Nurse Practitioner OR Physician Assistant (Post Acute and Long Term Care)

Gain experience in the growing field of SNFist medicine. Become part of a well-respected practice that is elevating post-acute care. This role offers Autonomy (with the support of the Medical Director and Medical Coordinator), Clinical Variety, Longitudinal Care, Interdisciplinary Collaboration and Impactful Work!

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Our fast growing, post-acute care practice is currently searching for a full-time Nurse Practitioner or Physician Assistant to assist at two skilled nursing facilities in Sacramento County. The clinician will provide intermittent coverage for post-acute rehab patients and long-term residents.

We are looking for an NP or PA who can monitor, deliver, and improve upon comprehensive quality patient care in a post-acute and long-term care setting. The successful applicant will have the opportunity to apply a team concept approach to post-acute care delivery. The clinician will work independently, as well as directly with the Medical Director and Medical Coordinator to deliver and coordinate comprehensive care plans.

POSITION SUMMARY:

This is an onsite clinical position where the NP/PA is responsible for providing direct patient care with an excellent support system. The clinician will provide intermittent coverage for post-acute rehab patients and long-term residents while operating in partnership with the Medical Director. The NP/PA will also have support from a dedicated Medical Coordinator. You would see approx. 17 patients a day depending on the daily census. Census will be provided daily.

The ideal candidate will be committed to making a real difference in their patients’ lives, continuing their education and strengthening their practice under the guidance of a skilled medical director.

KEY RESPONSIBILITIES/ESSENTIAL JOB FUNCTIONS:

Evaluate patients from admission and ensure that discharge and rehab plans are executed.
Monitor for acute changes; diagnose and treat common conditions.
Propose treatments for chronic and infectious diseases.
Maintain accurate records and schedules.
Participate in quality improvement programs.
Available via phone or text when on call.
Assist with initiating/documenting Advanced Directives/POLST form.

Daily Visits

Order diagnostic tests, reviews labs, radiology reports, and consults on all patients.
Talk to and examine assigned skilled-level patient on daily rounds.
Assess rehab progress.
Discuss concerns with the patient, family, rehab, and case management.
Educate patient and family members regarding acute and chronic illness management.
Attend family meetings as necessary.
Inform medical director of significant changes in medical condition.
Discharge: coordinate transition from skilled to long term placement or home with care coordinators.

Long-Term Care

Follow long-term patients every 30 days or as acutely needed.
Perform diagnostic and/or therapeutic procedures within your level of training and expertise.
Order, interpret and evaluate diagnostic tests for both regularly scheduled health maintenance and acute clinical issues.

Proven experience as an NP or PA in primary care or sub-specialty outpatient clinics, hospitals, or SNFs
Expertise in primary care/internal medicine/post acute care
Geriatric background preferred but not required
Valid NP or PA license in California
Active NP furnishing license
Current CA DEA certificate
Knowledge of health and patient care regulations
Strong ethics & excellent communication skills
Team spirit with a positive attitude
Patience and cool headedness
Willingness to continue gaining knowledge and clinical experience

Job Type: Full-time

3 days (Millbrae)

2 days (Alameda)

401(k)
Dental insurance
Health insurance
Paid time off
Vision insurance

Experience:

Nurse Practitioner or Physician Assistant: 1 year (Required)

License/Certification:

Nurse Practitioner or Physician Assistant license (Required)

Work Location: In person

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Education: Physician Assistant (PA): Bachelor's degree or above from an accredited college or university. Graduate of a PA program accredited by the Accreditation Review Commission on Education for the Physician Assistant, Inc. Nurse Practitioner (NP): Master's or doctoral degree in nursing from an accredited college or university. Graduate of an NP program accredited by the National League of Nursing Accrediting Commission (NLNAC) or the Commission on Collegiate Nursing Education (CCNE). Licensure/Certification: Physician Assistant (PA): Licensure as a Physician Assistant (PA) in the State of California. Certification as a Physician Assistant (PA) by the National Commission on Certification of Physician Assistants (NCCPA) Certification in Basic Life Support (BLS) from the American Heart Association (AHA) An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients Additional board certification(s) may be required by certain services/departments. Nurse Practitioner (NP): Licensure as a Registered Nurse (RN) in the State of California Certification as a Nurse Practitioner (NP) in the State of California National Board Certification as a Nurse Practitioner (NP) from an agency accredited by the American Board of Nursing Specialties (ABNS). Note: New graduate NPs will be allotted six (6) months from their graduation date to obtain national board certification. Certification in Basic Life Support (BLS) from the American Heart Association (AHA). Furnishing license issued by the Board of Registered Nursing (BRN), required only if furnishing medications An individual Drug Enforcement Agency (DEA) license issued by the United States DEA for Schedule II-V controlled substances, required only if prescribing controlled substances to outpatients . Additional board certification(s) may be required by certain specialties/departments. KNOWLEDGE These are the observable and measurable attributes and skills required to perform successfully the essential functions of the job and are generally demonstrated through qualifying experience, education or licensure/certification. PHYSICAL REQUIREMENTS The Physical Requirements and Working Conditions in which the job is typically performed are available from the Occupational Health Department. Reasonable accommodations will be made to enable individuals with disabilities to perform the essential functions of the job. Additional Information Pay Range Compensation is based on the level and requirements of the role. Salary within our ranges may also be determined by your education, experience, knowledge, skills, location, and abilities, as required by the role, as well as internal equity and alignment with market data. Typically, new team members join at the minimum to mid salary range. Minimum to Midpoint Range (Hourly): $93.75 to $114.84 Stanford Medicine Children's Health (SMCH) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SMCH does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements, and where applicable, in compliance with the San Francisco Fair Chance Ordinance.

Full-time

1 month ago

CNS/NP - FT - Days - Neuroscience Institute @ MV

El Camino Hospital Mountain View, CA

$110.97 - $149.78 / hour

El Camino Health is committed to hiring, retaining and growing the best and brightest professionals who will carry our mission and vision forward. We are proud of our reputation in the community: One built on compassion, innovation, collaboration and delivering high-quality care. Come join the team that makes this happen. Applicants MUST apply for position(s) by submitting a separate application for each individual job posting number they are interested in being considered for. FTE 1 Scheduled Bi-Weekly Hours 80 Work Shift Day: 8 hours Job Description The Clinical Nurse Specialist/Nurse Practitioner is a registered nurse, who, as a result of graduate education and in-depth clinical experience possesses the advanced knowledge and clinical skills necessary to provide expert nursing care. The major functions of the CNS/NP include education, consultation, clinical practice, research, and leadership. The primary responsibility is the direct application of clinical expertise to patients/families and patient care staff. The CNS/NP plans, implements, coordinates and evaluates nursing care and clinical programs for patients. In addition, the CNS/NP advances nursing practice and optimizes patient outcomes through education, leadership and participation in clinical research in collaboration with Service Line Leader and Physicians. The CNS/NP practices in accordance with the California Nurse Practice Act, ANA Code of Ethics, and the ANA Bill of Rights for Nursing as well as the Hospital/Department policies. The CNS/NP provides care in a collaborative manner with other health team members to ensure optimal, individualized patient care and outcomes. Key Responsibilities: Weekly patient rounding-coordination of care and communicating plan of care to the patient/family and multidisciplinary team. Navigate the continuum of care for patients including the coordination of post-op/procedure visits, Acute Rehab, Home Care and/or Skilled Nursing Facility (SNF). Optimize post hospital care coordination including Tele-monitoring and specialist referrals. Collaborate with the Enterprise wide teams to improve patient satisfaction and patient care outcomes. Liaison to Clinical Data Specialists of the applicable data registries. Perform preliminary/concurrent case reviews to support cardiac quality assurance, quality improvement activities and outcomes management Community Outreach The Stroke Program Coordinator/CNS is accountable for the accreditation and certification of the program, including all supporting data, process improvement, and multidisciplinary evidence-based practice development, including: Coordination with Medical Staff Stroke Program Director for maintenance and growth of the program; for evaluation of outcomes, and for improvement of outcomes Community screening events & lectures Consult with healthcare team and patient during hospitalization Post-hospitalization follow-up Develop or collaborate on patient teaching materials Secondary responsibilities include staff development regarding care of the Stroke patient and development of related materials and input on related PI projects. The Behavioral Health CNS coordinates activities for the Behavioral Health Services and the Medical Center: Facilitating admissions between Behavioral Health Services and the Medical Center Consultation to the Medical Center regarding psychiatric issues and substance abuse Ongoing staff education and support Quality management as it relates to the position The CNS leads and directs the diagnosis-based teams in the care and service of Behavioral Health patients across the continuum. Promotes effective and appropriate utilization of clinical, ancillary and material resources. Assumes a leadership role with the interdisciplinary team to define and achieve optimal clinical and resource outcomes, assures Behavioral Health patients receive care that consistently follows evidence-based standards, and is in accordance with organizational goals including; disease-specific care measures, regulatory standards as defined by the program. Qualifications Master’s degree in Nursing. Must have at least 24 months clinical nursing experience in area of specialty. Demonstrated ability to produce results and coordinate projects Experience of expertise in quality improvement and evidenced based practice. Prior CNS, NP or nursing education experience preferred. Excellent verbal and written communication skills, problem solving, conflict resolution skills. Experience of expertise in quality improvement and evidenced based practice. Computer skills that include word processing and database management License/Certification/Registration Requirements 1. Current California RN license. 2. California certification as a Clinical Nurse Specialist or California licensure as a NP Current 3. BLS certification Department Specific: Stroke Coordinator/Neurovascular Three (3) years of recent experience in acute nursing and demonstrated clinical competence and in-depth knowledge in the clinical area Computer skills that include word processing and database management (Get With The Guidelines) Neonatal Three (3) years of recent experience in neonatal nursing care including at least one in a facility with an NICU that is equivalent to a Regional or Community NICU and demonstrated clinical competence and in-depth knowledge in the clinical area. Neonatal -License/Certification/Registration Requirements 1. Certification in specialty area preferred (i.e. Neonatal) 2. Certification in Neonatal Intensive Care Nursing from a nationally recognized accrediting organization 3. Current NRP certification Behavioral Health Knowledge of utilization review, discharge planning, clinical pathways, managed care and “Best Practice Guidelines” preferred. BHS License/Certification/Registration Requirements 1. Certification in specialty area preferred Psychiatric and Mental Health 2. National certification through ANCC or via national credentialing association as appropriate to specialty is preferred. 3. Certification in Nonviolent Crisis intervention Training or equivalent certification. HVI Three (3) years of recent experience in acute nursing and demonstrated clinical competence and in-depth knowledge in the clinical area. Computer skills that include word processing and database management Salary Range: $110.97 - $149.78 USD Hour The Physical Requirements and Working Conditions of this job are available. El Camino Health will provide reasonable accommodations to qualified individuals with a disability if that will allow them to perform the essential functions of a job unless doing so creates an undue hardship for the hospital, or causes a direct threat to these individuals or others in the workplace which cannot be eliminated by reasonable accommodation. Medium Work - Requires standing the majority of the shift with the ability to lift up to 35 lbs. frequently. Work involves sitting, kneeling, climbing and squatting. - (Physical Requirements-United States of America) An Equal Opportunity Employer: El Camino Health seeks and values a diverse workforce. The organization is an equal opportunity employer and makes employment decisions on the basis of qualifications and competencies. El Camino Health prohibits discrimination in employment based on race, ancestry, national origin, color, sex, sexual orientation, gender identity, religion, disability, marital status, age, medical condition or any other status protected by law. In addition to state and federal law, El Camino Health also follows all applicable fair and equitable employment policies from the County of Santa Clara.