Nurse Practitioner - Home Based Primary Care

Jefferson Center City Home-Base Primary Care Job Description

Jefferson Center City Home-Base Primary Care (HBPC) Program is housed within the Division of Geriatric Medicine and Department of Family and Community Medicine (DFCM). HBPC provides comprehensive, patient-centric, primary care for homebound patients. The program provides high-quality geriatric care using the Age-Friendly 4Ms framework (Medications, Mobility, Mentation and What Matters). We are seeking a CRNP to serve as a provider for this program.

Responsibilities

The CRNP will work in collaboration with, and is an integral member of, a multidisciplinary health care team. Full time 1.0 FTE = 40hrs/weekly

• Assessment & Management: Performs comprehensive primary care and documents in the medical record. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Assesses for risks associated with the care of the acute and complex chronically ill patient unique to the geriatric patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures. Understands the Age-Friendly framework of the 4Ms and incorporates them into clinical care and documentation.
• Diagnosis: Collaborates with interdisciplinary health care team in diagnosing and managing geriatric syndromes and issues that arise in the home setting. Manages diagnostic tests through ordering, interpretation, performance, and supervision. Formulates differential diagnoses by priority. Diagnoses complications and orders appropriate interventions.
• Formulate Plan of Care: Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs. Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum. Implements and modifies plan of care. Recommends diagnostic strategies and therapeutic interventions. May perform advanced procedures consistent with privileges and competency validation.
• Communication and Collaboration: Maintains ongoing communication and collaboration with interdisciplinary health care team. Maintains ongoing communication and collaboration with specialist for HBPC patients. Participates in weekly interdisciplinary team rounding. Facilitates and communicates with patient, family and staff to promote high-quality, Age-Friendly care of HBPC patients.
• Documentation: Documentation is timely, meets acute care compliance standards and captures patient acuity and is grounded in the Age-Friendly 4 Ms.
• Professional Practice: Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students. Seeks opportunities for active engagement in research and the analysis of evidenced based practice. Actively participates in Advance Practice Grand Rounds and specialty specific meetings. Maintains CEUs, and membership in a professional organization.

Masters Degree, National Board Certification as an Adult Nurse Practitioner, BLS certification, At least 2 years of experience as CRNP preferred, Experience or strong interest in geriatric population preferred, geriatrics certification preferred.

Work Shift: Workday Day (United States of America)

Worker Sub Type: Regular

Employee Entity: Thomas Jefferson University Hospitals, Inc.

Primary Location Address: 833 Chestnut Street, Philadelphia, Pennsylvania, United States of America

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.