The Department of Medicine, Division of Geriatric Medicine is seeking a Nurse Practitioner to provide primary medical care for Hopkins ElderPlus participants. All participants are certified as requiring a nursing home level of care and are typically elderly, frail and low-income. Hopkins ElderPlus receives capitation payments from Medicare and/or Medicaid, and assumes full financial risk for care provided to its participants.
The Nurse Practitioner will collaborate with and support the Hopkins ElderPlus Interdisciplinary Team, which operates according to the guidelines established for the Program of All-Inclusive Care for the Elderly (PACE). The goal of PACE and Hopkins ElderPlus, is to assist participants to remain in their own homes and communities as long as possible.
Principal Duties and Responsibilities
Provide acute and chronic medical care to frail, older adults in the: Hopkins ElderPlus Keyser Clinic; participant's home; assisted living facility; hospital and nursing home.
Work collaboratively with the medical director and Interdisciplinary team (IDT).
Essential Job Functions:
Perform routine scheduled, urgent, and emergent medical evaluations.
Participate in interdisciplinary team meetings and represents the medical perspective.
Order laboratory and diagnostic studies.
Prescribe medications and treatments.
Coordinate and/or provides care across or in multiple settings including nursing home and hospitals.
Coordinate medical consultations.
Arrange for medical follow-up during transitions of care.
Continuously communicates with IDT members, family and other caregivers in all settings.
Participate in the full range of quality improvement activities including taking a leadership role as directed.
Serve as a clinical preceptor for students enrolled in approved universities.
Provide direct instructions to students, residents, fellows regarding PACE and the interdisciplinary team.
Assist in recruitment and completion of study forms for public and private sector research protocols as requested.
Complete written ·documentation required by all regulatory agencies.
Coordinate and monitor performance of assigned students and volunteers.
Maintain records and collect statistical data to assist with planning, evaluation and fiscal management of program.
May participate on Hopkins ElderPlus committees such as Medical Records, Utilization Review, Quality Improvement, etc. May participate in JHBMC, JHU and JHHS committees as directed or permitted.
Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Three to five years professional experience as a CRNP working with a frail, elderly population preferred. Current CPR certification required. Must maintain current licensure and certification during duration of employment. Completion of the Johns Hopkins Hospital, Bayview Medical Center credentialing process is required prior to start date.
Additional experience may substitute for Master's degree.
JHU Equivalency: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis.
Additional Knowledge, Skills, and Abilities:
Approval of the Maryland Board of Nursing for the written, signed delegation agreement.
Analytical skills necessary to resolve problems requiring a professional level of knowledge in a specific discipline/field and/or improve, enhance or upgrade complex clinical, financial, data processing, marketing or human resources systems and programs.
Creating, proofreading and /or reviewing documents.
Work requires the communication skills necessary to effectively collaborate, communicate with and support the IDT and all levels of staff in the delivery of quality medical care. Work requires effectively dealing with conflicting views or issues and implementing care plans and tasks developed by consensus of the IDT.
Must complete the required continuous education requirements to maintain license. Must maintain prescriptive authority and collaborative agreement as required under state law.
Must complete all training required to meet state and federal regulations as applied to PACE and components of PCE, such as adult day living centers, home care and care management.
Must maintain a current driver’s license.
Must have reliable access to an automobile for routine and urgent travel.
Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
Work requires direct, hands-on care of frail elderly participants and the diagnosis and treatment of illness and injury, with potential for exposure to communicable disease.
Work is generally performed in a clinical environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions.
Work may be performed n participant’s homes, where conditions may be unpleasant and insecure.
Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: Competitive; Commensurate with experience Employee Group: Part-time Schedule: 20 Hours a week Exempt Status: Exempt Location: Johns Hopkins Bayview Medical Center Department Name: Medicine, Geriatric Medicine Personnel Area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at email@example.com. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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