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Nurse Practitioner

The Nurse Practitioner (NP) is responsible for primary care to an assigned panel of participants at PACE SEMI. As such, they are responsible for participant acute and chronic care management under direction and supervision of the center Physician-In-Charge (PIC).

Chronic Care Management visits done every 3 months

Conferring with the Physician and other clinical team members with changes in participant status

Pharmacy Prescribing including controlled substances, Schedule 3- Schedule 5 medications, that the supervising physician has delegated

Specialty and diagnostic referrals with staff physician guidance

Initiating appropriate diagnostic studies, such as laboratory, x-ray and other specialty procedures with physician approval/oversight

Interdisciplinary Collaboration- Coordinates care with the IDT, PCT, UM, and other PACE services communicating participant changes to the interdisciplinary team

Preventative Care Services

Acute Care Management and Treatment

Documents in the medical record in the "SOAP Format", Completion of notes with full assessment preferably within 24 hours but no later than 72 hours, Facilitates Coding capture of Hierarchical Chronic Conditions

Goals of Care: Facilitates Advanced Directives, Facilitates Goals of Care and End-of Life Discussions with participants and families: Facilitates Advanced Directives, Manages end-of-life with support of consulting hospice service.

Location of Care: Clinic (mostly), Participants Home, Nursing Facility and Telemedicine

After-Hours Call- May participate in after hours on-call medical assistance on a rotating basis via telephone triage or after-hours home visits to participants as needed.

specifically, a Nurse Practitioner may practice independent per RN licensing scope. However, outside of that scope, he/she must practice under the supervising physician's scope of practice per his/her delegation. Immediate, on-site supervision by the PACE SEMI physician;

Telephone consultation with a PACE SEMI physician who is not on the premises

Three (3) to five (5) years of progressively more responsible experience as an RN in a clinical setting with expertise substantiated in the area of geriatrics is preferred, through education, experience and credentials. The nurse practitioner must comply with PACE guidelines for TB screenings, infection control, BLS and mandatory in-service requirements.

The nurse practitioner acts as a role model for professional nursing practice among his/her peers.

The nurse practitioner supports and contributes to the development of nursing students as well as students of other health-related disciplines.

The ability to apply principles of teaching/learning theories in planning and implementing educational activities.