Nurse Practitioner (F/T, P/T, PRN)

About the role

We provide comprehensive primary and geriatric care to medically complex older adults. The Nurse Practitioner works collaboratively with the Interdisciplinary Team (IDT) to support participants' medical, emotional, psychosocial, and social well-being. This role supports the PACE mission of helping elderly participants remain safely in their homes and communities as an alternative to nursing home placement.

Responsibilities

• Manage acute and chronic medical conditions, coordinate care across multiple healthcare settings, and promote participant independence and quality of life.
• Prepare, implement, and update comprehensive participant Care Plans in collaboration with the IDT, addressing medical, emotional, psychosocial, and functional needs.
• Provide primary and preventive healthcare services to elderly participants with acute and chronic medical conditions.
• Perform comprehensive history and physical assessments for new participants.
• Conduct reassessments of participants' medical conditions at least every six (6) months and as needed.
• Manage participant care with the goal of supporting aging in place and preventing unnecessary hospitalizations or nursing home placement.
• Review and coordinate outside clinical information, including specialty appointments, hospitalizations, rehabilitation stays, emergency room visits, and skilled nursing facility admissions.
• Work closely with caregivers and families to support participant well-being and continuity of care.
• Provide care in the PACE clinic, participant homes, hospitals, nursing facilities, and other care settings as needed.
• Perform in-home assessments and visits when transportation to the clinic is not reasonable or when clinically necessary.
• Conduct monthly visits for participants residing in long-term nursing facilities or skilled nursing facilities on an ongoing basis.
• Remain on site at the PACE center while participants are present unless otherwise approved by the Medical Director or Executive Leadership.
• See a minimum average of five (5) participants per day, including scheduled visits, acute visits, follow-up appointments, and assessments.
• Collaborate with the Medical Director and IDT to ensure timely participant evaluations, treatment plans, and continuity of care.
• Provide clinical oversight and timely medical intervention to reduce avoidable hospitalizations and support participants remaining safely in the community whenever possible.
• Monitor participant conditions and document findings, changes, and interventions in the electronic medical record in a timely manner.
• Communicate effectively with physicians, nurses, social workers, therapists, caregivers, and other members of the IDT.
• Return calls from participants, caregivers, pharmacies, and staff in a timely and professional manner.
• Participate in on-call rotation coverage for evenings, weekends, and holidays as assigned.
• Assist with transitions of care and discharge planning.
• Support quality improvement initiatives and compliance with CMS, LDH, and PACE regulations.
• Promote participant dignity, independence, safety, and quality of life.

Qualifications

• Nursing Degree from an accredited college or university.
• Graduate of an accredited Nurse Practitioner Program.
• Current and unrestricted Louisiana Advanced Practice Registered Nurse (APRN) license.
• Current Louisiana Controlled Dangerous Substance (CDS) license.
• Current DEA registration with prescriptive authority.
• Current BLS certification.

Preferred Qualifications

• Five (5) or more years of nursing experience.
• Three (3) or more years of Nurse Practitioner experience.
• Experience working with the elderly population in: Long-term care, Skilled nursing facilities, Geriatric care, Home health, PACE programs, Chronic disease management.
• Experience managing medically complex geriatric participants in PACE, long-term care, skilled nursing, or home-based care settings.
• Experience working collaboratively with physicians, Medical Directors, and Interdisciplinary Teams (IDT).
• Experience providing care as an alternative to nursing home placement and supporting participants in remaining safely in their homes and communities.
• A strong understanding of the PACE model and the goal of preventing unnecessary nursing home placement and hospitalizations.
• Bilingual abilities are a plus.

Benefits

• Medical, Dental, Vision FSA, HSA Indemnity Plans
• 401k Matching
• Company Paid Life Insurance
• Company Paid STD & LTD
• Wellness Program Incentives
• Employee Referral Bonus
• EAP
• Teladoc and sooo much more!