APRN Inpatient​/Day Shift​/Emergency Medical​/Jackson West Medical Center

Unit Specific Credential

FL-ACLS

Miami, FL Full-Time JW-Emergency Medical

Physician Assistant is professional technical work which relieves physicians of many essential and time consuming tasks. The incumbent interviews patients, takes medical histories, performs physical examinations, orders laboratory tests, makes diagnosis, prescribes appropriate treatment, provides postoperative care and assists during complicated medical procedures. Work is performed under the direct supervision of a physician.

Identifies patients to be case managed using Medi Fax, DDE or other system applying Inter Qual, M&R, First Health or other specific criteria related to diagnosis, clinical condition, cost and/or payor. Follows unit specific policies and procedures. Participates in daily rapid rounds / clinical rounds on inpatient population. Assesses / provides patient age specific needs and evaluates effectiveness of care. Prioritizes/plans care based on knowledge of growth and development of patients served.

Coordinates scheduling of pre-admission work-up / admission work up /elective/emergency procedures/surgery prior to surgical or procedure date. Assesses/plans for patient care requirements throughout the continuum of care for specific diagnoses, procedures, DRGs and/or populations according to state and federal guidelines. Assesses complex patient care needs/situations/acuity levels obtaining significant data from assessments (physical/functional, mental, psychosocial, environmental, family support, spiritual, cultural, financial, legal).

Participates in care planning including discharge planning and determines appropriate interventions/referrals. Assists with coordination of discharge follow-up as needed. Assesses patient needs to ensure services are appropriate to the condition/procedure/level of care and reports significant findings/seeks corrective action. Facilitates resolution of conflicts and problem solving. Identifies ethical dilemmas such as conflict of interest, and seeks appropriate resources/consultation to formulate decisions/solutions.

Coordinates patient care throughout an episodic/continuous course of care for a specific DRG/diagnosis/procedure/population using Inter Qual, M&R, First Health or other specific criteria and evidence based guidelines. Plans and coordinates access to care at the next level in the care continuum. Facilitates continuity of care by organizing/conducting/participating in patient care conferences. Facilitates the delivery of services in a timely and cost-effective manner using effective negotiating skills.

Evaluates/monitors the level of care along the continuum of care (e.g. effectiveness of meds, treatments, pain status, plan) and individualizes the plan of care including teaching/discharge planning. Assists patients/family to appropriately self-direct care, self-advocate, and make informed health care decisions to the degree possible in the ongoing plan of care. Assesses patient compliance with prescribed treatment regimen and facilitates compliance as needed.

Obtains authorizations / pre-certifications and continued stay authorizations as required. Demonstrates expertise with the Key Pro/First Health web based review procedures. Refers problem cases/denials to the Clinical Service Coordinator and appropriate medical/administrative team members. Applies the appeals management process as necessary. Monitors patient progress throughout the episode of care for LOS, cost and variances, based on acuity and regulatory/legislative requirements (AHCA, DCF, CMS, JCAHO, CARF, HRSA, INS, US Armed Forces).

Identifies practice issues based on evidence based guideline trends (clinical pathways/medical criteria/disease management protocols), and intervenes as necessary with appropriate service management. Documents case management activities (i.e. HIS managed care notes, HBOC, PRO internet websites, Esphere, Excel/Access spreadsheets, and abstracts). Participates in the development of disease management programs as appropriate. Coordinates and assists in the internal and external transfer of patients to other acute care, SNF, rehabilitation, psychiatric, residential, forensic, ALF, and/or other facilities.

Develops an initial discharge plan based on assessment and cooperation with the patient, physician and other team members/agencies (i.e.. SW, PT, OT, RT). Coordinates and arranges for, consults with & refers to social worker or other health team member when appropriate. Coordinates, arranges, consults and refers to social worker or other health team members for appropriate services post-discharge as indicated (i.e. ACLF, SNF, REHAB, HHC, DME, community case management, transportation, financial assistance, emotional support, medication, supplies etc.).

Identifies system, practice and patient issues (including quality of care and quality of life outcomes) and collaborates in their resolution/improvement with appropriate internal (JHS-Risk Management, Medical…