Under the supervision of the Chief Medical Officer the Nurse Practitioner provides primary health care to PACE-RI participants including: assessments and the development of care plans in collaboration with the interdisciplinary team, provision of direct patient care and the evaluation of the effectiveness of care plans. The Nurse Practitioner functions in a collegial relationship with physicians and other health professionals making independent decisions about nursing needs and interdependent decisions with physicians regarding health regimes. Assumes dependent responsibilities in carrying out delegated medical acts.
- Provides initial and ongoing participant assessment, care plan development, and implementation of care plan in the clinic, nursing home, or home.
- Obtains a complete health history and records findings.
- Performs physical examinations, functional status evaluations and/or mental status evaluations, orders and evaluates appropriate laboratory and diagnostic tests, and records findings.
- Identifies and describes behavioral patterns of the chronically ill associated with development processes, lifestyle, and family relationships.
- Identifies status changes in participants to facilitate appropriate management of problems.
- Participates in periodic assessment and coordinating 24-hour care delivery.
- Discriminates between normal and abnormal findings associated with aging, pathological processes, lifestyles, and/or family relationships as influenced by chronic illness.
- Exercises clinical judgement in differentiating between situations confounded by chronic illness, which the Nurse Practitioner can manage, and those, which require consultations and/or referrals.
- Interprets screenings and selected diagnostic tests.
- Provides preventive health care, episodic care and health promotion for PACE-RI participants and arranges referrals as needed.
- Manages common self-limiting and/or episodic health problems.
- In consultation with physicians, treats acute and chronic health problems.
- Regulates and adjusts medications as indicated.
- Recommends symptomatic treatments and non-prescription medicines.
- Assists clients and families to assure greater responsibility for their own health maintenance and illness care by providing instruction, counseling, and guidance.
- Monitors participants in the hospital, nursing home and group home to provide continuity of care and assists in discharge planning.
- Evaluates the effectiveness of the participant’s plan of care and revises as appropriate.
- Ability to utilize basic computer skills in the marketplace.
- Functions as a member of the Interdisciplinary Team and participates in development of comprehensive plan of care and ongoing monitoring of participant’s health status.
- Maintains current, accurate documentation of health care services, and prepares reports as required.
- Participates in participant-related conferences as designated.
- Protects privacy and maintains confidentiality of sensitive employee, participant and agency information.
- Serves on various committees of the organization as requested.
- Performs related duties as assigned.
- Must have 1 year recent clinical nursing experience working with the frail and elderly
- Master’s degree in nursing with completion of an accredited program for nurse practitioners (family, adult or geriatric)
- Current NP certification through the American Nurse Credentialing Center
- Current NP license issued by the state of Rhode Island Board of Nursing
- Current prescriptive authority through the State of Rhode Island Board of Pharmacy
- Current DEA registration required.
- Must have current RI driver’s license, reliable transportation to travel throughout RI