Job Summary: The Nurse Practitioner provides primary care and continuous medical coverage, and directly provides primary care services to Northland PACE participants. Demonstrates the knowledge and skills necessary to assess, plan care for and provide service to frail elderly participants according to assigned responsibilities and Northland PACE standards.
Primary Responsibilities: Under limited direction and in accordance with all applicable federal, state and local laws/regulations and policies, procedures and guidelines:
- Conduct comprehensive History and Physical on new referrals.
- Conducts quarterly History and Physical on established participants.
- Provides evaluation and treatment of participants during acute illness.
- Determines the need for and facilitating referrals to other medical specialists when deemed necessary.
- Discussing care guidelines with participants.
- Exercises judicious utilization of specialist consultations.
- Participates in rotating night and weekend call with other Northland PACE primary care providers.
- Participates in the development and revision of the participant’s plan of care as a member of the interdisciplinary team. Integrates the primary care treatment plan into the overall plan of care developed by the interdisciplinary team. Interacts with other team members to meet emergent and acute needs of participants. Participates in discharge planning.
- Participates in quality management program activities, including peer review.
- Maintains quality documentation of all services provided.
- Collaborates with primary care physician and medical director to ensure continuity of care (e.g., during acute hospitalizations).
- Conducts home visits and nursing home visits as needed.
- Knows and adheres to the philosophy and goals of Northland PACE.
- Keeps confidentiality of client records, reports and discussions.
- Participates in formulation and maintenance of Northland PACE Program policies and procedures.
- Participates in Northland PACE Committees as requested by the Medical Director. May chair committees or task forces.
- Attends and participates in scheduled staff meetings and client care meetings as requested.
- Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities.
- Utilizes supplies and equipment economically.
- Informs the Medical Director of “unusual incidents”.
- Identifies nursing service delivery problems and uses good judgment in their solution.
- Is professional in manner in the clinical area; recognizes own limits and seeks help and guidance from the Medical Director as appropriate.
- Maintains licensure and certification and pursues professional growth through continuing education.
Masters Degree in nursing/primary care. Three-five years of experience as a Nurse Practitioner.
Licensure, registry or certification required: Certified Registered Nurse Practitioner license to practice in North Dakota, current DEA registration.
Interdisciplinary teamwork; ability to work effectively with culturally, economically and educationally diverse populations, and form positive interpersonal relations in dealing with a wide range of staff and clients is essential. Advanced knowledge of health care, geriatrics and primary care.
Physical Demands: Must be able to see, hear, and verbally communicate. Must be able to move about freely and possess manual dexterity and visual acuity. Requires full body range of motion, including handling and lifting participants. Requires standing, walking, pushing, bending, kneeling, climbing stairs and reaching at arm’s length and overhead. Occasional lifting of 25 -50 lbs. or more. Must be able to transfer participants needing maximum assist of person. Must be able to make home visits and nursing home visits of participants who may live in non-handicapped accessible dwellings. Requires working under stressful conditions. Moderate pressure to meet scheduled appointments while dealing with frail and confused participants. Subject to participants that may have the potential for verbal or physical aggression.
Working Conditions: Primarily inside, well-lit, climate controlled environments. Includes periodic participant home, alternative living site(s), and healthcare institution visits. May be exposed to a risk of bodily injury through contact with moving equipment, toxic substances, medicinal preparations, bodily fluids, communicable diseases, and any other conditions common in a clinic or medical facility environment. Must have own means of transportation. Periodic local car travel (100+- miles) required.