Nurse Practitioner - ChenMed

We’re unique.  You should be, too.

We’re changing lives every day.  For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts?  Do you inspire others with your kindness and joy?

We’re different than most primary care providers. We’re rapidly expanding and we need great people to join our team.

ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America’s leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary care providers that are seeking to fulfill purpose and personal opportunity and join the ChenMed family.

The Primary Care Physician (PCP) in our organization demonstrates:

• Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up to 450 patients. They understand that they can strongly influence the patient’s outcomes by building a trusting relationship and helping them change behaviors.
• Coaching for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with the patient to work toward the goals, and frequently follows up on those goals on the path to improved health for their patients.
• Simplifying for action: The PCP simplifies and prioritizes appropriately so that behavior change is more actionable, both for the patient in helping them achieve their goals, and when leading their care teams towards their performance goals.

We are an outcomes-focused, value-based organization and for their panel of patients, the following metrics are regularly measured to help PCP’s become successful and reach partnership status: patient admissions/thousand, using between 18-21 appointment slots per day (each new patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for these metrics and will be expected to work towards those targets with their center and market leadership as well as their care teams. Culture is very important in the medical centers and because PCP’s are leaders in our organization and centers, they are expected to help champion a positive culture of love, accountability, and passion along with center leadership.

The PCP will be required to demonstrate the ability to function both independently and in collaboration with other health care professionals. The PCP will work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote patient health and company goals.
The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures.

ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

• The Nurse Practitioner (NP) acts as part of the clinical operations team and is responsible for providing direct patient care in ChenMed/Jencare medical centers, nursing homes, skilled nursing facilities (SNF) and home settings depending on the nature of the assignment or providing assessments to members in SNF and home settings. The responsibilities include but are not limited to: geriatric assessment, medical history, physical exam, diagnosis and treatment, development of the nursing plan of care, health education, physician referrals, case management referrals, follow-up and clear documentation according to ChenMed standards for quality, service, productivity and teamwork. It also includes the participation in clinical rounds and conferences plus in-depth documentation through written progress notes and summaries.
  
  The Nurse Practitioner must demonstrate the ability to function both independently and in collaboration with other health care professionals. Consults with the manager, physician, and medical director to ensure compliance with guidelines. This position may require participation in risk and quality management programs, clinical meetings and other meetings.
  
  The Nurse Practitioner will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures.
  Functions independently as a certified nurse practitioner for a patient population in collaboration and consultation with a licensed patient care team physician. Practices in accordance with a written or electronic practice agreement.
• Job Description

  Job Description

  ESSENTIAL JOB DUTIES/RESPONSIBILITIES:

  • Independently assesses acute and non-acute clinical problems. Performs and documents physical assessments and patient histories, analyzes trends in patient conditions, and develops, documents and implements a patient management plan in response to the data obtained. This also includes assisting in the development of the nursing plan of care in addition to providing appropriate patient/ family/significant other counseling and education.
  • Plans patient care based on in-depth knowledge of the specific patient population and/ or protocol, anticipating and identifying physiological and/ or psychological problems commonly encountered including the consideration of the patient’s cultural background, level of understanding, personality and support systems. Serves as patient advocate.
  • Patient management includes the following:
  • Writes admission, transfers and discharges orders.
  • Orders and interprets appropriate laboratory and diagnostic studies.
  • Orders of appropriate medication and treatments.
  • Refers patients for consultation when indicated i.e. dermatology, neurology, ophthalmology, endocrine, surgery, intensive care, infectious disease, hematology, psychiatry, social service, dietary, etc.
  • Documentation through in-depth progress notes and summaries.
  • May perform invasive procedures independently upon the completion of documented competency. 
  • Participates in patient care rounds and conferences. Communicates patient management strategies to members of the patient care team. Collaborates with members of the multidisciplinary team to ensure that patient management strategies are successful in meeting patient care needs.
  • Recognizes situations which require the immediate attention of a physician, and initiates life-saving procedures when necessary.
  • Uses advanced communication skills to problem solve complex situations and to improve processes and service to patients.

  Other Responsibilities may include:

  • Collaborates with other multidisciplinary team members to analyze and evaluate current systems of health care delivery to identify and implement new practice patterns as appropriate.
  • Participates in outside activities that enhance personal and professional growth and development.
  • Initiates arrangements and writes orders for SNF discharges and completes appropriate paperwork.
  • Works collaboratively with physicians, nurses, PT, social workers, family and key caregivers to transition the patient to a lower level of care as soon as medically appropriate. 
  • Introduces self to patient/family and explain nurse practitioner role.
  • Facilitates patient/family conferences to review treatment goals, optimize resource utilization, provide family education and identify post-SNF needs.
  • Enhances a collaborative relationship to maximize the patient’s/family’s ability to make informed decisions re:  goals of care, palliative care and hospice.
  • Facilitates discharge to appropriate level of care and uses preferred providers when additional services are required.
  • Prescribes medication to patients based on State of practice.
  • Other duties as assigned and modified at manager’s discretion.

  KNOWLEDGE, SKILLS AND ABILITIES:

  • Demonstrated record of consistently achieving clinical performance metrics in current role
  • Strong Critical Thinking and problem-solving skills
  • Excellent communication and interpersonal skills
  • Time management skills with the ability to work well under pressure
  • Must be caring and empathetic and have great listening skills
  • Must be detail-oriented, and able to pay close attention to patient charts, medications, and follow-up on details of patient care
  • Basic computer skills and some knowledge of Microsoft Office Suite
  • This position may require 50-75% of local travel

EDUCATION AND EXPERIENCE CRITERIA:

• ARNP or similar advanced degree in Nursing required
• Current Nurse Practitioner Certification in the State of practice required
• Board certification by AANP or ANCC is preferred but may be required for certain States
• Current DEA number from the DEA for schedule II-V controlled substances may be required based on State of practice
• A minimum of 1 year of clinical experience preferred, but willing to consider strong new graduates
• Basic Life Support (BLS) certification from the American Heart Association (AMA) or American Red Cross required w/in first 90 days of employment