The Certified Nurse Practitioner in the Nursing Home is the center of the Institutional Interdisciplinary Care Team. Provide care management, clinical care, and education to the members and their families, as well as education to the staff. Facilitate early diagnosis, intervention, communication, and delivery of the appropriate services in a quality cost-effective manner.
PRIMARY DUTIES AND RESPONSIBILITIES:
- Triages care needs based on the Health Risk Assessment Tool (HRAT) scores. Conducts clinical assessments on an ongoing basis.
- Provides input into the development of the ICP in collaboration with the case manager and other members of the ICT.
- When needed, interfaces with other practitioners to help facilitate access to all services (IP, SNF, specialist care, behavioral health, etc.).
- Visits the patient as scheduled and after hospital discharge to evaluate progress, conduct physical exams, prescribe interventions, and communicate results to staff.
- Evaluates episodic complaints and initiates treatment in place when appropriate.
- Obtains consultation and diagnostic reports and reviews as needed with the Medical Director and ICT.
- Identifies and addresses changes in the members' health status by being available on call when not at the NF during scheduled visits. There is a CNP on call 24 hours a day, 365 days a year to address member needs.
- Supervised clinically by the Medical Director and operationally by the Care Coordination Director.
- Advocates, informs, and educates beneficiaries and family members on self-management of conditions through regular meetings and informal discussions.
- Educates Nursing Home staff through ICT meetings and regular communications when on site.
Valor Health Plan HMO Special Needs Plan with Prescription Drug for Institutional Residents (2024)Valor Health Plan (HMO-SNP) is a Medicare Advantage health plan designed specifically for Medicare beneficiaries who reside in a long-term care facility. Valor Health Plan is headquartered in Northeast Ohio and available in select Ohio CMS-approved counties.
The Schroer Group is the parent organization of five family-owned, outcome-based companies, including Altercare Integrated Health Services, Absolute Health Services, Avalon Foodservice, Leverage Purchasing Group, and Valor Health Plan.
The group is committed to delivering quality care to patients and residents through skilled nursing, assisted living, outpatient rehabilitation, pharmacy, food distribution, group purchasing, and Institutional Special Needs Insurance.
