitionerCareConnectMD Inc • Costa Mesa, CA, US
Nurse Practitioner

Nurse Practitioner

CareConnectMD Inc • Costa Mesa, CA, US
30+ days ago
Job type
  • Full-time
Job description

Job Description

Job Description

Key Duties and Responsibilities

  • Assessment of patients to identify needs for services and support such as : DME and supplies, acute medical services, behavioral health services, HCBS and primary or specialty care
  • Assist patient and their families / caregivers in identifying goals or care, family support system, environmental, cultural, and linguistic needs for the patient care plan.
  • Complete appropriate assessment within contractual timelines
  • Managing a complex caseload of patients. The performance standard is at least 260 required visits per months
  • Provide primary care services in a collaborative environment for frail and elderly patients in a long-term care setting
  • Provide primary care that will focus assessment, health management, education, advocacy, and prevention
  • Communicate assessment outcomes with patients, PCP, and key service providers
  • Ensure appropriate utilization and consistent application of the benefits
  • Serve as member advocate and facilitator to resolve issues that maybe perceived as barriers to care
  • Collaborate and communicate with other members of the Care Coordinator Team to improve the quality and efficiency of health care delivery
  • Rounding on skilled nursing patient as needed, monthly rounding on custodial patients
  • Through an accurate medical documentation using EMR charting
  • Review and order medications (including IVs), labs, and other diagnostic testing
  • Participate in patient’s IDT’s
  • Available from 7 AM – 7 PM for phone calls from Monday - Friday
  • Participate in on-call for assigned patients (Monday-Friday 7 AM – 7 PM) call for patients without additional compensation which is part of job responsibilities
  • Participate in 1 -2 weekends day calls from 7 AM – 7 PM
  • Will also participate in rotational after hours on-call which may include weekends and holidays, (reimbursement as per company policy), after hours call from 7 PM – 7 AM.
  • Participate in QI program and Peer Review meetings
  • Participate in utilization management program
  • Discussion of advanced care planning
  • Ongoing patient / family communication
  • Proactive communication with case manager and PCPs to keep them apprised of patient care issues
  • Appropriate CPT coding and daily submission of billing forms to office. All chart to be signed within 7 days of visit.
  • Timely completion of all medical records in accordance with facility and other applicable policies. Documents to be completed within 5 days of visit if document is not completed within this time frame will not be counted toward bonus count.
  • Timely completion of : Discharge summary, Annual Wellness Visits.
  • Engagement at Care Management Meetings and Monthly Staffs Meetings
  • POLST completion
  • Perform other duties and responsibilities as assigned

Education and Experience

  • Master’s degree with an emphasis in adult / geriatric program
  • Must be Board Certified and have a DEA
  • State certification as adult / geriatric nurse practitioner
  • Current CPR certification
  • Experience in geriatrics and skilled nursing facilities preferred
  • Essential Skills and Abilities

  • Strong background in geriatric and / or internal medicine
  • Furnishing number
  • Demonstrate ability to work independently
  • Manage care experience
  • Thrives in an unstructured, start-up environment.
  • Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.
  • Creative, flexible, well organized, resourceful, and detail-oriented
  • Excellent judgment in handling confidential and sensitive information
  • Establishing and maintaining cooperative working relationships with others
  • Ability to work across locations and time zones
  • Occasionally require lifting or exert force up to 10 pounds.
  • Licenses / Certifications

  • Must be Board certified and have a DEA
  • State certification as adult / geriatric nurse practitioner
  • Current CPR certification
  • Core Competencies

  • Instills trust
  • Customer focus
  • Manages ambiguity
  • Collaborates
  • Drives results
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    Nurse Practitioner • Costa Mesa, CA, US

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