Primary Care Nurse Practitioner – NP

Primary Care Nurse Practitioner – NP

Requirements

• You are based in Middlesex County, New Jersey (required).
• You are certified as an Advanced Nurse Practitioner (required).
• You hold current unencumbered NJ Licensure as a Registered Nurse.
• You graduated with a Bachelor’s degree (BSN) from an accredited school of nursing.
• You have an active DEA and CDS registration.
• You have a Master’s degree in advanced clinical practice nursing or graduate of post Master’s certificate program for Nurse Practitioner.
• Have worked in a home care setting previously.
• You have demonstrated clinical competencies in such areas as age-specific care, cultural assessment and health education.
• You enjoy working with patients of diverse social, ethnic, and cultural backgrounds.
• You are comfortable walking up at least 3 flights of stairs as some residences may not have elevators.

Responsibilities

• Assuming primary medical responsibility for their assigned patients.
• Visiting patients at home.
• Providing person-centered care by eliciting patients’ values and preferences and structuring care plans to reflect these desires.
• Routinely determining patients’ prognoses and structuring care plans, including advanced care planning, to reflect these prognoses.
• Routinely determining primary drivers of hospitalization risk and structuring care plans to minimize these risks.
• Achieving high performance on CMS and NCQA-determined Stars and HEDIS quality metrics, respectively.
• Providing care that is consistent with medical evidence, including identified clinical protocols.
• Identifying obstacles to care and medical decision-making and collaborating with the larger PCT to address these obstacles.
• Leading interdisciplinary team (IDT) meetings.
• Ensuring execution of member care plans by the PCT through clinical personnel supervision and education and training.
• Determining the need for consultation from medical, surgical, rehabilitative, and/or psychiatric specialties.
• Determining the need for and facilitating care by an emergency department, hospital, skilled nursing facility, home health agency, hospice and/or community-based organization as appropriate and consistent with patients’ goals of care.
• Providing medical administrative support such as signing forms requiring physician signature.
• Documenting all clinical encounters in a timely and accurate manner, including in proprietary Clover tools such as Clover Assistant.
• Participating in ongoing professional development and self-improvement.
• Collaborating with the practice Medical Director and Practice Manager in efforts of continuous quality improvement, including that related to the EHR and Clover Assistant.
• Collaborating with the practice Medical Director and Practice Manager in efforts to pilot new care delivery models.
• Supporting Clover’ efforts to establish a positive image for the In-Home Care practice in the medical community.

Preferred Qualifications

• You are passionate about caring for our most vulnerable elders, including those with multiple chronic conditions, frailty, and advanced illness.
• You enjoy team-based collaborative care.
• You love developing relationships with your patients and their caregivers.
• You embrace technology and clinical protocols as a means for driving high quality clinical care.
• You are flexible and comfortable working in an evolving environment that values innovation.
• You embrace measurement and performance management to drive improved member outcomes.