MSN in Geriatric Nursing or related specialty field
Current MA RN/NP license with Nurse Practitioner certification
Minimum of 1 year experience with frail or elderly populations
Strong clinical, interpersonal, and organizational skills
Experience working with an Interdisciplinary Team (IDT)
Familiarity with medications and community resources preferred
Ability to travel to various care sites as needed
Responsibilities
Provides primary care to PACE participants in collaboration with the PACE physician
Conducts health assessments and evaluates patient needs across various settings
Develops comprehensive care plans for each participant
Participates in an on-call system for 24-hour access to care
Engages in staff meetings and quality improvement activities
Makes cost-efficient referral decisions to contracted specialists
Maintains accurate documentation in the Electronic Medical Record (EMR)
Benefits
Supportive interdisciplinary team environment
Opportunity for regular home visits to enhance patient care
Engagement in comprehensive care model for elderly populations
Access to ongoing training and professional development
Involvement in quality improvement initiatives
Full Job Description
The minimum starting salary for this position is $124,800 annualized.
Role:
The Geriatric Nurse Practitioner provides primary care services to Elder Service Plan-PACE (Program for All-Inclusive Care for the Elderly) participants in collaboration with the PACE physician. The Nurse Practitioner manages acute and chronic illnesses; provides routine preventative and health management services; and makes appropriate referrals for medical and non-medical conditions; and collaborates with the PACE interdisciplinary team. Position is based at the Elder Service Plan (ESP), 1135 Morton Street in Mattapan, MA.
Key elements of PACE model of care include:
Our Interdisciplinary Team manages the care of our frail elders and supports each other and the Elder Service Plan participants in achieving care goals in small patient panels (75 patients).
Participants attend our center for Adult Day Health activities as well as receive on-site clinical care including primary care, behavioral health and rehabilitation.
Our Nurse Practitioners follow our elders throughout all locations of care including sub-acute, long-term and home care settings; regular home visits are encouraged, and time is allotted for this effort.
Responsibilities:
Provides primary care to PACE participants in collaboration with the PACE physician at the ESP site in Mattapan location, affiliated sites and in the participant's home as needed.
Conducts health assessments and evaluates patient needs at the PACE center, assisted living facility, skilled nursing facility or participant's home.
Participates in the development of a comprehensive plan of care for each participant.
Participates in an on-call system with other providers to ensure 24-hour access to care for our participants.
Participates in provider staff meetings, departmental meetings, general staff meetings, trainings, interdisciplinary team meetings and quality improvement activities.
Makes appropriate, cost efficient referral decisions and refers primarily to contracted specialists; provides guidance and monitoring of systems necessary for the function of a capitated care program.
Updates Electronic Medical Record (EMR) appropriately using proper coding and documents care accordingly; accurately and timely documents care in the medical record with progress notes, lab follow-ups, communications with participants; maintains a current problem list, medication flow sheet, immunization record and other appropriate information.
Requirements:
MSN in Geriatric Nursing or related specialty field
Current MA RN/NP license with current certification as a Nurse Practitioner; MCSR, DEA and current BLS (Basic Life Support for Health Care Provider) Certification
2 or more years of experience working with a frail or elderly population preferred, minimum of 1 year required
Strong clinical, interpersonal and organizational skills
Experience in working with an Interdisciplinary Team (IDT)
Strong clinical, leadership, interpersonal and organizational skills
Experience in the development and implementation of geriatric programs
Familiarity with medications preferred, knowledge of community resources preferred
Must be able to travel in a timely manner to ESP sites, patient's homes and affiliated sites as needed.
The salary range and/or hourly rate listed is a good faith determination of base compensation that may be offered to a successful applicant for this position at the time of this job advertisement.
When determining actual base salary and/or rate, several factors may be considered as applicable (e.g. location, years of relevant experience, education, training, and other factors as permissible by law). As such, most offers will not be at the top of the salary range.
