Community Based Nurse Practitioner - Columbus

579

Remote?: 0

Highlights (Bonus, shift, relocation, info for job):

Monday - Friday 8:00 am - 5:00 pm 

Community Based Nurse Practitioner Job Summary

This role is a community-based, focusing on providing both urgent and primary care to our members where they live. Working in partnership with the member’s primary care provider and interdisciplinary team, the community-based NP is responsible for (1) seeing patients recently discharged from the hospital and ensuring a smooth transition of care to prevent readmissions, (2) seeing members who have urgent clinical needs and addressing them so they can avoid a trip to the Emergency Room, and (3) performing chronic disease management and preventive care in-conjunction with the center-based primary care team.

Duties and Responsibilities  

Provide community-based medical and care-coordination services for recent hospital discharges

• Working closely with the transitional care manager and the member’s primary care team, following through on the discharge plan with the patient.
• Conduct patient assessments
• Review, monitor, adjust and discontinue medications
• Comprehensive Medication Review for adherence
• Patient and family education
• Coordinate home care agencies and services
• Develop and implement plan of care
• Communicate patient’s medical, or mental conditions, substance abuse and social determinants of health needs
• Document appropriately in the Electronic Medical Record
• Gather critical information from member’s home environment and coordinates use of this information with healthcare team

Education & Experience Requirements

• Ohio licensed Nurse Practitioner with 2+ years’ experience
• Extensive knowledge of local population, geography, and resources.
• Excellent interpersonal and communications skills.
• Ability to take a creative and innovative approach to problem-solving to aid patients in overcoming barriers to care.
• Ability to meet deadlines and manage multiple priorities.
• Effectively adapt and respond to a complex, fast-paced, and results-oriented environment.
• Knowledge and experience using Electronic Medical Records and ability to analyze and leverage their reporting capabilities.
• Excellent computer skills, including knowledge of Microsoft Office.
• Patient-centered focus
• Familiar with care transitions, strategies for reducing readmissions and chronic condition management interventions

 Preferred qualifications:

• Experience working with high risk and medically complex patients with multiple comorbidities preferred.
• Multiple settings experience (urgent care, ER, inpatient, office, or community based) preferred.
• Psychiatric and substance use disorder experience helpful.

Why Work at AbsoluteCare?

At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into members: people who are entitled to some of the best, most focused care this country has to offer. 

We call this “care beyond medicine.” We have turned the doctor’s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members’ needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.

We don’t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it works. 

Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT².

AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.

EEO Employer Verbiage: AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.