APP - PACE Nurse Practitioner - New

Address

215 Central Ave. Louisville, KY 40208

Shift

Job Description Summary:

The Advanced Practice Registered Nurse (APRN) provides assessment, management and outcome evaluation for patients in inpatient and outpatient settings. The APRN serves as a resource to educate patients, families, professional nurses, and staff; functions as a liaison between patient, family and UofL Physicians staff; and participates in clinical research. The APRN should demonstrate an advanced level of medical and nursing knowledge, clinical and technical competency, sound clinical judgment, professionalism as it relates to interpersonal and general communication skills, timely and compliant documentation, and takes responsibility for ongoing professional development and competency validation.

Job Description

PRIMARY RELATIONSHIPS: Medical Director, Executive Director, Primary Care Physicians, Center Managers, co-workers, participants, family members and public.

Objective

Under the supervision of the Executive Director, with Medical Director oversight, provides primary care to participants. Performs physical assessments of new PACE Enrollees, semi-annual reassessments of participants and develops and implements appropriate plans of care to Senior CommUnity Care program participants. Evaluates participant physical complaints and provides appropriate treatment.

Provides participants and caregiver teaching and education. Functions as a member of the Interdisciplinary Team (IDT). Demonstrates the knowledge and skills necessary to assess, plan, care for, and provide services to frail elder participants according to assigned responsibilities and Senior Community Care standards.

QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
• Must have a valid driver’s license, proof of insurance and have means of transportation.
• Education: Graduate of a school of professional nursing required. Licensed as Registered Nurse (R.N.) in the state of employment. Certified as a nurse practitioner by a national certifying organization recognized by the State Board of Nursing. Prescriptive authority required within one year of hire. Certified as a Geriatric Nurse Practitioner (G.N.P.) preferred.
• Experience: A minimum of one year of experience in working with the frail and elderly population required. Two (2) years of experience as a nurse practitioner in a geriatric setting preferred.
• Skills and Knowledge:
• Thorough knowledge of current concepts, theories and practices related to home and community based care for the elderly and disabled adults.
• Working knowledge of the PACE regulations desired.
• Thorough knowledge of physical, mental and social needs of frail older adults.
• Effective oral and written communication skills.
• Ability to lead and work within the interdisciplinary setting.
• Strong organizational skills.
• Able to manage changing priorities per needs of the PACE program and the agency.
• Ability to utilize computers and other electronic devices for tasks such as timekeeping, in-servicing and documentation.
  
  

Essential Functions

• Performs in person comprehensive history and physical assessments of new Senior CommUnity Care PACE participants.
• Coordinates with the Interdisciplinary Team to develop a comprehensive plan of care for each participant.
• Conducts an in-person re-assessment semi-annually and as needed.
• Works with team members to meet emergent and acute medical and non-medical needs of participants.
• Participates in discharge planning for participants in acute, skilled and long-term care settings.
• Manages, evaluates and treats participants with chronic diseases, maximizing interventions in the PACE clinic or the participant’s home prior to initiating a higher level of care.
• Evaluates and treats participants with acute illnesses, maximizing interventions in the PACE clinic or the participant’s home prior to initiating a higher level of care.
• Following consultation with the Primary Care Physician refers participants to medical specialists as indicated.
• Responsible for the oversight of the care of PACE participants who reside in a Skilled Nursing Facility.
• Provide medical care and treatment of PACE participants who reside in a Skilled Nursing Facility.
• Participates in the on-call rotation.
• Maintains participants’ medical record and fulfills Senior CommUnity Care charting and reporting requirements.
• Functions as a member of the Interdisciplinary Team. Maintains regular attendance at, and participants in Interdisciplinary Team meetings; communicates participant changes, collaborates on plan of care decisions and coordination for twenty-four (24) hour care delivery.
• Provides relevant participant and caregiver education. Educates and trains participant and caregivers in appropriate care and interventions.
• Provides staff in-service on a variety of relevant topics.
• Completion and documentation of appropriate diagnostic coding. 3 2025
• Assists with the development of, standards of care; performs on-going monitoring and evaluation of patient care practice and service delivery; provides guidance and training to staff regarding medical and quality assurance issues.
• Acts within the scope of his or her authority to practice.
• Protects privacy and maintains confidentiality of all company procedures, results and information about employees, participants and families.
• Follows all Senior CommUnity Care policies and procedures and Occupational Safety and Health Agency (OSHA) safety guidelines.
• Participates in continuing education classes and any required staff and training meetings. Maintains professional licensure and certifications.
• Provides information about Senior CommUnity Care Program to interested individuals and groups in adherence to PACE regulations.
• Practices Universal Precautions and follows all appropriate infection control procedures.
• Participates in and supports Quality Improvement Initiatives. 25. Performs other duties as required or requested
  
  

Work Environment

The Work Environment Characteristics Described Here Are Representative Of Those An Employee May Encounter While Performing The Essential Functions Of This Job. Reasonable Accommodations May Be Made To Enable Individual With Disabilities To Perform The Essential Functions

• May be exposed to a risk of bodily injury through contact with moving instrumentation, toxic substances, medicinal preparations, bodily fluids, communicable diseases and any other conditions common in a clinic environment.
• Subject to unpleasant odors.
  
  

Physical Demands

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 Individual With Disabilities To Meet These Demands

• Physical Requirements – Shall be in good mental and physical health, and capable of performing assigned tasks. Requires full range of body motion including handling and lifting patients. Requires standing, walking, occasional pushing and pulling and lifting. Requires the ability to lift/carry up to fifty (50) pounds and push or pull objects exceeding one hundred fifty (150) pounds, using appropriate body mechanics. Requires manual and finger dexterity and eye-hand coordination.
• Visual, Hearing and Communication Requirements – Requires corrected vision and hearing to normal range. Must be able to document care provided in participants’ service records. Must be able to communicate verbally with participants their treatment plan, team members and participants caregivers.
• Pressure Factor – Requires working under stressful conditions. Working conditions may be noisy and crowded and fluctuating indoor temperatures. Moderate pressure to meet scheduled appointments while dealing with frail and confused participants. Subject to participants that may have the potential for verbal or physical aggression.
  
  

Safe Work Performance Expectations

The safety of employees, residents and visitors is of paramount importance to Senior CommUnity Care. Our work place safety program will be incorporated as the standard of practice for this organization.

Required

Compliance with these safe work expectations will be required of all employees as a condition of employment. Our organization focus will hold all employees accountable for safety performance equal with quality and production expectations. Employees will be expected to:

• Follow correct policy and procedures for department and facility Fire/Disaster/Missing Person Plan. Know the location of fire alarms and extinguishers.
• Follow correct policy and procedure for hand washing.
• Follow guidelines for proper method of lifting.
• All doorways, hallways and areas are to be kept clear.
• Know the location and purpose of Safety Data Sheets (SDS).
• Follow guidelines for department environment and safety measures.
• Follow guidelines for safe handling, inspection, maintenance and storage of equipment. Report any malfunction of equipment.
• Follow guidelines for safe handling and storage of chemicals and supplies. 9. Follow correct policy and procedure for reporting of incidents: staff, residents, etc. Job Functions Every effort has been made to identify the essential functions of this position. However, this job description in no way states or implies that these are the only duties you may be required to perform. The omission of specific descriptions of duties does not exclude them from the position if the work is similar, related or can be considered essential to this position.