Nurse Practitioner-LTC/SNF -

Provider-Partners-Health-Plan-; Troy (MO); On-site; USD 90,000 - 130,000; Full time

Job summary

Provider Partners Health Plan (PPHP) seeks an Institutional SNP Nurse Practitioner to deliver coordinated, comprehensive care at designated skilled nursing facilities. You will work with the member’s PCP to provide preventive care, diagnose illnesses, order tests, prescribe medications, and set short- and long-term goals with the patient and family in mind.

As a clinical liaison to the interdisciplinary team, you will ensure documentation aligns with PPHP standards and support transitions of

Qualifications

• 3+ years of clinical care experience.
• Experience in Skilled Nursing Facility/Long Term Care preferred.
• Knowledge of Medicare/Medicaid.
• Understanding of I-SNP MOC.
• Proficiency with nursing/medical databases and MS programs.

Responsibilities

• Demonstrates autonomy and conducts comprehensive health assessments.
• Collaborates with PCP to create preventive care plans.
• Adheres to PPHP documentation standards and care models.
• Observe scope of practice per state licensing.
• Communicates with physicians and families during transitions of care.
• Coordinates with care team to avoid duplicate testing and fragmented care.

Skills

Clinical assessment

Care coordination

Collaboration

Documentation

Autonomy

Teaching skills

Customer service

Case management

Medicare/Medicaid knowledge

I-SNP MOC knowledge

Education

Nurse Practitioner license (APRN)

Tools

EMR/EHR systems

MS Office

Job description

Job Summary

Job Summary: The Institutional Special Needs Plan (ISNP) Nurse Practitioner is responsible for coordinated and comprehensive care of Provider Partner Health Plan (PPHP) members at designated skilled nursing facilities. The Nurse Practitioner works in collaboration with the member’s primary care physician to deliver exceptional health care. The nurse practitioner is the medical liaison to the interdisciplinary staff and allied health providers and communicates effectively to assure seamless delivery of services. As a key member of the clinical team in the skilled nursing facility, the Nurse Practitioner provides preventive care, diagnoses both acute and chronic illnesses, orders and interprets diagnostic tests, prescribes medications, refers to specialists as appropriate, establishes a plan of care with short-term and long-term goals, and is a resource to members, families, and staff.

ESSENTIAL RESPONSIBILITIES

• Demonstrates both autonomy and proficiency in performance of comprehensive health assessments.
• Collaborates with member’s primary care physician to create a care plan focused on prevention, early detection and timely intervention.
• Adheres to Provider Partners Health Plan standards of documentation and communication as directed by the PPHP Model of Care.
• Observes the scope of practice in the state in which he or she is licensed and working in.
• Communicates with physicians and family members during transitions of care.
• Effectively communicates with all members of the care team and facilitates a medically appropriate and effective plan of care to avoid unnecessary duplication of testing, and fragmentation of care.
• .

REQUIRED PROFICIENCIES

• Clinical competence and understanding of evidenced-based practice.
• Proficient in computer skills- confidence in learning and using unfamiliar computer programs and electronic devices. Ability to export data, create reports and relay results.
• Strong commitment to the care of the elderly and the needs of their families
• Solid interpersonal and communication skills
• Good organizational skills
• Admirable teaching skills
• Strong customer service orientation
• Minimum of 3 years clinical care experience.
• Skilled Nursing Facility/Long Term Care experience preferred.
• Case management experience preferred
• Knowledge of current standard medical practices and experience with Medicare/Medicaid.
• Detailed knowledge of I-SNP MOC and I-SNP population.
• Proficiency in nursing/medical databases and Microsoft programs.
• Positive and enthusiastic attitude.
• This role requires independent thinking, autonomy and ability to problem solve and make decisions.

LICENSURE, CREDENTIALING AND CERTIFICATION

• Currently licensed as an Acute, Adult/Gerontological or Family Nurse Practitioner in the state of practice.
• Meets the Provider Partner Health Plan credentialing requirements.
• Holds or is eligible for DEA licensure and CDS licensure (if required in the state of practice)
• Basic Cardiac Life Support certification.
• Current unrestricted RN license for the state in which the Nurse Practitioner is practicing.
• Valid driver’s license and car insurance with reliable transportation