Job Summary: The Nurse Practitioner promotes and maintains the health of enrolled participants through medical assessment, treatment and teaching. Responsible for completing periodic assessments of health needs and problem focused visits to contribute to the individual’s plan of care. Responsible for the implementation of the care plan and coordination of outside medical appointments.

Primary Responsibilities: Under limited direction and in accordance with all applicable federal, state and local laws/regulations and policies, procedures and guidelines:

• Completes RN assessment during initial, semi-annual, annual and significant change evaluations
• Completes provider visits as needed.
• Provides evaluation and treatment of participants during acute illness.
• Determines the need for and facilitating referrals to other medical specialists when deemed necessary.
• Assists with preparation for interdisciplinary team meetings and ensuring that all updates for participants and needed appointments are added to the schedule
• Communicates regularly with pharmacy regarding prescription changes and ensuring that participant MAR is up to date
• Collaborates with nursing staff to ensure participant is receiving appropriate nursing interventions.
• Exercises judicious utilization of specialist consultations.
• Participates in rotating night and weekend call with other Northland PACE staff.
• Participates in the development and revision of the participant’s plan of care as a member of the interdisciplinary team.
• Integrates the Clinic Case Manager treatment plan into the overall plan of care developed by the interdisciplinary team.
• Interacts with other team members to meet emergent and acute needs of participants. Participates in discharge planning.
• Maintains quality documentation of all services provided.
• Collaborates with provider to facilitate PACE appointments, participant needs and plans/follow-up for specialty appointments and medical orders
• Conducts home visits as needed.
• Collaborates with hospital for any participant hospitalized
• Collaborates with nursing facility weekly for any participants residing in nursing facility
• Knows and adheres to the philosophy and goals of Northland PACE.
• Keeps confidentiality of client records, reports and discussions.
• Attends and participates in scheduled staff meetings and client care meetings as requested.
• Maintains flexibility in schedule and responds to unexpected emergencies and changes in workload in order to fulfill responsibilities.
• Informs the Medical Director of “unusual incidents”.
• Is professional in manner in the clinical area; recognizes own limits and seeks help and guidance from the Medical Director as appropriate.
• Maintains licensure and certification and pursues professional growth through continuing education.

Employment Specifications:

Education/Experience: Masters Degree in nursing/primary care.

Licensure, registry or certification required: Certified Registered Nurse Practitioner license to practice in North Dakota, current DEA registration.

Special Training: Must be able to work effectively with an interdisciplinary team. Must be able to communicate effectively. Must possess strong interpersonal and organizational skills. Ability to adapt to change in a positive/professional manner. Must meet standardized competencies for standards of medical care and established for position. Must be medically cleared for communicable diseases. Must have all immunizations up to date before engaging in direct participant contact.

Physical Demands: Must be able to see, hear, and verbally communicate. Must be able to move about freely and possess manual dexterity and visual acuity. Must able to lift, turn, and roll over participants.

Working Conditions: Primarily inside, well-lit, climate controlled environment. Will require travel in various weather elements (rain, snow, cold, heat etc.) Will require frequent home visits. Potential exposure to infectious disease and environmental hazards. Frequent home visits. Reliable transportation required.