Nurse Practitioner- In Home Care
Job ID: #89903
Joule Healthcare is seeking a APRN OR NP to join a growing in Home Care Team in New Jersey. This in home care team is a group of caring and passionate professionals dedicated to improving the lives of their most vulnerable members. Their team includes physicians, nurses, social workers, medical assistants, behavioral health specialists and others who provide in-home primary care and transitional care services. A goal for this program is to offer palliative and supportive care services for members with advanced illness.
The primary care provider (PCP) is a nurse practitioner (NP) specializing in family medicine, internal medicine, and/or geriatric medicine, and who provides primary care to an assigned panel of patients in accordance with licensure, privileges, and scope of practice.
In collaboration with the Patient Care Team (PCT) composed of nurses, medical assistants, and social workers, the PCP is responsible for the following:
- 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.
- 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
- Collaborating with the practice Medical Director and Practice Manager in efforts to pilot new care delivery models.
You will love this job if:
- 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.
You should get in touch if:
- You are based in the state of New Jersey, required. We have vacancies in the following NJ counties: Atlantic, Bergen, & Morris.
- 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 desire to work full-time or are open to working a minimum of 33 hours a week.
- 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.