Geriatric Nurse Practitioner

Harbor Health Elder Service Plan; Boston (MA); On-site; USD 112,000 - 137,000; Full time

Job summary

Harbor Health Elder Service Plan in Mattapan, MA, is seeking a Geriatric Nurse Practitioner to provide primary care to ESP-PACE participants in collaboration with the PACE physician. The role includes managing acute and chronic conditions, preventive care, and making referrals; at ESP sites, affiliated sites, and patients' homes as needed.

The ESP model emphasizes an interdisciplinary team approach with small patient panels, on-site adult day health services, and extensive home visits.

Qualifications

• MSN in Geriatric Nursing or related field.
• Current MA RN/NP license and NP certification; BLS required.
• 2+ years with frail or elderly population preferred; 1 year required.
• Ability to travel to ESP sites, patients' homes, and affiliated sites.
• Strong communication and organizational skills.

Responsibilities

• Provide primary care to PACE participants with the PACE physician.
• Perform health assessments at ESP sites and in participants' homes.
• Develop and monitor comprehensive care plans.
• Collaborate with interdisciplinary team and participate in QI activities.
• Maintain EMR accuracy and timely documentation.

Skills

Nurse Practitioner

Geriatrics

Interdisciplinary Team

Travel to ESP sites

Education

MSN in Geriatric Nursing

MA RN/NP license

BLS Certification

Job description

The minimum starting salary for this position is $124,800 annualized.

Harbor Health Services is an innovative, growing, mission-based organization that lives, serves and collaborates with our community members to achieve our mission to help individuals reach their full potential through access to local, affordable services that promote health. Harbor provides medical, behavioral health, dental, and support services to more than 34,000 patients in Boston, the South Shore, and Cape Cod.

Harbor Health operates two Programs for All-Inclusive Care for the Elderly (PACE) in Mattapan and Brockton, providing comprehensive healthcare, transportation and social services for more than 500 frail elders (with ongoing enrollment) who continue to live with dignity and independence in the community.

To help further the mission of Harbor, we are looking for a talented Geriatric Nurse Practitioner to join our Clinical Team in Mattapan.

Role

The Geriatric Nurse Practitioner provides primary care services to Elder Service Plan-PACE (Program for All-Inclusive Care for the Elderly) participants in collaboration with the PACE physician. The Nurse Practitioner manages acute and chronic illnesses; provides routine preventative and health management services; and makes appropriate referrals for medical and non-medical conditions; and collaborates with the PACE interdisciplinary team. Position is based at the Elder Service Plan (ESP), 1135 Morton Street in Mattapan, MA.

Key elements of PACE model of care include

Our Interdisciplinary Team manages the care of our frail elders and supports each other and the Elder Service Plan participants in achieving care goals in small patient panels (75 patients).

Participants attend our center for Adult Day Health activities as well as receive on-site clinical care including primary care, behavioral health and rehabilitation.

Our Nurse Practitioners follow our elders throughout all locations of care including sub-acute, long-term and home care settings; regular home visits are encouraged, and time is allotted for this effort.

Responsibilities

• Provides primary care to PACE participants in collaboration with the PACE physician at the ESP site in Mattapan location, affiliated sites and in the participant's home as needed.
• Conducts health assessments and evaluates patient needs at the PACE center, assisted living facility, skilled nursing facility or participant's home.
• Participates in the development of a comprehensive plan of care for each participant.
• Participates in an on-call system with other providers to ensure 24-hour access to care for our participants.
• Participates in provider staff meetings, departmental meetings, general staff meetings, trainings, interdisciplinary team meetings and quality improvement activities.
• Makes appropriate, cost efficient referral decisions and refers primarily to contracted specialists; provides guidance and monitoring of systems necessary for the function of a capitated care program.
• Updates Electronic Medical Record (EMR) appropriately using proper coding and documents care accordingly; accurately and timely documents care in the medical record with progress notes, lab follow-ups, communications with participants; maintains a current problem list, medication flow sheet, immunization record and other appropriate information.

Requirements

• MSN in Geriatric Nursing or related specialty field
• Current MA RN/NP license with current certification as a Nurse Practitioner; MCSR, DEA and current BLS (Basic Life Support for Health Care Provider) Certification
• 2 or more years of experience working with a frail or elderly population preferred, minimum of 1 year required
• Strong clinical, interpersonal and organizational skills
• Experience in working with an Interdisciplinary Team (IDT)
• Strong clinical, leadership, interpersonal and organizational skills
• Experience in the development and implementation of geriatric programs
• Familiarity with medications preferred, knowledge of community resources preferred
• Must be able to travel in a timely manner to ESP sites, patient's homes and affiliated sites as needed.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

The salary range and/or hourly rate listed is a good faith determination of base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining actual base salary and/or rate, several factors may be considered as applicable (e.g. location, years of relevant experience, education, training, and other factors as permissible by law). As such, most offers will not be at the top of the salary range.