Key Responsibilities 

• Clinical Excellence & Rounding 

• Comprehensive Assessments: Conduct regular clinical rounding, performing detailed physical exams and assessments to formulate accurate diagnoses and treatment plans. 

• Complex Geriatric Care: Manage intricate geriatric syndromes, including cognitive impairment, mobility issues, and frailty. 

• Acute & Chronic Management: Oversee the medical needs of patients with multiple chronic comorbidities and those requiring acute post-hospitalization rehabilitation. 

• Medication Management: Review and optimize medication regimens with a specific focus on reducing polypharmacy and ensuring pharmacological safety in the elderly. 

• Collaboration & Communication 

• Physician Partnership: Collaborate closely with the attending physician to co-manage complex cases in both SNF and long-term care settings. 

• Interdisciplinary Leadership: Actively participate in Interdisciplinary Team (IDT) meetings alongside nursing staff, therapists, social workers, and families to create and implement cohesive care plans. 

• Goals of Care: Lead sensitive and critical conversations with residents and their families regarding advance care planning, palliative goals, and quality-of-life transitions. 

• Administrative & On-Call Requirements 

• Complete accurate patient documentation in a timely manner 

• Clinical Integration: Participate in weekly clinical conference calls to discuss patient outcomes and practice standards. 

• Professional Development: Attend in-person practice meetings approximately four (4) times per year. 

• On-Call Coverage: Shared on-call responsibilities totaling approximately 12 shifts per year. 

Qualifications 

• Licensure: Active, unrestricted APRN license in the state of Texas. 

• Certification: Board certification. Geriatric certification is a plus. 

• Experience: Prior experience in geriatrics, internal medicine, or post-acute care is highly preferred. 

• Skills: Strong clinical intuition, autonomy in decision-making, and exceptional "bedside manner" when handling end-of-life or goals-of-care discussions.