NP / Nurse Practitioner / Pennsylvania / Permanent / Complex Care Nurse Practitioner Opportunities in Philadelphia Job

Monday - Friday 8am-5pm

Duties and Responsibilities:

Manage and improve health for patients with multiple chronic medical conditions. Manage a panel of approximately 200 to 250 chronic care ambulatory patients in an office based.
Work in a team environment (with social work, case management, behavioral health, pharmacy, nutrition, etc.), process feedback, and be open to discussing and implementing plans of care from other members of the team. Work well with a supervising physician.
Develop strong transitional care plans and track paneled patients along the whole continuum of care including discharges from the hospital, ER, skilled nursing facilities/nursing homes, and home care
Communicate and interact with alternate levels of care facilities (hospital, ER, skilled nursing facilities) to facilitate appropriate discharge to a lower level of care or back to the AbsoluteCare Medical Center. Familiar with inpatient medicine and the discharge process to help facilitate discharges.
Treatment of some acute exacerbations of chronic conditions within the AbsoluteCare center, i.e. Lasix for CHF, IVF for Dehydration/Renal Failure, IV antibiotics for various infections, Nebulizer/Solumedrol for COPD/Asthma etc.. Possess a comfort level and the knowledge to differentiate when exacerbation can be treated within AbsoluteCare and when a higher level of care needed. These treatments will involve collaboration and oversight with a supervising physician.
Accept same day/next day or urgent appointments for patients from home or discharged from the hospital/ER/skilled nursing facility in need of intensified practitioner or case management/social work services to ensure acute episode has resolved and the patient is not admitted/readmitted.
Track patients and their disease processes to prevent ER visits, admissions to the hospital, and readmissions.
Understands the PCMH model of care as pertains to specialist care, only utilizes this higher level of care as needed, and not a substitute for primary care using evidence based clinical skills
Educate patients regarding their chronic diseases, healthy choices, chronic disease progression and advanced directives.
Practice evidence-based medicine in accordance with the PCMH model of care.
Track and successfully achieve specified quality metric goals.
Use technology and the electronic medical record to the highest capability to increase quality initiatives and efficiency within the medical center.
Participate in multi-disciplinary meetings and recommend treatment alternatives designed to keep patients healthy or resolve on-going clinical issues.
Perform other duties as required consistent with chronic care and disease management services provided to patients.
Report to the Medical Director
Education and Experience requirements:

Licensed Nurse Practitioner in the state of Pennsylvania. Experience with patients who have multiple chronic medical conditions, i.e. CHF, COPD/Asthma, HTN, Diabetes, Chronic Renal Failure.
ACLS certification
Experience with the management of Medicare, Medicaid, and commercial populations.
Knowledge of chronic disease management programs and services.
Excellent organization and communication skills
Comfortable with and the ability to treat the acutely ill in an outpatient setting offering IV hydration, IV antibiotics, wound care, and other services with the collaboration of a supervising physician.
Long-term interest in AbsoluteCare Medical Center
Proficiency with EMR, eClinicalWorks preferred
Knowledge of managed care and insurance processes is preferred
Bilingual preferred
Employees are offered the following benefits:

Free parking
Free Vision Plan
Medical and Dental plans
Life Insurance
Short Term Disability
401k Retirement plan