SUMMARY
Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.
Primary duties include:
- Completion of Chronic Disease Management Visits (CDMVs), whether standalone or integrated within another VBC clinical pathway
- ESKD rounding, including limited and comprehensive visits, under the guidance of practice nephrologists
- ESKD holistic patient care management including but not limited to patient activation, depression, high risk of hospitalization, transition of care and co-morbid medical issue oversight
- ESKD patient education
- ESKD comprehensive disease management annual visits
- Care collaboration with nephrologists, dialysis center IDT, Kidneylink IDT, hospital discharge care coordination team, PCPs and sub-specialists as clinically indicated
- CKD clinical care and kidney disease education
- Other duties and tasks as assigned
Functions performed during above duties:
- Perform physical examinations of patients to evaluate health and diagnose illnesses
- Order and assess diagnostic tests, such as x-rays and laboratory tests
- Determine, plan, and initiate appropriate treatment, and adjust treatment if necessary
- Prescribe medications
- Document medical information of patients and maintain electronic medical records
- Educate, instruct, and counsel patients and families on presenting health problems, treatment plans, and home care, and encourage and promote preventative health care and positive health behaviors
- Request consultation or referral with other health care providers, such as physicians and clinics, collaborate with Kidneylink RN Care Manager
- Actively promotes GUEST customer service standards; develops effective relationships at all levels of the organization.
- Participates in team concepts and promote a team effort; performs duties in accordance with company policies and procedures.
- Regular and reliable attendance is required for the job.
Qualifications/Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Requirements include:
- Current license to practice as an Advanced Practitioner in the state performing duties
- Ideal candidate will have a firm understanding of the protocols, policies and operations of a physician practice.
- Must have necessary specialty certification 2 years clinical work experience Nephrology experience a strong plus.
- Excellent written and verbal communication skills
