Nurse Practitioner 9/2/2020
Hackensack Meridian Health
JOB DESCRIPTIONAPPLY OVERVIEW
An Advanced Practiced Nurse (preferably hold national certification in area of applicable expertise) with strong clinical and critical thinking skills, as well as excellent communication skills. The Transitional Care Coordinator will be knowledgeable in chronic disease management. He or she must be a true team player capable of and willing to support each team member in overall goal achievement of customer satisfaction and positive resident / patient outcomes. Goals: The Nurse Practitioner will be a driving force to ensure patient transitions are as smooth and as safe a process as possible, thus driving positive clinical outcomes, patient, family and physician satisfaction and preventing avoidable readmissions to hospitals. Patients identified, as high risk for hospital readmission will be a priority focus. The Transitional Care Coordinator will build key hospital and community relationships and will provide clinical guidance to support unit based care mangers and staff nurses.
Enter Essential Functions
Admissions: Evaluation of each new admission for diagnosis, medications, and medical plan of care to ensure completeness, appropriateness and to clarify any issues.
BCLS Certification: Successful completion of Basic Cardiac Life Support and maintains current certification through the American Heart Association. Maintains current certification.
Business Relationships: Develop ongoing positive, collaborative relationships with key customers: physicians, hospital leaders, care managers, social workers, home care etc.
Care Plan: High risk patient s clinical progress will be tracked daily to ensure care planning and physician s orders are implemented.
Clinical & Regulatory Practice Requirements: Clinical practice accurately reflects NJ Board of Nursing regulations, ANA Code of Ethics, the current NJ Department of Health requirements, and institutional policies and procedures. Practices within all NJ Board of Nursing regulations and procedures Establish effect communication directly with Physician on site and at least biannually with the Medical Director.
Clinical Competence: Performs comprehensive initial assessment, history, physical exam and ongoing assessments. Consistently able to demonstrate clinical competence in the assessment of work related injury patients, health screening for employees with a variety of occupational demands, immunization services, including hepatitis B, Tuberculosis screening, etc. Maintains licensure with the New Jersey Board on Nursing as an Advanced Practice. Prepares all documentation requirements to remain in good standing for licensure and regulations for medical staff membership.
Continuing Education: Independently participates in continuing education and maintains documentation. Develops a personal plan of development in area of clinical expertise, conferring with Medical Director on goals and objectivesActively seeks out opportunities for self-development on an annual basis. Seeks approval in a timely manner to attend programs to achieve educational goals.
Diagnostic Testing/ Screening/Immunization: Initiates laboratory tests, immunizations, and diagnostic test/procedures as appropriate according to regulation and scope of practice. Evaluation and interpretation of lab results and diagnostic studies. Demonstrates competent clinical skills with treatment plans using most effective screening test or procedure.
Discharge Planning: Ensures appropriate collaborative discharge planning, education and coordination of service needs are met on each high risk patient to provide a safe transition to home and prevent a hospital readmission. Monitors and follows up on all post discharge phone call clinical issues.
Documentation: Provides accurate, confidential, systematic and organized documentation of findings, recommendations/plan and education. Medical records are completed in a timely fashion with key elements of documentation consistent with sound Oncology Medicine principles. Documents all medical evaluations, diagnosis, procedures, treatment outcomes, education, referrals and consults consistent with the Joint Commission on Accreditation of Health Organization and state regulatory standards. Contributes to nursing communication handoffs and documentation standards: 24 hour report, initial admission, weekly and monthly summaries, progress notes, care plan updates etc. Provides job related reports and audits as requested by Director of Nursing.
Home Care Meetings: Attends Home Care Collaborative Meetings, providing guidance and support.
Management of Disease Programs: Manages chronic disease programs and related projects as requested by Director of Nursing (eg. CHF program & COPD Program).
Patient Education: Provides appropriate education to clients, families, support systems and the general public. Provides medication safely and effectively to promote effective recovery from oncology care. Includes clinical trial information when appropriate. Facilitates patient teaching and support programs for patients/ and families. Effectively engages patient in wellness, survivorship, palliative or hospice care when appropriate.
Plan of Care Development & Implementation: Develops and implements appropriate plan of care. Demonstrate wellness philosophy in treatment plan for oncology patients, Utilizes diagnostic testing, treatment plans and therapy to promote effective care to return to essential life-style.
Prescribing: Prescribes appropriate medication according to NJ regulation and scope of practice. Prescribes medication within all policy and regulatory guidelines. 45:11-49. Authority of nurse practitioner/clinical nurse specialist to perform tasks, order medications or devices, or make prescriptions; standards of joint protocols Prescribes medications and/or recommends over-the-counter medications as appropriate. Provides medication safely and effectively to promote effective recovery.
Process Reviews: Attends Readmission Process Review Meetings, providing critical analysis to help team members identify issues and improve processes.
Provides Direct Patient Care to selected patient population: Conducts comprehensive and episodic health assessments by obtaining health history, selected patient population perform physical exam and ongoing data collection assessments and evaluations.
Quality Assurance: Participates in QA and Oncology Health. Assist in data collection and analysis to promote effective practice for comprehensive oncology care.
Quality Care: Ensures quality of care and customer satisfaction and will communicate any team member issues that compromise patient care and satisfaction to the Director of the Nursing promptly.
Regulatory: Follows standard of care and clinical guidelines by keeping current with nursing literature and publications, seminar attendance, professional organization membership, networking and with federal and state regulatory guidelines. Has a basic working knowledge of State and Federal regulation requirements as they relate to LTC and subacute resident care. Policy and Procedures will be followed and upheld.
Rounds: Rounds with attending physicians whenever feasible on all high-risk patients. Attends high risk patient and family care conferences as needed.
Meridian Health is committed to the principles of equal employment opportunity and affirmative action and will not discriminate in the recruitment or employment practices on the basis of race, color, creed, national origin, ancestry, marital status, gender, age, religion, sexual orientation, gender identity/expression, disability, veteran status and any other category protected by federal or state law.