The Care Coordination Service is seeking a Nurse Practitioner to function as a Clinical Coordinator in the Post-Discharge Follow Up service, functioning under the 1115 Medicaid Waiver. Responsibilities include:
- Assisting with facilitating bedside touchpoints for patients slated for discharge
- Directing the Post-Discharge Coordinator and Scheduling Coordinator to efficiently maintain workflow and contact with patients prior, during, and after clinic visit (if required)
- Conducting a mixture of virtual and in-person visits to capture patients that are post-discharge from WHMC-both inpatient and from the Emergency Room
- Performing relevant physical exams and evaluating patients, documenting pertinent positive and negative findings.
- Diagnosing and treating disease and providing education regarding discharge instructions, medical management, and follow-up appointments
- Evaluating patients to determine the necessity of sooner follow-up, if needed
- Prescribing medication in accordance with New York State and federal law.
- Ordering appropriate laboratory, radiological and special examinations or tests; interpreting results.
- Providing preventative health services, including health education and counseling with the goal of preventing 30-day readmission
- Collaborating with other clinicians and staff members to ensure continuity of care of patients; developing metrics and tracking outcomes pertinent to patient experience
- Assisting with facilitating the Primary Care Nurse Practitioner Fellowship Program (teaching, curriculum development, and accreditation).
: - Master of Science degree in Nursing-Adult-Gerontology Primary Care Nurse Practitioner (preferred) or Family Nurse Practitioner, Doctor of Nursing Practice preferred
- Completion of Primary Care Nurse Practitioner Fellowship Program
- Graduate of a Nurse Practitioner education program registered by the New York State Education Department
- Certification as an Adult-Gerontology Primary Nurse Practitioner or Family Nurse Practitioner from a New York State approved accrediting body - American Nurses Credentialing Center (ANCC), American Association of Nurse Practitioners (AANP).
- Must possess current, unrestricted New York State Registered Nurse license and Nurse Practitioner license
- Must possess active Drug Enforcement Agency (DEA) registration or be eligible for registration
- Must possess active Medicare/Medicaid Enrollment or be eligible to enroll
- BLS or ACLS certification required
- Bilingual Spanish (preferred)
