NP - Hospital at Home Per Diem

About the Role

This per diem Advanced Practice Nurse (APN) position utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The APN works collaboratively with the practice/hospital team to assess, plan, and implement care for individuals with health and safety needs. The role requires acute clinical management experience, including extensive review of EHR to determine patient eligibility for inclusion and transfer home, as well as conducting intake assessments to evaluate patient acuity and home environment safety.

Responsibilities

• Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem.
• Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate.
• Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities.
• Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed.
• Seeks opportunities to promote Hackensack Meridian Health (HMH) APN practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations.
• Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease.
• Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges.
• Adheres to HMH nursing protocols, standards of care, and disease-specific quality indicators.
• Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes.
• Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety, and self-management promotion for chronic conditions.
• Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty.
• Completes medication reconciliations as appropriate.
• Participates in annual APN peer review.
• Translates "best practice" into clinical practice by evaluating current protocols and standards of care.
• Provides culturally sensitive and educationally appropriate health management education to patients and families.
• Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds.
• Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate.
• Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities.
• Participates in organizational and departmental meetings, committees, and workgroups as necessary.
• Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes.
• Collaborates with medical staff to support nursing-led protocols.
• Mentors other APNs, precepts students in APN programs, and participates in educational programs for nursing as a clinical expert.
• Identifies patient/family educational needs and collaborates to implement appropriate teaching materials.
• Facilitates and participates in nursing educational programs as a clinical expert.
• Promotes a collaborative work environment supporting the organizational mission, behavior expectations, values, and pillars.
• Promotes innovation by integrating new clinical knowledge into practice.
• Participates in clinical research activities and disseminates findings through practice, education, presentations, and publications.
• Identifies ethical care issues and coordinates interdisciplinary meetings to resolve them.
• Adheres to the legal framework and scope of practice defined by the NJ Division of Consumer Affairs, ensuring compliance with all applicable statutes and professional standards.
• Complies with HMH and department-specific scope of services, policies, and procedures as applicable to the role.
• Performs other duties and/or projects as assigned.
• Adheres to HMH Organizational competencies and standards of behavior.

Requirements

• Graduate of an NLN/AACN accredited nursing program.
• Master's or Doctorate degree from an accredited Nurse Practitioner program.
• Maintains clinical competencies through continuing education and clinical practice.
• Experience in a relevant patient care setting (or as regulations dictate).
• National Provider Identifier (NPI).
• Prescriptive authority through CDS and DEA registration according to New Jersey state law.
• Collaborative agreement with physicians on staff.
• Excellent written and verbal communication skills.
• Proficient computer skills that include but are not limited to Microsoft Office and/or Google Suite platforms.

Qualifications

Licenses and Certifications Required:

• NJ State Professional Registered Nurse License.
• Advance Practice Nurse License.
• BLS AHA Basic Health Care Life Support HCP Certification.
• Board certified by AANP or ANCC.
• AHA Advanced Cardiac Life Support Certification.

Pay

Minimum rate of $71.72 hourly.

Schedule

• Per diem position.
• Weekend work: as needed.
• Holiday work: as needed.
• On-call work: not required.