Nurse Practitioner or Physician Assistant-Skilled Nursing Facility
Location: Milton, Pennsylvania
Type: Full Time
Internal Number: R-35940
Geisinger is seeking an experienced Nurse Practitioner or Physician Assistant to join our Skilled Nursing Facility team for an open position to work between the Milton and Watsontown facilities.
Nursing home/skilled nursing facility based Advanced Practitioner (NP or PA-C) works in conjunction with CMSL clinical staff, applicable insurance case management staff, and skilled nursing facilities to ensure patients are appropriately managed in the sub-acute and/or long-term care setting. The SNF advanced practitioner (AP) provides direct (hands-on) care in nursing homes/skilled facilities with a goal to improve quality and prevent unnecessary re-admissions to the acute care setting.
MAJOR DUTIES AND RESPONSIBILITIES:
1. SNF AP is a field-based patient direct care position providing medical services for one or two facilities. Workload is 90% clinical, 10% administrative. The SNF AP works under the direction and supervision of the supervising/collaborating CMSL physician.
*2. Performs comprehensive SNF assessment to include psychosocial factors (when applicable) identifying the anticipated short-term and long-term (ongoing) needs of the patient.
*3. Responsible for the treatment of patients in the nursing home and skilled nursing facility settings.
4. Educates facility staff, patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.
5. Maintains open lines of communication with an emphasis on supportive relationships with assigned nursing homes/skilled nursing facilities,
*6. Maintains legible and accurate medical records which meet state and federal regulations and maintains patient confidentiality.
*7. Must be able to take weeknight call on all assigned patients and participates in weekend call rotations.
8. Works collaboratively with appropriate insurance management staff, including:
a. Communicating clinical issues with potential for high risk complications and barriers to positive outcomes and discharge (as appropriate); b. Working collaboratively with insurance case management staff, CMSL, facility and the patient and family to establish a plan of care that identifies and continuously reassesses appropriate levels of care; c. Identifying patients that would benefit from an alternative level of care; d. Establishing short and long term goals that meet the patient's needs;
e. Try to prevent ED visits;
*9. Identifies and refers patients to appropriate disease and case management programs;
*10. Identifies the need for hospice care as appropriate in the terminal period of chronic diseases. Refers appropriate patients to a case manager for hospice program election or to be designated as a Potential Hospice candidate and monitored for decline.
*11. Will be responsible for meeting ongoing continuing medical education requirements and provide copy of documentation for internal and external continuing medical education attended to the office of credentialing.
12. All other duties as assigned.
*Denotes essential job functions.
COMPETENCIES AND SKILLS:
Demonstrates strong professional level of knowledge and comprehensive clinical assessment skills in the elderly population and chronic disease management.
Demonstrates deep understanding and comprehensive knowledge of nursing home/skilled nursing facility regulations.
Demonstrates strong decision-making skills with ability to function in a collaborative care model.
Demonstrates the ability to effectively work with physicians, professional and non-professional staff and contracted vendors.
Demonstrates the ability to be a self-starter with ability to handle multiple projects at one time.
Demonstrates excellent organizational skills well organized, efficient and able to work under pressure.
Demonstrates customer service experience and skills.
Demonstrates strong written and verbal communication skills which will meet standards of practice and regulatory requirements.
Must have certification of completion from an approved program for Nurse Practitioners and have or be eligible for current license in the Commonwealth of Pennsylvania. Must have BLS and have or be eligible for ACLS.
Prior experience in nursing home/skilled nursing facility billing (codes, understanding of medical necessity).
Prior advanced practitioner experience in a long-term care setting and/or administrative experience in a skilled nursing facility or long-term care facility is preferred.
WORKING CONDITIONS/PHYSICAL DEMANDS:
Ability and willingness to travel.
Ability and willingness to take call after hours and participate in weekend call rotation.
Work is typically performed in a skilled nursing facility.
Master's Degree-Physician Assistant (Required)
Certification(s) and License(s)
Certified Physician Assistant - National Commission on Certification of Physician Assistants (NCCPA); Basic Life Support Certification - Default Issuing Body
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 1...3 hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.