Job Title: Primary Care Provider, Nurse Practitioner  

FLSA Status: Exempt

Salary Range: See Salary Scale                              

Job Summary:   Responsible for providing direct and indirect care to assigned Senior TLC participants in a clinic, home, or community-based model of care in Gaston, Cleveland, and Lincoln Counties. This job applies advanced knowledge/clinical skills necessary to assess/manage the healthcare of chronically ill, geriatric participants in the Senior TLC (STLC) program. Primary Care Provider (PCP) reports directly to the Medical Director and indirectly to the Center Manager. Works under direct supervision of the Medical Director as described in the NP-MD Collaborative Practice Agreement. May serve as temporary substitute Medical Director if unexpected absence occurs.

Education: Master's Degree, or greater, as a Nurse Practitioner (NP) from accredited program.

Experience: 3-5 years medical experience with 1 years’ experience as Nurse Practitioner; and one year of experience with a frail or elderly population.

Number and Type of Employees Supervised (optional): None

Licensure, Registry or Certification Required: NP licensed in NC and Board Certification (ANCC)

Special Training: Ability to learn, teach and research; ability to solve problems and think analytically; must possess skills necessary to treat geriatric patients, ability to get along with others in a team environment.   Must possess knowledge and skills necessary to treat patients; other training as required by department.  Only act within the scope of his or her authority to practice.  Meet a standardized set of PACE specific organization competencies for the specific position description established by Senior TLC prior to working independently.  Embraces and supports team-based PACE Model.

Immunizations:  Must be medically cleared for all communicable diseases and have proof that all immunizations up to date before engaging in direct participant contact.

Ages of Patients Rendered Care: 

  Neonate/Infant   Early Childhood    Adolescent    Adult    Geriatric   All Age Groups

• Supports Senior TLC’s mission to encourage and support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.
• Performs health histories, physical exams, and patient teaching.  Orders, interprets, and follows up on lab tests and results.  Performs selected procedures and documents care orally and in writing.  Initiates emergency measures as indicated.  Recognizes abnormalities that justify immediate referral for intervention by others. Facilitates participant primary care management in conjunction with physician staff as is reflective of the PACE Model.
• Initiates, evaluates, reviews, and changes orders for selected medications and diagnostic studies/treatments within attending physician approved protocols. Completes medication reconciliations on a ppt’s admission to a Skilled Nursing Facility (SNF and reconciles medications at SNF per STLC standard protocol. Supplies any “hard scripts” required by the SNF.
• Assesses, initiates, and coordinates direct participant care daily under the supervision of the Medical Director and/or Primary Care Physician. Performs assessments for PACE participants as required by PACE regulations. Visits participants in homes and hospitals as directed/required
• Requests consultations from other services as needed in collaboration with attending physician and/or established protocols.
• Collaborates with physicians, nurses, and other healthcare professionals, providing education, communication and support for healthcare staff, patients, and families. 
• Participates in participant care planning including the implementation of SMART goals/interventions for the participant’s plan of care and enters all care plan information in a timely manner as per organizational protocols.
• Supports his/her Interdisciplinary Team and promotes unity among the team while interacting with the team, other co-workers, and/or participants.
• Supports team members and functions as a team player while providing that support and adheres to the “do no harm” team contract statement. Emphasizes teamwork and collaboration in all clinic and Interdisciplinary Team interactions
• Attends morning STLC IDT meetings, monthly advanced practitioner supervisory meetings, and attends Family and Team meetings as needed. Attends and complies with North Carolina Controlled Substance System (PMP) documentation meetings.
• Dictates death notes in Primesuite (PS).
• Participates in Primary Care on-call rotation.
• Other duties as assigned