Primary Care Nurse Practitioner – NP

Primary Care Nurse Practitioner – NP

Requirements

• You are based in Union County, New Jersey (required).
• You have a BSN from an accredited program AND a master’s degree in advanced clinical practice nursing or a post Master’s certificate (required).
• You have an active license to practice in the state of New Jersey (required).
• You have an active DEA and CDS registration (required).

Responsibilities

• Be accountable for the care and outcomes of a cohort of patients to be managed directly, and in close collaboration with the Physician Team Lead.
• Meet key metrics as determined by the practice, such as ensuring our patients are enabled to stay at home whenever possible.
• Visit patients primarily in their homes, as well as through telehealth when appropriate.
• Actively participate in Interdisciplinary Team (IDT) Meetings with an attitude of curiosity, and a willingness to teach and to learn.
• Contribute medical expertise during IDT to structure care plans that reflect: Patients’ prognoses and disease trajectory, inclusive of goals of care and advanced care planning. Primary drivers of hospitalization/ED risk and interventions to mitigate these.
• Achieve high performance on CMS and NCQA-determined STARS and HEDIS quality metrics, respectively.
• Provide care that is consistent with medical evidence, including identified clinical protocols.
• Proactively involve other providers on the patients’ care team, including PCPs, specialists, home health, hospice and home care organizations.
• Determine the need for consultation from medical, surgical, rehabilitative, and/or psychiatric specialties, which may include deprescribing and simplification where clinically appropriate.
• Determine the need for and facilitate 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.
• Provide medical administrative support, such as signing forms that may require signature.
• Complete documentation of all clinical encounters in a timely and accurate manner in accordance with practice standards, including proprietary Clover tools such as Clover Assistant.
• Collaborate with the practice Medical Director and Practice Manager in efforts of: Continuous quality and process improvement, including those related to the EHR and Clover Assistant. Ongoing evolution of the care delivery and operational models.
• Participate in the on call rotation as set by the Medical Director.
• Establish a positive image for the practice in the medical community.
• Behave in a way that espouses Clover values.
• Take on projects and initiatives requested by the Physician Team Lead, Medical Director and/or the leadership team.

Preferred Qualifications

• You have worked in a housecalls setting previously, fee-for-service and/or value based (preferred).
• You enjoy working with patients of diverse social, ethnic, and cultural backgrounds.