Under the clinical oversight of the GUIDE Medical Director, and the administrative supervision of GUIDE Manager, the Nurse Practitioner (NP) provides clinical leadership and to the interdisciplinary team (IDT) and supervision of the GUIDE clinical and support staff. NP provides direct medical care as needed to participants at the GUIDE clinic, at home, via telehealth or in other healthcare settings. NP serves as liaison between the program and community physicians and healthcare entities.  

 

Essential Duties/Responsibilities

Administrative

• Work cooperatively with the GUIDE Manager to ensure quality care delivery to all participants.

• Supervise clinical and support staff.

• Lead specific projects as appropriate and directed by GUIDE Manager or Medical Director.

• Establish a network of appropriate consultative physicians who can assist in the care of GUIDE participants.

• Participate in 24-hour coverage as required to maintain 24-hour 7 day/week coverage for the GUIDE program

• Assist the GUIDE administrative team in the development of written guidelines and protocols as appropriate for the GUIDE program

• Oversee compliance with medical records procedures, including accurate and detailed documentation and signatures as required.

• Oversee Quality Improvement initiatives.

• Network with and educate potential referral sources and the medical and lay communities about the GUIDE program.

• Communicate and work positively and effectively between teams and departments, participants, families, caregivers and other professionals.

 

Clinical

• Provide direct supervision of clinical and support staff to ensure quality clinical outcomes

• Provide clinical expertise to assist with decisions regarding diagnosis and medical management of participants’ needs, assuring that the highest quality of medical care is provided, and that continuity and comprehensiveness of care is maintained.

• Provide medical direction and guidance to the program and other staff to assure the maintenance of quality of care for the participants and families.

• Actively participate in the IDT. Assist in developing a plan of care for each participant/family with the coordination of the physician(s) and other members of the IDT.

• Provide suggestions to the IDT that foster high-quality, cost-effective care for all participants.

• Perform comprehensive history and physicals on new referrals.

• Participate in decisions regarding appropriate admissions.

• Serve as the primary care practitioner (PCP) for participants in the GUIDE Program when requested by the participant.

• Implement care protocols for GUIDE

• Establish and implement a preventive care program as appropriate for participants enrolled in the GUIDE program.

• Manage and round on GUIDE participants admitted to long term care facilities or acute in participant facilities.

• Implement processes to capture the most appropriate diagnoses and billing codes for GUIDE participants.

• Ensure comprehensive and timely reviews of the complete admission history and physical examination for each participant, including all available hospitalizations, office notes, laboratory data, etc.

• Conduct family meetings as appropriate for GUIDE enrollees.

• Assist in improving the quality of all GUIDE documentation by the members of the IDT.

• Assist in securing medical records to better determine appropriate medical care for participants.

• Communicate and collaborate with participants’ primary care physicians and other healthcare professionals.

• Complete timely documentation in electronic medical record platform.

 

Supervisory Responsibilities

• Clinical and support staff

 

Other Duties and Responsibilities

• Other duties as assigned

 

This job description is not designed to cover or contain a comprehensive listing of all activities, duties, or responsibilities that are required of the employee for this job. Activities, duties, or responsibilities may change at the GUIDE organization’s discretion at any time with or without notice.

 

Required Education and Experience

• Advanced Nursing degree (Master's level) from an accredited nursing school (specialty in Adult Health, Primary Care or Geriatrics preferred).

• License as an Advanced Practice Nurse in the State of Indiana

• Credentialed through ANCC

• Knowledge of the principles and practice of primary medical care.

• Ability to enhance, by association with the GUIDE Program, the program’s visibility and reputation with practicing physicians and area hospitals

• Ability to work collaboratively with GUIDE staff and volunteers as part of the IDT

• Excellent communication skills with participants/families/staff and community contacts

• At least three years’ experience as an APN

• Must have at least one year experience working with a frail/elderly population

• Ability to make home/residence visits

• Leadership skills to supervise medical staff

 

Additional Eligibility Requirements

Must possess and provide annually valid driver’s license and documentation of current automobile insurance at PACE organization-specified levels. Must provide negative TB certificate, or documentation to support exemption, annually.

 

Expected Hours of Work

This position is an exempt position and may be full-time or part-time depending on the GUIDE organization’s needs.  GUIDE organization business hours are typically Monday through Friday, 8:00am-4:30pm.  This position will be expected to serve as after-hours on-call as part of an on-call rotation.

 

Travel

Travel may occur throughout the GUIDE organization’s service area during GUIDE organization business hours.

 

Physical Demands

While performing the duties of this job, an employee is regularly required to:

• Have the ability of close vision

• Speak and hear

• Stand, walk and sit

• Use hands to finger, handle or feel objects, tools or controls

• Reach with hands and arms

• Stoop, kneel, crouch or crawl

• Bend down and lift objects from the floor

• Lift up to 25 pounds and carry it 15 feet

 

The employee may be occasionally required to:

• Lift or move up to 50 pounds and carry it 15 feet

• Push 200 pounds in a wheelchair

• Climb at least 3 flights of stairs (ascend and descend)

• Balance

 

Tasks with potential for exposure to blood borne pathogens include, but are not limited to the following:

• Assisting with mouth care

• Assisting with care of non-intact skin

• Assisting incontinent participants with personal care

• Assisting with procedures in the clinic

 

Work Environment

The employee may be exposed to fumes or airborne particles and toxic or caustic chemicals. The employee is occasionally exposed to wet and/or humid conditions, moving mechanical parts, risk of electrical shock, and risk of radiation.  The noise level in the work environment is usually moderate.

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Interested applicants may submit a resume to jobs@agingihs.org or via the submission form on our careers page.​​