Advance Practice Nurse- PACE

TriHealth is actively recruiting for an Advance Practice Nurse (NP) to work with the PACE of Cincinnati PACE Center located in Norwood Ohio. Program of All-Inclusive Care for the Elderly (PACE) is a Medicare and Medicaid program that helps people meet their health care needs in the community instead of going to a nursing home or other care facility. NP must have geriatrics, adult, or family medicine specialty certification. 

Job Overview:

The PACE Nurse Practitioner (NP) provides direct primary medical care to PACE program participants. The PACE Nurse Practitioner (NP) is a PACE Interdisciplinary Team (IDT) member and is responsible for completing comprehensive initial primary care assessments for new PACE participants and primary care reassessments on existing PACE participants as part of the PACE IDT care planning process. Under the supervision of the PACE Medical Director and/or the PACE Primary Care Physician, the PACE Nurse Practitioner (NP) manages participants' chronic illnesses and medical conditions, initiates primary care interventions per industry best practices, and evaluates and treats PACE participants during acute illness episodes. The PACE Nurse Practitioner (NP) provides primary care education to participants, caregivers, and PACE staff.

Job Requirements:

Bachelor's Degree - Nursing (Required) 
Master's Degree in Advanced Clinical Practice or graduate of a post master's certificate program for Nurse Practitioner. (Required)
3 - 4 years of nursing experience with Nurse Practitioner experience (Preferred) 
1 - 2 years of direct primary care experience with a frail, elderly, or long-term care population. Experience caring for frail older adults' physical, mental, emotional, and social needs. Demonstrates the ability to work in an interdisciplinary team setting effectively. (Required)
Registered Nurse Licensed as Registered Nurse (R.N.) in Ohio. Certified as a nurse practitioner by a national certifying organization recognized by the State Board of Nursing. Upon Hire Required 
Other Certified as a Geriatric Nurse Practitioner (G.N.P.) with prescriptive authority Preferred 
Basic Life Support (BLS) BLS Upon Hire Required

Job Responsibilities:

Participates as a PACE Interdisciplinary Team (IDT) member and is responsible for completing a comprehensive initial primary care assessment for new PACE participants and primary care reassessments on existing PACE participants as part of the PACE IDT care planning process. In collaboration with the IDT, develops care plans for primary care and delivers primary care to participants, identifying and considering the medical, physical, social, and emotional needs of PACE participants. 
Under the supervision of the PACE Medical Director and/or the PACE Primary Care Physician, manages participants’ chronic illnesses and medical conditions, initiates primary care interventions per industry best practices, and evaluates and treats PACE participants during acute illness episodes. Responsible for participant medication management, under the supervision of the PACE Medical Director and/or the PACE Primary Care Physician. 
In collaboration with the IDT and under the supervision of the PACE Medical Director and/or the PACE Primary Care Physician, coordinates the medical care of PACE participants across the care continuum to include the community, hospitals, and long-term care settings; refers participants to contracted medical providers as indicated; communicates with and follows up with contracted medical providers regarding participant medical care and the outcome of outside medical provider encounters. 
Provides participant discharge support and guidance during care transitions from the hospital back to the community. Monitors PACE participants for changes in their health and psychosocial status requiring a primary care reassessment. Promptly communicates pertinent changes in participant status to the IDT. 
Completes and maintains primary care provider documentation in the PACE EHR in accordance with the federal PACE regulation and organizational policy. 
Provides primary care education to participants, caregivers, and PACE staff. Attends IDT and morning meetings and reports on participant’s medical status. 
Participates in the primary care provider on-call rotation as required. Participates as a member of the Fraud, Waste, and Abuse Committee. Supports the PACE QI program and participants in PACE QI activities as assigned.

Working Conditions:

Bending - Occasionally 
Climbing - Rarely 
Concentrating - Consistently 
Continuous Learning - Consistently 
Hearing: Conversation - Consistently 
Hearing: Other Sounds - Consistently 
Interpersonal Communication - Frequently 
Kneeling - Occasionally 
Lifting Lifting 50+ Lbs. - Consistently 
Lifting Pulling - Consistently 
Pushing - Consistently 
Reaching - Consistently 
Reading - Consistently 
Sitting - Consistently 
Standing - Consistently 
Stooping - Frequently 
Talking - Consistently 
Thinking/Reasoning - Consistently 
Use of Hands - Consistently 
Color Vision - Consistently 
Visual Acuity: Far - Consistently 
Visual Acuity: Near - Consistently 
Walking - Consistently

TriHealth SERVE Standards and ALWAYS Behaviors

At TriHealth, we believe there is no responsibility more important than to SERVE our patients, our communities, and our fellow team members. To achieve our vision and mission, ALL TriHealth team members are expected to demonstrate and live the following:

Serve: ALWAYS... 
• Welcome everyone by making eye contact, greeting with a smile, and saying "hello" 
• Acknowledge when patients/guests are lost and escort them to their destination or find someone who can assist 
• Refrain from using cell phones for personal reasons in public spaces or patient care areas

Excel: ALWAYS... 
• Recognize and take personal responsibility to address and recover from service breakdowns when a customer's expectations have not been met 
• Offer patients and guests priority when waiting (lines, elevators) 
• Work on improving quality, safety, and service

Respect: ALWAYS... 
• Respect cultural and spiritual differences and honor individual preferences. 
• Respect everyone's opinion and contribution, regardless of title/role. 
• Speak positively about my team members and other departments in front of patients and guests.

Value: ALWAYS... 
• Value the time of others by striving to be on time, prepared and actively participating. 
• Pick up trash, ensuring the physical environment is clean and safe. 
• Be a good steward of our resources, using supplies and equipment efficiently and effectively, and will look for ways to avoid waste.

Engage: ALWAYS... 
• Acknowledge wins and frequently thank team members and others for contributions. 
• Show courtesy and compassion with customers, team members and the community