Nurse Practitioner - Home Based Primary Care (Ambulatory) - Jefferson University Physicians - Center City - Philadelphia, PA

HOME-BASED PRIMARY CARE JOB DESCRIPTION

Jefferson's Center City Home-Base Primary Care (HBPC) Program is housed within the Division of Geriatric Medicine and Department of Family and Community Medicine (DFCM). HBPC provides comprehensive, patient-centric, primary care for homebound patients. The program provides high-quality geriatric care using the Age-Friendly 4Ms framework (Medications, Mobility, Mentation and What Matters). We are seeking a CRNP to serve as a provider for this program.

Responsibilities

The CRNP will work in collaboration with, and is an integral member of, a multidisciplinary health care team.

Full time 1.0 FTE = 40hrs/weekly

Assessment & Management

• Performs comprehensive primary care and documents in the medical record.

• Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated.

• Assesses for risks associated with the care of the acute and complex chronically ill patient unique to the geriatric patient including medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures.

• Understands the Age-Friendly framework of the 4Ms and incorporates them into clinical care and documentation

Diagnosis

• Collaborates with interdisciplinary health care team in diagnosing and managing geriatric syndromes and issues that arise in the home setting.

• Manages diagnostic tests through ordering, interpretation, performance, and supervision.

• Formulates differential diagnoses by priority.

• Diagnoses complications and orders appropriate interventions

Formulates Plan of Care

• Identifies expected outcomes from diagnosis, and formulates and documents a plan of care to address complex acute and chronic health care needs.

• Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum.

• Implements and modifies plan of care.

• Recommends diagnostic strategies and therapeutic interventions.

• May perform advanced procedures consistent with privileges and competency validation.

Communication and Collaboration

• Maintains ongoing communication and collaboration with interdisciplinary health care team.

• Maintains ongoing communication and collaboration with specialist for HBPC patients

• Participates in weekly interdisciplinary team rounding

• Facilitates and communicates with patient, family and staff to promote high-quality, Age-Friendly care of HBPC patients

Documentation

• Documentation is timely, meets acute care compliance standards and captures patient acuity and is grounded in the Age-Friendly 4 Ms.

Professional Practice

• Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students.

• Seeks opportunities for active engagement in research and the analysis of evidenced based practice.

• Actively participates in Advance Practice Grand Rounds and specialty specific meetings.

• Maintains CEUs, and membership in a professional organization.

Qualifications

Master's Degree

National Board Certification as an Adult Nurse Practitioner

BLS certification

At least 2 years of experience as CRNP preferred

Experience or strong interest in geriatric population preferred, geriatrics certification preferred

Conditions of Employment

Covid Vaccination is a requirement for employment at Jefferson for employees working at Jefferson's clinical entities or at the University. If you are not currently vaccinated you will be required to receive the vaccination prior to hire date if you are offered employment, unless you request and receive an approved medical or religious exemption from Jefferson.