Advanced Practice Clinician, Per Diem - Queens

VNS Health; New York (NY); Remote; USD 80,000 - 107,000; Full time

Benefits offered by this job

Referral bonus opportunities

Personal and financial wellness

Career growth & CEU credits

Job summary

VNS Health in New York seeks a Nurse Practitioner to provide advanced nursing care within home and community settings, under the direction of the Clinical Director for the Nurse Practitioner Program. You will lead inter-professional teams, manage care plans, and ensure compliance with state and federal standards.

The role includes post-discharge visits, on-boarding for palliative care programs, and on-call coverage to ensure 24/7 access to care.

Qualifications

• Master's Degree of Science in Nursing is required.
• ANCC or AANP certification as an adult, family or geriatric NP is required.
• New York NP license/registration and credentialing are required

Responsibilities

• Lead advanced nursing practice for targeted patient populations and evaluate responses to therapy.
• Serve as clinical authority on care teams and lead rounds and interdisciplinary meetings.
• Provide comprehensive advanced nursing care including post-discharge visits and care-management onboarding.
• Collaborate with patients, families and primary care physicians to plan care.
• Manage care across settings and ensure quality measures compliance and proper documentation.

Skills

Bilingual skills

Clinical leadership

Education

Master's Degree in Nursing

ANCC/AANP NP certification

Job description

Overview

Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program.

What We Provide

• Referral bonus opportunities
• Personal and financial wellness programs
• Opportunities for professional growth, career advancementand CEU credits

What You Will Do

• Manages and provides the full scope of advanced nursing practice for targeted patient populations, which may include short-term treatment of members at the point of care. Evaluates patient responses to therapy/interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes.
• Serves as the clinical authority on individualized care teams and leads rounds and interdisciplinary care team meetings.
• Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Urgent interventions (i.e., escalations for the Care Teams, RPM, and the 24/7 Line), pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education. Establishes a treatment plan based on clinical findings and determines when further evaluation by the collaborating physician, specialist, or emergency care is warranted.
• Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning.
• Assesses, plans, and provides intensive and continuous care management across client settings.
• Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements.
• Manages inter-professional team efforts regarding the medical, nursing, therapy and ancillary care provided to patients to ensure quality outcomes are achieved.
• Participates in on call coverage schedule to ensure 24/7 access to practice clinicians.
• Assesses, educates, and improves client and caregiver knowledge of chronic disease, self-care management, and identification of changes in health status, including appropriate responses and actions through individualized education and inter-professional interventions.
• Observes and analyzes team performance patterns related to population under care and assists in developing interventions to improve team performance. Provides remedial support and guidance to interdisciplinary team members to address implementation/evaluation of plans that maintain/increase customer experience with care, cost-efficiency, and quality care compliance with regulatory standards.
• Communicates with internal and external care partners regarding the needs of the patient or population to ensure interventions occur in a timely and appropriate manner. Intervenes as needed when the care plan is not executed and remediates the situation to prevent reoccurrence.
• Performs procedures as outlined in collaborative practice agreement and as privileged by the Credentialing Committee.
• Manages quality of medical record documentation and submits billing information in accordance with Professional Corporation policy.
• Provides care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients' homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options.
• Upon request, performs peer reviews of work performance, including quality of care, clinical documentation, coding and billing practices, communication skills, and population surveillance.
• May participate in the VNS Health Medical Care at Home Quality and Professional Advisory Committee and any associated workgroups related to development of evidence based clinical models of care, peer education and training, quality improvement, medical record configuration and reporting, maximizing the use of clinical decision support systems.
• May act as a preceptor for student Nurse Practitioners, providing excellent role modeling of community-based primary care practice.
• Assumes responsibility for continued professional growth, and maintains professional certification and licensure.
• Participates in special projects and performs other duties as assigned.

Qualifications

Licenses and Certifications:

• License and current registration to practice as a Registered
• Professional Nurse in New York State required
• Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required
• Valid driver's license, as determined by operational/regional needs may be required
• Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans requiredMaintains NPI, Medicaid and Medicare provider numbers preferred
• Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred
• Must be certified by ANCC or another accrediting Nurse Practitioner body - in order to bill Medicare and meet credentialing requirements required

Education:

• Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required
• Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required

Work Experience:

• Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred
• Clinical home care experience or two years managerial experience preferred
• Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required
• Bilingual skills, as determined by operational needs required

Pay Range

USD $58.30 - USD $77.72 /Hr.

About Us

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We're one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.