Nurse Practitioner- FT - Lewis/Waverly

ESSENTIAL DUTIES AND RESPONSIBILITIES

Makes visits to residents in skilled nursing facilities and/or assisted living facilities to provide medical care and treatment to their residents; Performs physical examinations and preventive health measures within prescribed guidelines and instructions of attending physicians utilizing approved protocols; Orders, interprets and evaluates diagnostic tests to identify and assess residents’ clinical problems and health care needs; Is responsible to ensure documentation is complete and timely for resident management/continuity of care and billing purposes.

Documentation of medical necessity for purposes of billing visits; Is responsible to ensure communication of billing information to the billing service; Ensures that prescriptive authority and order writing are performed in accordance with applicable laws and standards; Develops understanding of facility programs and policies/procedures/guidelines; Communicates with interdisciplinary team and Director of Nursing as well as medical staff to ensure continuity of care delivery; Monitors quality indicators, identifies areas of opportunity and seeks solutions to enhance care and outcomes; and Is a resident advocate and communicates with families when appropriate.

Scope of Responsibility The Nurse Practitioner: Is a resident advocate; Performs annual and routine exams as well as episodic and acute care visits when needed; May visit a resident during the admission process, when there is a medical condition which requires immediate assessment; Performs exams as relates to change in condition; Performs exams as relates to medication review and changes; Performs exams pursuant to collaboration with resident’s physician to manage resident’s medical care; Provides clinical monitoring during course of treatment; Completes review of physician orders for medical necessity, supporting diagnosis, pharmacological contraindications, generic vs.

trade or OTC; Participates in psychotropic medical management and behavior management process; Maintains prescriptive authority; Provides clinical monitoring; Provides ongoing clinical management; Ensures documentation is complete, and meets medical necessity and billing guidelines; Participates in the survey process; Understands facility clinical systems and processes; Completes Medicare certifications as necessary; Must maintain active licensure status and current continuing education credits as required by law; Performs other duties as assigned including education and quality management support; and May provide services such as employee physicals and in-services pursuant to facility agreement.

Compliance Responsibilities The Nurse Practitioner: Complies with applicable legal requirements, standards, policies and procedures including but not limited those within the Corporate Compliance Program, Corporate Code of Conduct, HIPAA, and Federal False Claims Act. Attends the center’s orientation and training programs as required; 3. Reports concerns and suspected incidences of non-compliance immediately to the Corporate Chief Compliance Officer. Cooperates with monitoring and audit functions and investigations; and Participates, as requested, in process improvement responsibilities. Core Competencies/Skill Sets Self directed and a desire to have an autonomous nursing practice Strong communication skills Ability to work in a fast paced environment and multi-task The desire to thrive and impact the quality of life of residents and their families Leadership and managerial experience is a plus Excellent interpersonal skills Detailed oriented Professional Experience/Educational Requirements Registered nurse who is mastered prepared as an advanced practitioner A minimum 5 years clinical experience as a registered nurse and 3 years as an APRN is preferred. Geriatric nursing experience is a plus Certification/Licensure Registered nurse who is mastered prepared and currently licensed as an advanced practitioner in the state in which practice will occur. Current accreditation from a national certification organization Eligible for prescriptive privileges Active NPI number If registered nurse and “grandfathered”, all other credentialing requirements in the state in which practice will occur. WORK ENVIRONMENT: Long-term care environment; well-lit; comfortable temperature controlled; must be able to life up to forty (40) pounds; allows discretion in sitting, walking, standing; frequently requires talking; noise level is minimal. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Position requires unscheduled overtime, week-end work. Must be willing and able to work flexible hours and travel overnight occasionally and have available and reliable transportation for travel to referral sources and facilities as needed. SUPERVISORY RESPONSIBILITY: The Nurse Practitioner reports to the Director of Clinical Services. The NP coordinates with the nursing center’s Medical Director for clinical support and direction. The NP interacts and communicates with the nursing center’s administration. SOCIAL INTERACTION: Interpersonal contacts with individuals within or outside the organization create continuous, unexpected, and immediate demands that require setting new priorities and the performance of numerous related and/or unrelated tasks simultaneously. Supervisor rarely determines work priorities. IMPACT OF ACTIONS: An error in action may affect more than one work department in the organization. Errors cause major cost and inconvenience.