Acute Care NP | Skilled Nursing Facility & On-Call

Evolving Solution Services; California; On-site; USD 103,000 - 124,000; Full time

Job summary

Evolving Solution Services in Carmichael, CA is seeking a Full-Time Professional APC to provide comprehensive medical evaluation and ongoing management of SNF residents within California license scope. The APC will diagnose and treat acute and chronic conditions, develop treatment plans, order tests, and coordinate with a multidisciplinary team.

Responsibilities include admissions, medication management, documentation, on-call coverage, and collaboration with nursing, pharmacy, and families to

Qualifications

• Nurse Practitioner (NP): Must maintain a current and active Nurse Practitioner license and all certifications required for the position.
• Physician Assistant (PA): Must maintain a current and active Physician Assistant license and all certifications required for the position.

Responsibilities

• Provide comprehensive medical evaluation and ongoing management of SNF residents within the APC’s California legal scope, clinical competency, and facility privileges.
• Perform admission evaluations, history and physical examinations, and post-hospitalization assessments as permitted by applicable law and facility requirements.
• Diagnose and manage acute and chronic medical conditions, including changes in resident conditions.
• Develop, implement, and update individualized treatment plans.
• Order, review, and interpret appropriate laboratory tests, diagnostic studies, and other medically necessary evaluations.
• Prescribe, furnish, and/or order medications and treatments as permitted by California and federal law and the APC’s applicable practice authority.
• Perform medication reconciliation and monitor medication effectiveness, adverse effects, and potential interactions.
• Evaluate and manage acute changes in condition, falls, infections, respiratory issues, abnormal laboratory results, pain, dehydration, and other medical problems.
• Determine when escalation of care, emergency evaluation, specialist consultation, or hospital transfer is clinically indicated.
• Provide appropriate follow-up after hospital or emergency department visits.
• Participate in interdisciplinary care planning, including coordination with nursing, rehabilitation, dietary, pharmacy, social services, specialists, residents, and families.
• Communicate with residents and families regarding diagnoses, treatment plans, clinical status, and goals of care.
• Participate in advance-care planning, POLST discussions, hospice/palliative-care coordination, and end-of-life care as appropriate.
• Maintain timely, accurate, and complete medical documentation, including progress notes, assessments, orders, and treatment plans.
• Collaborate with the attending/supervising physician and other healthcare professionals and communicate significant clinical changes in accordance with facility policy and applicable law.
• Participate in quality improvement, infection prevention, medication management, and other facility initiatives relevant to resident care.
• Provide appropriate coverage and clinical communication during assigned on-call or after-hours responsibilities, consistent with facility policy.

Job description

Evolving Solution Services in Carmichael, CA is seeking a Full-Time Professional APC to provide comprehensive medical evaluation and ongoing management of SNF residents within California license scope. The APC will diagnose and treat acute and chronic conditions, develop treatment plans, order tests, and coordinate with a multidisciplinary team.

Responsibilities include admissions, medication management, documentation, on-call coverage, and collaboration with nursing, pharmacy, and families to