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The Advanced Practice Provider (APP), CareLine, PRN is responsible for diagnostic patient care primarily through virtual, remote consultation via video conference or telephone. Providing on-call coverage, the incumbent in this role serves as the dispositional authority for after-hours and weekend clinical calls. He/She is accountable for assessing, diagnosing, treating and precisely documenting geriatric patients’ physical and psychosocial health status through the collection of health data.
To maintain a per diem position on our after hours telehealth urgent care line, the encumbent in this position will work a minimum of 72 hours per every three months on the weekend. Weekend shifts are typically 10-12 hours each.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES
- This is a PRN/Per Diem position, requiring a minimum of 160 hours per year, with scheduling flexibility based on the needs of the department.
- Works on an as-needed basis, including nights, weekends and holidays.
- Expected to pick up shifts to cover PTO, LOA and other unexpected absences, with some shifts being planned in advance and others requiring minimal notice.
- Through virtual video conference or telephone, assesses acute and non-acute clinical problems. Performs and documents physical evaluations and patient histories, analyzes trends in patient conditions and develops, documents and implements a patient management plan based on interpretation of findings. Aids in the development of a plan of care that may include health education, physician referrals, case management referrals and patient/family counseling.
- Evaluates need for immediate nursing intervention, consultation and/or referral and facilitates the necessary patient care.
- Plans patient care based on knowledge of the patient population and/or protocol. Considers the patient’s cultural background, level of understanding, personality and support systems to anticipate and identify physiological and/or psychological problems. Serves as patient advocate.
- Collects comprehensive and focused data relating to the health needs of patients and families. Analyzes data to determine appropriate health maintenance and/or improvement methods.
- Confers with the patient’s PCP and other medical providers to report health data and ensure compliance with guidelines.
- Consults with patients and/or family members on health outcomes and works with them to maintain positive health habits and/or improve opportunities.
- Leads efforts to ensure achievement of optimal patient outcomes through use of Telemedicine. Collaborates with on-call PCP, as needed, to support expected clinical outcomes. Implements the appropriate protocol to attain expected outcomes. Evaluate progress toward expected outcomes.
- Documents assessments, interventions and progress toward outcomes in an easy-to-understand and translate format.
- Works with key contributors to enhance the quality of telehealth practices and systems through the utilization of data demonstrating program effectiveness and success.
- Communicates using a variety of formats, tools and technologies to build professional relationships and deliver care across the continuum.
- Utilizes appropriate resources to plan and provide services that are safe, effective and financially responsible.
- Provides extraordinary customer service and professionalism to all internal and external customers.
- May also participate in clinical rounds and conferences, risk and quality management programs, clinical and other relevant meetings.
- Adheres to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, policies, and procedures. Practices in accordance with a written or electronic practice agreement.
- Participates with the physician in the formulation of telehealth/telemedicine policies, procedures and protocols.
- Performs other duties as assigned and modified at manager’s discretion.
KNOWLEDGE, SKILLS AND ABILITIES
- Expert-level business acuity
- Expert knowledge and understanding of general/core job-related functions, practices, processes, procedures, techniques and methods
- Knowledge and understanding of medical practices to function independently as a certified practitioner and in collaboration and consultation with licensed physicians, specialists and other medical providers
- Demonstrated record of consistently achieving clinical performance metrics
- Technical capability to conduct telemedicine visits in accordance with state and federal regulations
- Ability to demonstrate excellent clinical judgement
- Ability to problem solve
- Ability to prioritize and work under pressure
- Ability to provide constructive feedback
- Ability to communicate and collaborate with physicians, patients and other team members in a professional manner
- Ability to operate effectively with a multidisciplinary team
- Ability and willingness to travel locally, within south Florida to attend meetings and trainings up to 10% of the time. Depending on the assigned schedule required availability to work evenings/overnights and/or weekends.
- Minimum requirement to work three holidays in the calendar year.
- Proficient skill in Microsoft Office Suite products including Excel, Word, PowerPoint and Outlook; competent in keyboarding and other systems required for the position
- Spoken and written fluency in English; bilingual (Spanish/Creole) a plus
- This job requires use and exercise of independent judgment
- Acquires knowledge and skills to maintain expertise in area of practice.
EDUCATION AND EXPERIENCE CRITERIA
- Bachelor's degree in Nursing (BSN) and graduate of a school of nursing for Advanced Practice Nursing with certification in area of specialty required; Master's degree in Nursing required.
- Valid, active Registered Nurse license required
- For NPs: Board certification by AANP or ANCC required
- Basic Life Support (BLS) certification from the American Heart Association or American Red Cross required w/in first 90 days of employment
- Current DEA number from the DEA for schedule II-V controlled substances may be required based on State of practice
- Multi state licensure to include FL, VA, and at least 2 licenses in the following states: GA, KS, MI, MO, NC, OH, PA, SC, TN, TX, IL, KY, LA.
- A minimum of 3 years' acute/primary care clinical work experience required
- A minimum of 2 years' telehealth work experience preferred
PAY RANGE
$53.4 - $76.33 HourlyThe posted pay range represents the base hourly rate or base annual full-time salary for this position. Final compensation will depend on a variety of factors including but not limited to experience, education, geographic location, and other relevant factors. This position may also be eligible for a bonuses or commissions.
EMPLOYEE BENEFITS
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Current Contingent Worker please see job aid HERE to apply