Nurse Practitioner - FT - Nashville - Full-time

Summary:  The Nurse Practitioner (NP) provides medically necessary primary care services and treatments to skilled and convalescent patients in skilled, rehabilitation and long term healthcare centers. The NP functions under the direction of a collaborating physician in accordance with state regulations. The NP provides medical management of the residents in coordination with attending physicians, nursing and rehabilitation staff.  The NP provides clinical support and communication to residents, families, the interdisciplinary team and nursing center’s administration.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Makes visits to residents in skilled nursing facilities and/or assisted living facilities to provide medical care and treatment to their residents;

2. Performs physical examinations and preventive health measures within prescribed guidelines and instructions of attending physicians utilizing approved protocols;

3. Orders, interprets and evaluates diagnostic tests to identify and assess residents’ clinical problems and health care needs;

4. 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;

5. Is responsible to ensure communication of billing information to the billing service;

6. Ensures that prescriptive authority and order writing are performed in accordance with applicable laws and standards;

7. Develops understanding of facility programs and policies/procedures/guidelines;

8. Communicates with interdisciplinary team and Director of Nursing as well as medical staff to ensure continuity of care delivery;

9. Monitors quality indicators, identifies areas of opportunity and seeks solutions to enhance care and outcomes; and

10. Is a resident advocate and communicates with families when appropriate.

Scope of Responsibility

The Nurse Practitioner:

1. Is a resident advocate;

2. Performs annual and routine exams as well as episodic and acute care visits when needed;

3. May visit a resident during the admission process, when there is a medical condition which requires immediate assessment;

4. Performs exams as relates to change in condition;

5. Performs exams as relates to medication review and changes;

6. Performs exams pursuant to collaboration with resident’s physician to manage resident’s medical care;

7. Provides clinical monitoring during course of treatment;

8. Completes review of physician orders for medical necessity, supporting diagnosis, pharmacological contraindications, generic vs. trade or OTC;

9. Participates in psychotropic medical management and behavior management process;

10. Maintains prescriptive authority;

11. Provides clinical monitoring;

12. Provides ongoing clinical management;

13. Ensures documentation is complete, and meets medical necessity and billing guidelines;

14. Participates in the survey process;

15. Understands facility clinical systems and processes;

16. Completes Medicare certifications as necessary;

17. Must maintain active licensure status and current continuing education credits as required by law;

18. Performs other duties as assigned including education and quality management support; and

19. May provide services such as employee physicals and in-services pursuant to facility agreement.

    Compliance Responsibilities The Nurse Practitioner:

1. 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.

2. Attends the center’s orientation and training programs as required;

3. 3. Reports concerns and suspected incidences of non-compliance  immediately to the Corporate Chief Compliance Officer.

4. Cooperates with monitoring and audit functions and investigations; and

5. Participates, as requested, in process improvement responsibilities.

Core Competencies/Skill Sets

1. Self directed and a desire to have an autonomous nursing practice

2. Strong communication skills

3. Ability to work in a fast paced environment and multi-task

4. The desire to thrive and impact the quality of life of residents and their families

5. Leadership and managerial experience is a plus

6. Excellent interpersonal skills

7. Detailed oriented

Professional Experience/Educational Requirements

1. Registered nurse who is mastered prepared as an advanced practitioner

2. 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

1. Registered nurse who is mastered prepared and currently licensed as an advanced practitioner in the state in which practice will occur.

2. Current accreditation from a national certification organization

3. Eligible for prescriptive privileges

4. Active NPI number

5. If registered nurse and “grandfathered”, all other credentialing requirements in the state in which practice will occur.