Nurse Practitioner

About the role

Department: Participant Care / Thome PACE. Location: Jackson, MI. Compensation: $120,000 - $124,000 per year. Schedule: Exempt (salary), minimum 40 hours per week, Monday‑Friday, 8 am‑4:30 pm, no holidays or weekends.

Responsibilities

• Perform health histories, physical exams, and patient education.
• Order, interpret, and follow-up on lab tests and results.
• Perform selected procedures and document care both orally and in writing.
• Assess, diagnose, treat, and coordinate participant care.
• Recognize abnormalities that require immediate referral for further intervention.
• Initiate and evaluate orders for medications, diagnostic studies, and treatments within physician‑approved protocols.
• Provide emergency care as needed.
• Collaborate with ER physicians and hospital staff to manage care, prevent unnecessary hospitalizations, and facilitate expeditious discharge.
• Maintain clinical responsibility for an assigned participant panel, including routine and acute care, required assessments, medication management, diagnostic testing, specialty follow up, and ongoing clinical monitoring.
• Ensure orders, referrals, test results, specialty recommendations, hospitalizations, emergency department visits, and significant changes in condition receive timely clinical review and appropriate follow up.
• Provide or coordinate clinical management for participants receiving palliative or end of life care, in collaboration with the IDT, participant, family, and external care partners.
• Act as a liaison with physicians, nurses, and other healthcare professionals to ensure integrated care.
• Collaborate with attending physicians to request consultations from contracted services/providers as needed.
• Coordinate care with outside providers, including nursing homes, assisted living, adult foster care, and hospitals.
• Participate in interdisciplinary team (IDT) meetings, contributing to holistic patient care planning.
• Actively participate as a member of the interdisciplinary team and collaborate in the development, implementation, monitoring, and evaluation of participant plans of care.
• Respond timely to IDT, nursing, scheduling, pharmacy, and other clinical communications requiring provider review or direction.
• Review missed, cancelled, or incomplete specialty services and provide timely clinical direction regarding continued clinical need, alternative treatment, or appropriate follow up.
• Collaborate with the IDT when services outside the established PACE network or service delivery system are being considered.
• Educate participants and families on preventive health maintenance, particularly for chronic conditions.
• Actively participate in family conferences to provide education and care planning.
• Actively engage in quality improvement (QI) processes to enhance care delivery.
• Complete clinical documentation, orders, assessments, referrals, follow up, and other assigned provider responsibilities.

Qualifications

• Bachelor’s Degree in Nursing from an accredited college or university, with graduation from a certificate or accredited Nurse Practitioner program.
• A valid Nursing License and educational degree/diploma.
• Minimum of five years of combined experience as a Registered Nurse (RN) and Nurse Practitioner (NP).
• Current Michigan Controlled Substance License and