TELEHEALTH NURSE PRACTITIONER
MUST BE LICENSED IN MAINE AND/OR NEW HAMPSHIRE
OPEN SHIFTS MONDAY-SUNDAY! WEEKEND HOURS ARE AVAILABLE!
SCOPE:
Performs remote video visits for patients. Primarily a remote position with occasional in person requirements – meetings, testing, potential for in person visits within designated geography.
ADMINISTRATIVE DUTIES/PROGRAM DEVELOPMENT:
Participate in development of clinical programs, development of clinical pathways and protocols, documentation templates and other tools, collaborate regarding content of policies and procedures.
VISITS:
Initial visit will include consent for care, regardless of patient program. Initial transitional care visits, follow up visits and change in condition visits.
OVERSIGHT OF PLAN OF CARE:
RPM/CCM – creation/approval of plan of care upon patient enrollment, and minimum monthly review of plan with additional review/updates as needed with changes in condition. Oversight/review of readings and other staff interaction notes at time of review, minimum monthly.
COLLABORATION WITH PCP AND OTHER CARE PROVIDERS:
After each patient interaction, communication with MD via clinical note. If patient is active on Home Health or Hospice, communication with clinical team re: findings/outcome of visit via clinical notes. Phone calls will be made in addition to notes for urgent, time-sensitive issues.
CLINICAL PRACTICE:
Must be proficient in industry best practices for diagnoses treated. Protocols and tools developed will incorporate best practices. Every visit will include an assessment of the patient status, any changes will indicate reassessment of level of support and proper level of care. Practitioner will be proficient in knowledge of eligibility for all levels of care including Home Health, Hospice, Palliative and SNF. Timely communication and resolution of issues identified on visits including communication with PCP, clinical team, and patient/family. Priority focus of visits will be to ensure proper level of care, patient safety and avoidance of unnecessary hospitalizations. Practitioner will leverage known home diagnostic and treatment capabilities to advocate for patients who can safely be managed at home and avoid avoidable visits to Emergency Department. Target for patient population managed ACH <=10%. Plan of care and follow up visits will include a review of Advanced Directives and practitioner will initiate discussions around Goals of Care in collaboration with patient, family, PCP, other clinicians involved in the patient’s care.
DOCUMENTATION:
Record timely (same day or within 24 hours) and accurate documentation of all encounters in the appropriate platform and EHR.
TRAINING AND OVERSIGHT OF OTHER TELEHEALTH APRNS:
Train and ensure compliance with protocols by any additional APRN.
PHYSICAL REQUIREMENTS:
- Hearing and speaking ability is required to communicate on the telephone.
- Vision is necessary for entering data and performing and documenting visits.
- Manual dexterity is required to input computer information, enter data, and operate laptop and telephone.
- Mobility is required for occasionally attending meetings in person.
- Must be able to speak and write the English language in an understandable manner.
- Must be able to function independently and have personal integrity.
- May assume on call responsibilities as directed.
PSYCHOLOGICAL REQUIREMENTS:
- Ability to recognize tasks to be done and perform them independently.
- Ability to establish a responsible and trustworthy rapport with staff.
- Flexibility to adjust to changing work schedules.
- Ability to work in a fast-paced environment under time constraints.
- Ability to identify and refer problems to appropriate supervisory personnel.
- Ability to cope with stress by remaining calm in communication and actions with all individuals.
- Show ability to maintain professional communication skills.
INTELLECTUAL REQUIREMENTS:
- Ability to learn all Impact Health P.C. policies and procedures.
- Ability to make rapid and independent decisions.
- Judgment skills in processing telephone calls.
- Organizational skills necessary to establish priority of tasks and meet deadlines.
- Organizational and judgment skills necessary to perform and document all visits.
- Ability to operate all aspects of the computer and telephone.
- Ability to understand and follow written and oral instructions provided by the supervisor.
- Ability to read, write and type.
- Ability to apply learned procedures to provide creative solutions to a variety of problems.
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