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Adv Prac Prov Inp/Subspec - (NP only) - Advanced Care at Home

Job ID: 5720
Location: Chapel Hill, NC
Facility/Division: UNC REX Healthcare
Status: Per Diem
Shift: Variable

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Job Description

Description

Become part of an inclusive organization with over 30,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Opportunity Highlights:

·Work in a team environment to provide high-quality patient care to patients in their own homes through Advanced Care at Home (ACH).

·Clinical outcomes are equal to or better than inpatient hospitalization with improved patient experience

·State-of-the-art equipment at Command Center and patients’ home

·Patients have access to hospital services and more including medication management, mobile imaging, home infusion, meal delivery, nutrition consults, phlebotomy, rehab services

·Integrated care with primary care providers, specialists & ancillary departments

Responsibilities

·Serve as the point of contact representing the ACH program to patients and families by providing in-person clinical assessments from patient homes and collaborating with the physician and nurse in the Command Center, as well as the patient’s primary care physician (PCP)

·Perform the initial face-to-face evaluation and assessment of new patient admissions from patient homes

·Collaborate with the supervising physician and the PCP to develop and implement a plan of care in the home.

·Provide protocol-driven assessment, care coordination and interventions as appropriate

·Obtain additional diagnostic and specialty consultation when needed

·Provide safe handoffs to the attending physician and Command Center RN

·Communicate with the patient and family concerning the ACH model, incorporating patient and family values and goals in the plan of care

·Navigate patients and families across the continuum of phases of care

·Promote a collaborative relationship between the physicians, Command Center RN, and supplier providers

·Maintain and practice in accord with practitioner guidelines per state and hospital regulations

Required Education, Skills and Qualifications:

·Master’s degree and a current license as an Advanced Practitioner Registered Nurse

·Certification in specialty fields such as acute care or geriatrics is desirable

·Five (5) years APRN experience

·Flexible and comfortable with a changing and dynamic work environment

·Team player who also works well independently

·Strong verbal/written communication skills

·Ability to deliver compassionate, patient-centered care

    ·Ability to analyze, interpret and problem solve quickly with well-articulated action planning

    Summary:
    An Advanced Practice Provider (APP) functions as part of the interdisciplinary healthcare team in accordance with privileges approved by the credentialing committee to provide high quality, cost effective care to patients within the APPs scope of practice in collaboration with a supervising physician. The APP reflects the mission, vision, and values of the organization, and complies with all relevant policies, procedures, guidelines and other regulatory and accreditation standards.


    Responsibilities:
    1. Clinical- Obtains relevant health and medical history, performs thorough physical assessment, reviews and interprets pertinent diagnostic tests/results. Develops appropriate differential diagnoses. Develops and implements treatment plans including prescribing/ordering of appropriate evidence-based pharmacological agents consistent with departmental guidelines and privileging, and schedules appropriate follow-up management. Actively incorporates evidence-based hospital initiatives to improve patient care. Conducts preventive health screening based on age, history and patient needs. Maintains clear comprehensive yet concise records of all aspects of patient care. Maintains essential knowledge of general disease and pathologic processes. Maintains extensive knowledge of their specialty literature including awareness of developing areas. Consistently derives correct diagnoses through synthesis of clinical data and proper selection and interpretation of diagnostic studies. Develops comprehensive differential diagnoses for patients. Revises the plan of care to meet the changing needs of the patient. Prioritizes work and assists staff to provide prompt and efficient client flow. Consistently maintains high productivity according to identified standards. Leads/participates in projects to improve productivity. Appropriately performs medical procedures consistent with departmental guidelines, privileging, and clinical roles/responsibilities.
    2. Education- Appropriately and professionally educates clients and/or families regarding medical condition, treatment, and follow-up. Collaborates with clinicians, staff, and students to promote continuity and patient/family centered care. Develops educational materials based on learning needs of clinicians, staff, and students. Provide education/instruction to physicians, housestaff, nursing, ancillaries and/or students. Actively recognizes and participates in identification and achievement of self-learning needs. Attends education programs based on identified learning needs.
    3. Leadership- Provides instruction to physicians, housestaff, nursing, ancillaries and/or students including but not limited to precepting, shadowing, lectures, training classes, CE, rounds, morning report, and or staff meetings. Participates in community/network outreach programs. Develops/leads community/network outreach programs. Demonstrates both an understanding of the contexts and system in which healthcare is provided and the ability to apply this knowledge to improve and optimize health care delivery. Leads/participates in systems improvements.
    4. Professionalism- Interacts with patients and families in a respectful, courteous and timely fashion using appropriate communication for the patient and situation. Interacts collaboratively with coworkers, other team members and staff in a respectful, courteous, and timely fashion appropriate to patient care needs and situations. Responds quickly to meet customer needs and resolve problems. Accepts responsibility for outcomes of one?s work. Shares responsibility for overall workload with team members.
    5. Quality/Research- Engages in daily continuous quality improvement by identifying and implementing processes for improvement. Consults with management in assessment, problem-solving, decision-making, and evaluating clinical/system issues and models of care. Leads interdisciplinary teams to provide integrated delivery of patient care services. Initiates and revises protocol(s) or guideline(s) to reflect evidence-based changes in care management Works to influence policy-making bodies to improve patient care. Develops new clinical programs or services within the department/unit/clinic to improve patient care.


    Other Information

    Other information:
    Education Requirements:
    ● Completion of an accredited graduate-level Advanced Practice Provider (APRN or PA) program.
    Licensure/Certification Requirements:
    ● Licensed as an Advanced Practice Provider (i.e., Nurse Practitioner, Physician Assistant, Certified Nurse Midwife) in the state of North Carolina. Board certification if required by the Department.
    Professional Experience Requirements:
    ● No prior experience required.
    Knowledge/Skills/and Abilities Requirements:
    ● Demonstrated clinical competency. Effective leadership skills. Strong interpersonal skills. Ability to work independently and collaboratively. Demonstrated written and verbal communication and strong analytical skills. Effective interaction to ensure the successful care of patients in the clinical setting. Documentation in the medical record to substantiate accurate billing.


    Job Details

    Legal Employer: NCHEALTH

    Entity: UNC REX Healthcare

    Organization Unit: Adv Care at Home-Provider Svcs 

    Work Type: Full Time

    Standard Hours Per Week: 30.00

    Work Schedule: Variable

    Location of Job: US:NC:Chapel Hill

    Exempt From Overtime: Exempt: Yes



    This position is employed by NC Health (Rex Healthcare, Inc., d/b/a NC Health), a private, fully-owned subsidiary of UNC Heath Care System. This is not a State employed position.
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    Diversity Statement

    The UNC Health System and the UNC School of Medicine are committed to valuing all people throughout our organization, regardless of background, lifestyle, and culture. A diverse and inclusive work environment for staff and culturally appropriate care for our patients, are essential to fulfilling our UNC Health vision of improving the health of all North Carolinians.

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