Advanced Practice Clinician, Per Diem

About VNS Health

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country. community-based health care organizations in the country. Today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

About the Role

The Advanced Practice Clinician provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. This role manages the service delivery of inter-professional and para-professional team members working on an individual case or population of cases. The Advanced Practice Clinician acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes.

This position involves providing advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. The role works under the supervision of the Clinical Director for the Nurse Practitioner Program.

Day in the Life

As an Advanced Practice Clinician, you will manage and provide the full scope of advanced nursing practice for targeted patient populations. advanced nursing practice for targeted patient populations which may include short-term treatment of members at the point of care. You will evaluate patient responses to therapy/interventions and interventions and ensure revision of the inter-professional plan of care as necessary to achieve quality outcomes.

You will serve as the clinical authority on individualized care teams and lead rounds and facilitate interdisciplinary care team meetings. Your responsibilities include managing comprehensive advanced nursing care which encompasses post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits. change in condition assessment visits including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing.

You will collaborate with patients, families, primary care physicians and other team members to provide assessment and care planning. You will assess, plan, and provide intensive and continuous care management across client settings. You will manage and provide clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements.

You will manage inter-professional team efforts regarding the medical, nursing, therapy and ancillary care provided to patients to ensure quality outcomes are achieved. You will participate in on call coverage schedule to ensure 24/7 access to practice clinicians. You will assess, educate and improve client and caregiver knowledge of chronic disease, self-care management, and identification of changes in health status including appropriate responses and actions through individualized education and inter-professional interventions.

You will observe and analyze team performance patterns related to population under care and assist in developing interventions to improve team performance. You will provide remedial support and guidance to interdisciplinary team members to address implementation/evaluation of plans that maintain/increase customer experience with care, cost-efficiency, and quality care compliance with regulatory standards.

You communicate with internal and external care partners regarding the needs of the patient or population to ensure interventions occur in a timely and appropriate You will intervene as needed when the care plan is not executed and remediates the situation to prevent.

You will perform procedures as outlined in collaborative practice agreement and as privileged by the Credentialing Committee. You will manage quality of medical record documentation and submit billing information in accordance with Professional Corporation policy.

You provide care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation.

Upon request, you perform peer reviews of work performance, including quality of care, clinical documentation, coding and billing practices, communication skills, and population You may participate in the VNS Health Medical Care at Home Quality and Professional Advisory Committee and any associated workgroups related to development of evidence based clinical models of care, peer education and training, quality improvement, medical record configuration and reporting, maximizing the use of clinical decision support.

You may act as a preceptor for student Nurse Practitioners, providing excellent role modeling of community-based primary care You assume responsibility for continued professional growth, and maintain professional certification and.

For Psychiatric Nurse Practitioners

For Psychiatric Nurse Practitioners only, you will conduct psychosocial assessments of interventions patients and develop treatment You will determine whether further evaluation by a collaborating psychiatrist is needed.

You provide the following services to patients: advocacy, psychoeducation, psychopharmacology, cognitive/behavioral interventions, monitoring of mental status, emotional support, brief psychotherapy and You will support and educate VNS Health staff and caregivers to enable them to better care for patients with psychiatric, cognitive, and/or behavioral.

You will consult with a collaborating psychiatrist as necessary to develop psychiatric You consult with the referrer on assessment, recommendations, and updates on You follow treatment plans, revising and updating them as necessary, make appropriate referrals for additional mental health services and You participate in interdisciplinary team meetings, case conferences and You participate in special projects and perform other duties as.

Qualifications and Culture

We are looking for individuals who maintain a collaborative practice agreement with a physician in compliance with New York State regulations. We value professionals who maintain NPI, Medicaid and Medicare provider numbers. We seek candidates with bilingual skills, as determined by operational. We are dedicated to providing care in diverse environments and value the ability to travel to patients’ homes and facilities with varying conditions.

We support continued professional growth and maintain professional certification and. We encourage participation in quality improvement initiatives and evidence-based clinical models. We value interdisciplinary collaboration and the ability to lead and support team performance. We are committed to diversity and inclusion in our workforce and in the care we provide to our community.