Nurse Practitioner

  • Share :

Job Details
Job Location Smithfield, RI - Smithfield, RI Position Type Full Time Education Level Masters Degree Travel Percentage Daily Job Shift Daytime Job Category Professional / Experienced
Description

Health @ Home, an innovative home-based primary care program, in partnership with the Neighborhood Health Plan of Rhode Island and patients primary care provider team, delivers evidence-based practices that are both high quality and cost-effective to improve the quality of life to Rhode Islands older adult population. Home visits are performed by an interdisciplinary team consisting of Nurse Practitioners, Registered Nurses, and Community Health Workers. Clinical rounds are facilitated by the Medical Director weekly, and collaborates with case management, pharmacy, and behavioral health departments to identify barriers to patients have navigating the health care system, with the goal to reduce hospitalizations, and improve the quality life of NHPRI members.

This roles primary responsibility is to provide a highly coordinated, comprehensive approach to Neighborhoods plan members health care needs by providing patient centric home-based primary care to members that are in need of more tailored care due to chronic medical conditions and social determinants in order to enhance the patient experience, the health of the community, and decrease total medical costs.

The Nurse Practitioner manages the care of members in accordance with the Nurse Practitioner standards of care (assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment plan and evaluation of member status). Clinical management is conducted in collaboration with other health care team members, including patients primary care provider and team. Performs home-based comprehensive physical assessments of complex and chronically ill members while building trusting relationships. The NP teaches members, families and caretakers how to provide safe, effective care and promote members' optimum function. Uses teaching methods appropriate to the situation, learning needs, readiness and ability to learn, language preference and cultural values and beliefs. Care will primarily be provided in the members home, however, they may provide support in other facilities as needed.

Responsibilities include, but are not limited to the following:

  • Perform 4-6 daily home visits that utilizes the Institute for Healthcare Improvements, Age Friendly 4M framework to provide evidence based care that aligns with what matters to older adults to better address the challenges in navigating the healthcare systems and improve their quality of life
  • Evaluates the needs of each member in developing and updating a comprehensive individualized care plan in collaboration with team members, plan member, Primary Care Provider (PCP), specialists and other service providers
  • Optimize chronic medical conditions, assess home environment and social determinants of health, educate patients and caregivers, and develop proactive care plans
  • Makes home visits to monitor and track each members clinical status and delivers care in the home
  • Perform acute care visits for potentially preventable ED transfers and hospitalizations
  • Communicate and collaborate with primary care provider offices to offer home-visits for their most at risk, complex, vulnerable patients
  • Continued assessments of the status of identified problems, response to treatment, compliance with the therapeutic regimes and medications as well as progress towards goals
  • Understand the importance of quality metrics and interpret to improve health outcomes
  • Delegates care by the registered nurse, community health worker, and behavioral health/social worker
  • Orders and interprets diagnostic and therapeutic tests relative to members needs
  • Prescribes and adjusts medications and treatments based on a sound understanding and interpretation of clinical indicators and findings
  • Help members and caregivers understand their health condition(s) and develop strategies to improve their health and well being
  • Observes safety and security procedures; reports potentially unsafe conditions
  • Determines the need for consultation from specialists and make referrals as necessary
  • Collaborates with multidisciplinary team members by making appropriate referrals to Care Management team and to behavioral health care services
  • Manages both medical and behavioral chronic and acute conditions in collaboration with specialty providers and team members
  • Collaborate with PCPs, Emergency Department (ED)s, Hospitalists, Discharge Planners and other allied care providers
  • Coordinates and authorizes all skilled and ancillary services, including Durable Medical Equipment (DME) and supplies
  • Works in collaboration with the PCP, providers and discharge planners to facilitate proper care and timely discharge to an appropriate setting
  • Facilitates and/or participates in member care conferences and educational meetings
  • Establishes and maintains an ongoing working relationship with providers and other appropriate community resources/agencies
  • Facilitates staff, member and family decision making by providing educational tools
  • Serves as the key contact and central coordinator of the health care team
  • Documents member encounters, medical records, updates the EMR within established timeframes
  • Documents plans, communications, rationales for plan changes and collaborative discussions
  • Collaborates with Neighborhood staff in support of organizational objectives
  • Other duties as assigned
  • Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhoods Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies, and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect, and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents.
Qualifications

Qualifications

Required:

  • Advanced Practice Registered Nurse (APRN) Licensure active license in state of Rhode Island
  • Graduate of an accredited Nurse Practitioner (NP) Program
  • Proven skills and knowledge base necessary for independent clinical decision making
  • Demonstrated competency and experience delivering primary care to adults in underserved populations
  • A high comfort level in providing care in the members home
  • Strong organizational and documentation skills
  • Strong problem solving skills and attention to detail
  • Effective oral and written communication skills
  • Intermediate skills in Microsoft Office (Word, Excel, Outlook) including electronic medical records (EMR)
  • Dependability when necessary, commits to hours necessary to meet the needs of members
  • Time flexibility - Must be willing to work nights and/or weekends when member.

Read the full job description and apply online on the recuiter's web-site

Find Jobs Hiring Now Near You!

Get Jobilize Mobile App

Get Jobilize Job Search Mobile App Now

Receive real-time job alerts and never miss the right job again

Get it on Google Play Download on the App Store
Travel Nurse RN - ED - Emergency Department 2,693 per week

Kent

  • US - RI - RI - Warwick

  • January 22, 2025


Planet Healthcare is seeking a travel nurse RN ED - Emergency Department for a travel nursing job in Warwick, Rhode Island. & Requirements • Specialty: ED - Emergency Department • Discipline: RN • Duration: 12 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel Planet...


Travel Nurse RN - Labor and Delivery - Paying up to $3,224/week

Vivian Health


Vivian is looking for Travel Labor and Delivery RNs in Providence, Rhode Island paying up to $3,224/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create a profile - Build...


Travel Nurse RN - Telemetry 2,095 per week

Focus Staff


Focus Staff is seeking a travel nurse RN Telemetry for a travel nursing job in Woonsocket, Rhode Island. & Requirements • Specialty: Telemetry • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel Focus Staff is seeking a...


Travel Physical Therapist - Paying up to $2,718/week

Vivian Health


Vivian is looking for Travel Physical Therapist Therapys in Providence, Rhode Island paying up to $2,718/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create a profile -...


Travel Nurse RN - Med Surg - Paying up to $2,570/week

Vivian Health

  • US - RI - RI - Warwick

  • January 22, 2025


Vivian is looking for Travel Med Surg RNs in Warwick, Rhode Island paying up to $2,570/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create a profile - Build your reputation...


Travel CT Technologist 2,948 per week

Springboard Healthcare


Springboard Healthcare is seeking a travel CT Technologist for a travel job in Providence, Rhode Island. & Requirements • Specialty: CT Technologist • Discipline: Allied Health Professional • Start Date: 02/10/2025 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours • Employment Type: Travel...


Physical Therapist

Encompass Health


PRN positions availableExcellent PRN rates $50/hr, weekend $75/hourCompensation will be determined based on years of experience and applicable certifications.Physical Therapist Career OpportunityRespected and valued for your physical therapy skill set. • Are you looking for a career that's close to...


Travel Nurse RN - PCU - Progressive Care Unit - Paying up to $2,449/week

Vivian Health


Vivian is looking for Travel PCU - Progressive Care Unit RNs in Providence, Rhode Island paying up to $2,449/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create a profile -...


Travel Ultrasound Technologist - Paying up to $2,622/week

Vivian Health


Vivian is looking for Travel Ultrasound Technologist Allied Health Professionals in Providence, Rhode Island paying up to $2,622/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started:...


Travel Nurse RN - Interventional Radiology - Paying up to $3,125/week

Vivian Health


Vivian is looking for Travel Interventional Radiology RNs in Providence, Rhode Island paying up to $3,125/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create a profile -...


PT - Physical Therapist

Encompass Health


PRN positions availableExcellent PRN rates $50/hr, weekend $75/hourCompensation will be determined based on years of experience and applicable certifications.Physical Therapist Career OpportunityRespected and valued for your physical therapy skill set. • Are you looking for a career that's close to...


Travel Echo Technologist - Paying up to $2,686/week

Vivian Health

  • US - RI - RI - Warwick

  • January 24, 2025


Vivian is looking for Travel Echo Technologist Allied Health Professionals in Warwick, Rhode Island paying up to $2,686/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create...


Travel Nurse RN - ED - Emergency Department - Paying up to $2,502/week

Vivian Health


Vivian is looking for Travel ED - Emergency Department RNs in North Providence, Rhode Island paying up to $2,502/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create a...


Travel Nurse RN - Med Surg 2,047 per week

MedPro Healthcare Staffing

  • US - RI - RI - Newport

  • January 24, 2025


MedPro Healthcare Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Newport, Rhode Island. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 02/18/2025 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel MedPro...


Travel Physical Therapy Assistant - Paying up to $1,495/week

Vivian Health

  • US - RI - RI - Warwick

  • January 23, 2025


Vivian is looking for Travel Physical Therapy Assistant Therapys in Warwick, Rhode Island paying up to $1,495/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create a profile...


Travel Certified Occupational Therapy Assistant 1,174 per week

Supplemental Health Care


Supplemental Health Care is seeking a travel Certified Occupational Therapy Assistant for a travel job in North Smithfield, Rhode Island. & Requirements • Specialty: Certified Occupational Therapy Assistant • Discipline: Therapy • Start Date: ASAP • Duration: 13 weeks • 40 hours per week • Shift: 8...


CDL-A Dry Van OTR Company Driver 80K 90K Yearly - 1 Yr. Exp. Req

Poly Trucking


Benefits: • Earn $0.70 CPM!Drivers earn $80,000 - $90,000 yearlyMedical, dental, and 401KPaid vacationPaid orientationNo forced dispatchNo-touch freightNo hazmatCell phone reimbursementDriver referral bonus Requirements: • Class A CDLAt least 1 year of OTR experience About Poly Trucking:...


Travel Respiratory Therapist 1,591 per week

Landmark Medical Center


Planet Healthcare is seeking a travel Respiratory Therapist for a travel job in Woonsocket, Rhode Island. & Requirements • Specialty: Respiratory Therapist • Discipline: Allied Health Professional • Start Date: ASAP • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment...


Travel Physical Therapist 2,272 per week

Focus Staff


Focus Staff is seeking a travel Physical Therapist for a travel job in Providence, Rhode Island. & Requirements • Specialty: Physical Therapist • Discipline: Therapy • Start Date: 02/10/2025 • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Focus Staff is...


CDL-A Dry Van OTR Company Driver 80K 90K Yearly - 1 Yr. Exp. Req

Poly Trucking


Benefits: • Earn $0.70 CPM!Drivers earn $80,000 - $90,000 yearlyMedical, dental, and 401KPaid vacationPaid orientationNo forced dispatchNo-touch freightNo hazmatCell phone reimbursementDriver referral bonus Requirements: • Class A CDLAt least 1 year of OTR experience About Poly Trucking:...


Travel Nurse RN - Med Surg - Paying up to $2,305/week

Vivian Health

  • US - RI - RI - Newport

  • January 25, 2025


Vivian is looking for Travel Med Surg RNs in Newport, Rhode Island paying up to $2,305/week • At Vivian, we ensure your next step is a step forward. That's why we built a jobs marketplace that serves healthcare professionals first. It's easy to get started: • Create a profile - Build your reputation...


Travel Nurse RN - OR - Operating Room 2,216 per week

Focus Staff


Focus Staff is seeking a travel nurse RN OR - Operating Room for a travel nursing job in Woonsocket, Rhode Island. & Requirements • Specialty: OR - Operating Room • Discipline: RN • Start Date: ASAP • Duration: 13 weeks • 40 hours per week • Shift: 8 hours, days • Employment Type: Travel Focus Staff...


CDL-A Dry Van OTR Company Driver 80K 90K Yearly - 1 Yr. Exp. Req

Poly Trucking

  • US - RI - RI - Shannock

  • January 22, 2025


Benefits: • Earn $0.70 CPM!Drivers earn $80,000 - $90,000 yearlyMedical, dental, and 401KPaid vacationPaid orientationNo forced dispatchNo-touch freightNo hazmatCell phone reimbursementDriver referral bonus Requirements: • Class A CDLAt least 1 year of OTR experience About Poly Trucking:...


Travel Nurse RN - Med Surg 1,753 per week

TotalMed Staffing

  • US - RI - RI - Newport

  • January 24, 2025


TotalMed Staffing is seeking a travel nurse RN Med Surg for a travel nursing job in Newport, Rhode Island. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 02/18/2025 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel We are seeking a...


CDL-A Dry Van OTR Company Driver 80K 90K Yearly - 1 Yr. Exp. Req

Poly Trucking

  • US - RI - RI - Hope

  • January 22, 2025


Benefits: • Earn $0.70 CPM!Drivers earn $80,000 - $90,000 yearlyMedical, dental, and 401KPaid vacationPaid orientationNo forced dispatchNo-touch freightNo hazmatCell phone reimbursementDriver referral bonus Requirements: • Class A CDLAt least 1 year of OTR experience About Poly Trucking:...


CDL-A Dry Van OTR Company Driver 80K 90K Yearly - 1 Yr. Exp. Req

Poly Trucking

  • US - RI - RI - Warwick

  • January 22, 2025


Benefits: • Earn $0.70 CPM!Drivers earn $80,000 - $90,000 yearlyMedical, dental, and 401KPaid vacationPaid orientationNo forced dispatchNo-touch freightNo hazmatCell phone reimbursementDriver referral bonus Requirements: • Class A CDLAt least 1 year of OTR experience About Poly Trucking:...


Travel Nurse RN - Med Surg 2,200 per week

Host Healthcare

  • US - RI - RI - Newport

  • January 24, 2025


Host Healthcare is seeking a travel nurse RN Med Surg for a travel nursing job in Newport, Rhode Island. & Requirements • Specialty: Med Surg • Discipline: RN • Start Date: 02/18/2025 • Duration: 13 weeks • 36 hours per week • Shift: 12 hours, nights • Employment Type: Travel Why choose Host...