Remote Nurse Practitioner

Summary

Join our team as a Nurse Practitioner for CareBridge, providing primary and urgent health care via telehealth modalities to patients receiving Home and Community Based Services through state Medicaid programs. The ideal candidate will be responsible for managing patient care, communicating with the care team, and participating in clinical case conferences.

Requirements

• Fluent in Spanish
• Holds active, unencumbered Advanced Practice license
• Credentialed in adult, family, or geriatric care Has active DEA license

Responsibilities

• Provide compassionate care to diverse patients and their families
• Manage the care of individuals with a multitude of health problems ranging from primary care to urgent care issues
• Thrive as a member of the interdisciplinary team and facilitate the continuum of care
• Deliver cost-effective, high-quality care to patients
• Perform follow up and check in with patients to monitors chronic conditions to minimize exacerbations or treat in place
• Completes unplanned, urgent, and/or emergent contacts as needed to meet patient needs
• Adjusts visit frequency and schedule based upon patient needs
• Addresses Advance Care Planning proactively; identifies surrogate decision maker (POA, Health Proxy, etc.)
• Manages patient’s medical care as appropriate including: Orders and monitors of diagnostics including laboratory studies, radiological studies, etc
• Refers to appropriate specialists or community services, i.e. Therapy, DME
• Addresses recommended preventive and quality measures; acts to close or facilitate potential care gaps
• Identifies, assesses, diagnoses, treats acute changes of condition
• Manages medication therapy effectively: Reviews and reconciles medications each visit
• Avoids high-risk medications
• Prescribes medication, adjusts dosages, discontinues medications as appropriate
• Simplifies medication regimen for improved adherence and safety
• Communicates effectively with entire care team including the patient’s community primary care provider and health plan care/service coordinator
• Provides effective patient education using the Teach Back technique
• Documents all patient encounters (in-home and telephonic) per documentation standards
• Participates in clinical case conferences
• Participates in on-call coverage for patient care
• Maintains excellent punctuality and attendance during work hours

Preferred Qualifications

• Developmental Disabilities Nurse certification
• Experience in care of adult, chronically ill patients
• Two or more years of practice experience of adult and chronic conditions
• Working knowledge of computers and ability to document effectively and efficiently in an electronic system
• Preference given to NPs with active DEA, NPI and Medicaid #