Job description

POSITION TITLE: Advanced Practice Provider – Enhanced Care

REPORTS TO: Integrated Care at Home Manager

STATUS: Exempt - Full-Time

GENERAL DESCRIPTION: Utilizing a holistic model of care founded in the integration of medical and social care, the Advanced Practice Provider will be meeting patient needs providing medical care and education to improve patient health outcomes, engagement, safety, and quality of life in their home and community-based settings such as adult foster care homes. The Advanced Practice Provider will collaborate with a multidisciplinary team inclusive of nurses, social workers and behavioral health counselors, community health workers, and dietician all working together to help patients be healthy and remain in their homes successfully. The Advanced Practice Providers have an advanced nursing practice that includes independent nursing functions based on the applicable Scope of Practice, nursing standards of care, and a role in medical management within a collaborative agreement with a physician(s) diagnosing, managing, and preventing acute and chronic illness and disease, and promoting wellness.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Creates positive rapport and engagement with patients and coworkers.
• Maintains a focus on customer service while performing in-depth clinical assessments on all assigned patients by completing encounters inclusive of past medical history, review of systems, medication reconciliation, vital signs, and comprehensive physical exam.
• Reviews and interprets the medical, surgical, and social history of patients.
• Performs appropriate screenings.
• Synthesizes information, establishes diagnoses and leads the development of the Plan of Care with patients and their support system and regularly reviews and updates the plan.
• Participates in patient care meetings as requested.
• Interprets laboratory and other diagnostic data and recommends appropriate treatments or actions for follow-up.
• Consistently reconciles medications.
• Prescribes or performs medically indicated treatment modalities.
• Refers patients to specialists and or ancillary services as indicated.
• Works collaboratively with the medical director, physicians, care coordinators, staff, family members, key caregivers and any appropriate ancillary medical personnel as appropriate.
• Identifies overall quality improvement activities through assessing and planning health care which is individualized to the patient and consistent with policies and protocols.
• Maintains compliance with OSHA and state licensing boards.
• Participates in all mandatory compliance and other training programs, seeks guidance for compliance-related concerns and adheres to all applicable laws, regulations, policies, and procedures.
• Practices in accordance with applicable local, state, and federal laws which govern confidentiality and medical information privacy regulations (HIPAA).
• Provides constructive and timely feedback about recommendations to improve and/or streamline operations.
• Participates in continuous quality improvement activities and special projects as requested.
• Communicates and collaborates with leadership to achieve patient care and organizational needs and goals.
• Consistently meets key performance indicators as established with program manager.
• Maintains strong relationships with partners and providers throughout the health and human service community.
• Other duties as assigned.

REQUIRED KNOWLEDGE, SKILLS, AND ABILITIES:

• Computer skills, including use of e-mail and Microsoft Office
• Effective written communication skills including but not limited to writing reports and correspondence
• Effective verbal communication skills, including but not limited to actively listening to and effectively speaking with patients, providers, families, staff, and other partners.
• Utilize time effectively and efficiently.
• Effectively navigates change and uncertainty.
• Establishes and maintains effective relationships with patients and their support system.

QUALIFICATION REQUIREMENTS: 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 possess a valid Michigan driver's license.
• Must possess and maintain an Advanced Practice Provider License.
• Must have and maintain Basic Life Support certification.
• Must have reliable transportation and provide current proof of automobile insurance.
• Must test for tuberculosis upon hire and review symptoms annually.

EDUCATION and/or EXPERIENCE: Nurse Practitioner or Physician Assistant Degree.

Baseline Clinical Knowledge

Licensure/Certifications

• Current state advanced practice provider licensure
• Licensed by AANP or ANCC, in Adult, Family Practice and Geriatrics or Adult-Gerontology

Primary Care

• Current BLS certification

ABOUT US:

Region IV, Area Agency on Aging, Inc. is a private, not-for-profit organization. Established in 1974 for the business of developing age supportive commerce and services. We play a major role in planning, funding, and delivery of a host of services. Empowerment and independence of the consumer are driving themes behind our efforts. Designated by the State of Michigan to receive federal Older
Americans Act funds of planning and development, the corporation manages an array of government contracts for service delivery in southwest Michigan. Our primary service area includes Berrien, Cass, and Van Buren counties.

Region IV Area Agency on Aging (RIV AAA) is an equal opportunity employer. RIV AAA recruits, employs, trains, compensates, and promotes regardless of race, religion, color, national origin, sex, sexual orientation, disability, age, veteran status, and other protected status as required by applicable law. Bi- lingual applicants encouraged to apply. At RIV AAA we have a clear vision to be the place where a diverse mix of talented people want to come, to stay and do their best work. Our mission is “Offering
Choices for Independent Lives.” We pride ourselves on bringing innovative approaches to fulfilling our mission, and we know our company runs on the hard work and dedication of our passionate and dedicated employees.

Please submit cover letter and resume.

Job Type: Full-time

Pay: $90,000.00 - $95,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Vision insurance

Medical specialties:

• Home Health

Schedule:

• Monday to Friday

Application Question(s):

• Do you have reliable transportation and proof of automobile insurance?

Experience:

• EMR systems: 1 year (Preferred)

License/Certification:

• Certified Nurse Practitioner (Preferred)
• Physician Assistant License (Preferred)
• BLS Certification (Preferred)

Work Location: On the road

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