Geriatric & Palliative Care - Advanced Practice Provider – Facility Based

Summary

The Advanced Practice Provider (APP) works independently and in collaboration with the supervising physician to deliver excellent primary and chronic care management to a geriatric and palliative care population within long term care facility settings. The APP provides services within the APP scope of practice including the management of symptoms or disease processes related to acute and chronic conditions assisting with communication and coordination of care timely disease-specific education as well as developing treatment plans that align with the patients goals throughout the disease process. The APP would provide recommendations for and/or orders including pharmaceutical interventions/medications laboratory and diagnostic services as needed and will work closely with the facility staff as well as patient and caregivers to maintain close engagement for optimal management. Assessment of needs may include utilization of additional IDT resources including social work or chaplaincy as needed. Due to the variety of variables that may impact navigation of care for this population the APP must be flexible demonstrate initiative organization and excellent professional communication with ability to build rapport rapidly with patients their caregivers and facility staff for high satisfaction.

As a newer service line of care the APP will exhibit positivity autonomy problem solving capabilities and ambition to build and grow the geriatric palliative care facility-based service line through excellent evidence-based care that is holistic in nature and provides optimal outcomes.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Under the direction of the designated supervising physician diagnoses medical conditions plans and implements interventions and evaluates patient response.
2. Assembles and documents complete patient medical database including health history and physical examination.
3. Documents assessments orders interventions results and planning in the medical record.
4. Communicates findings with supervising physician external medical team involvement and IDT (interdisciplinary team) members as appropriate.
5. Provides information education and support to patients and families as well as facility staff
6. Facilitates communication between patients family members and the IDT.
7. Fosters teamwork and serves as a resource within the IDT.
8. Promotes and practices economical and effective primary geriatric - palliative care.
9. Assesses eligibility for hospice services
10. Exhibits behaviors that reflect commitment to the philosophy and vision of Alive
11. Participates in team meetings as required
12. Potential to serve as a mentor and preceptor to nursing students medical students medical residents and fellows
13. Assists in orienting new providers to the Alive team as needed
14. Maintains all State and National certification (discipline specific) including active and unrestricted DEA and demonstrates continued competency in the management of patient care
15. Participates in required continuing education to maintain credentialing and compliance for state licensure and national certification;. Remains current on research findings and integrates into practice.
16. Other duties may also be assigned.

EDUCATION and/or EXPERIENCE

Graduation from an accredited APP degree program (ex: NP CNS PA); Masters level degree preferred. Experience in geriatrics hospice or palliative care preferred. Experience in community based chronic disease management preferred.

CERTIFICATES LICENSES REGISTRATIONS

Current/Active and unrestricted Tennessee licensure and maintenance of national certification in associated discipline (ex: NP/CNS/PA) along with ability to maintain unrestricted DEA for prescribing practices. If required to drive to carry out the duties of this position: current drivers license and automobile insurance as required by Tennessee State Law.