APP - PACE Nurse Practitioner

The Advanced Practice Registered Nurse (APRN) provides assessment, management and outcome evaluation for patients in inpatient and outpatient settings. The APRN serves as a resource to educate patients, families, professional nurses, and staff; functions as a liaison between patient, family and UofL Physicians staff; and participates in clinical research. The APRN should demonstrate an advanced level of medical and nursing knowledge, clinical and technical competency, sound clinical judgment, professionalism as it relates to interpersonal and general communication skills, timely and compliant documentation, and takes responsibility for ongoing professional development and competency validation.

PRIMARY RELATIONSHIPS
:
Medical Director, Executive Director, Primary Care Physicians, Center Managers, co-workers, participants, family members and public.

OBJECTIVE
:

Under the supervision of the Executive Director, with Medical Director oversight, provides primary care to participants. Performs physical assessments of new PACE Enrollees, semi-annual reassessments of participants and develops and implements appropriate plans of care to Senior Comm Unity Care program participants. Evaluates participant physical complaints and provides appropriate treatment.

Provides participants and caregiver teaching and education. Functions as a member of the Interdisciplinary Team (IDT). Demonstrates the knowledge and skills necessary to assess, plan, care for, and provide services to frail elder participants according to assigned responsibilities and Senior Community Care standards.

QUALIFICATIONS
:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.

2. Must have a valid drivers license, proof of insurance and have means of transportation.

3.
Education
:
Graduate of a school of professional nursing required. Licensed as Registered Nurse (R.N.) in the state of employment. Certified as a nurse practitioner by a national certifying organization recognized by the State Board of Nursing. Prescriptive authority required within one year of hire. Certified as a Geriatric Nurse Practitioner (G.N.P.) preferred.

4.
Experience
: A minimum of one year of experience in working with the frail and elderly population required. Two (2) years of experience as a nurse practitioner in a geriatric setting preferred.

5.
Skills and Knowledge
:

• Thorough knowledge of current concepts, theories and practices related to home and community based care for the elderly and disabled adults.

• Working knowledge of the PACE regulations desired.

• Thorough knowledge of physical, mental and social needs of frail older adults.

• Effective oral and written communication skills. Ability to lead and work within the interdisciplinary setting.

• Strong organizational skills. Able to manage changing priorities per needs of the PACE program and the agency.

• Ability to utilize computers and other electronic devices for tasks such as timekeeping, in-servicing and documentation.

Essential Functions

1. Performs in person comprehensive history and physical assessments of new Senior Comm Unity Care PACE participants.

2. Coordinates with the Interdisciplinary Team to develop a comprehensive plan of care for each participant.

3. Conducts an in-person re-assessment semi-annually and as needed.

4. Works with team members to meet emergent and acute medical and non-medical needs of participants.

5. Participates in discharge planning for participants in acute, skilled and long-term care settings.

6. Manages, evaluates and treats participants with chronic diseases, maximizing interventions in the PACE clinic or the participants home prior to initiating a higher level of care.

7. Evaluates and treats participants with acute illnesses, maximizing interventions in the PACE clinic or the participants home prior to initiating a higher level of care.

8. Following consultation with the Primary Care Physician refers participants to medical specialists as indicated.

9. Responsible for the oversight of the care of PACE participants who reside in a Skilled Nursing Facility.

10. Provide medical care and treatment of PACE participants who reside in a Skilled Nursing Facility.

11. Participates in the on-call rotation.

12. Maintains participants medical record and fulfills Senior Comm Unity Care charting and reporting requirements.

13. Functions as a member of the Interdisciplinary Team. Maintains regular attendance at, and participants in Interdisciplinary Team meetings; communicates participant changes, collaborates on plan of care decisions and coordination for twenty-four (24) hour care delivery.

14. Provides relevant participant and caregiver…