APP- Nurse Practitioner- Decatur, IL - $20K Sign On
$20kCredenza Health
Nurse Practitioner/Advanced Practice Practitioner
The Nurse Practitioner/Advanced Practice Practitioner is responsible for modeling the WellBe values and mission in care delivery for our patients. S/he is responsible for following the rules and regulations of state and federal regulatory agencies and any other certified agencies for their region. As an advanced practice provider at WellBe, you will play a vital role in the care for our patients in their home. This role is critical to our overall interdisciplinary team and focuses on providing compassionate care to the patients who have both chronic and acute illnesses and injuries while supporting their ability to stay in their own home. Our providers support a full patient panel and deliver longitudinal primary care, urgent care and acute medical care to a wide variety of patients. This role delivers primarily home-based setting care for their patients. The Nurse Practitioner role is a key member of the team that will be accountable for the care of their patient panel, maintaining accurate, timely and current patient records, and will as part of our longitudinal model will support assuring patients are followed regularly with initial, urgent, transition of care and follow up appointments as needed to care for their health needs. The successful candidate works as part of our broader interdisciplinary team to assist in delivering concierge-style, timely and high-quality care to every patient.
Practices the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most CompleteCare to their patient panel. Will primarily support in- home, patient-facing visits to support patient care needs in the market. Partners with other clinicians in the Care Community managing the health and wellbeing of patients living in their homes. Responsible for engaging attributed patients into the WellBe program and supporting care needs and efforts to keep patients engaged. Facilitates staff, patient, and family decision-making by providing educational resources. Performs primary care in home services, initial patient screenings/physical examinations, creates appropriate assessment/plan and completes documentation in a timely manner. Addresses any urgent care needs of the patients as needed, including transition of care visits. Collaborates with community team to complete a full patient care assessment and plan. Orders, interprets, and analyzes diagnostic tests and determine the need for follow-up. appointments and further treatment options per state supervisory agreement. Prescribes and manage medications and treatments as appropriate, including but not limited to as psychopharmacological agents per state supervisory agreement. Updates patient records and check records for accuracy at each patient appointment. Delivers patient care and completes regular patient reviews with supervising physician per state supervisory agreement. Delivers the highest standard of quality care while maintaining all company metrics pertaining to appropriate patient needs. Focuses clinical care delivery to support necessary items for documentation/coding, HEDIS measures, engagement of patients, and managing medical expenses. Serves as a key resource for patients in delivering ongoing care information, counseling and guidance for any patients with critical conditions. Utilizes all available resources to help care for patient needs and refers to internal/external resources as appropriate, such as WellBe behavioral health protocols. Collaborates with the interdisciplinary team and participate in regularly scheduled team meetings. Maintains required unencumbered, active state licensure(s) and national certification(s). Deliver palliative care, and when needed, support end of life care to patients and families. Facilitates family meetings with WellBe community team, to help with complicated family dynamics and goals of care. Adheres to a professional code of conduct in patient care delivery including completion of care needs and documentation standards. Other tasks needed to accomplish team's objectives/goals.
Ability to conduct in- home setting visits and have previous experience on a telehealth platform Demonstrated role proficiency with Microsoft Office; Excel, Word, G-suite, etc. Proficient with office software, including Electronic Health Records, Scheduling Software and Ring Central applications Role model in courageous teamwork, integrity, ethics, and productivity Experience in diagnosing and treatment of ongoing, chronic and urgent medical/psychological conditions of older adults Experience in panel management, primary care, geriatrics, internal medicine, palliative care Experience in palliative care, and end-of-life communication Excellent verbal, written, presentation, and interpersonal communication skills Confident speaker to internal and external groups Home care experience preferred
This position will have supervisory responsibility. Travel may be required up to 100% locally to deliver patient care. Ability to lift up to 30 lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assisting with weights of more than 100lbs. Ability to stand for extended periods. Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity.
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