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naviHealth, Inc. Nurse Practitioner in Greenville, South Carolina

Job Summary naviHealth is searching for a Nurse Practitioner Care Manager to join our new Institutional Special Needs Plan team (I-SNP). In this position, you will assist with the development and execution of the clinical model for the I-SNP members in collaboration with the Primary Care Provider. The NP Care Manager will partner with the Primary Care Provider to provide the highest quality of care to I-SNP members.Responsibilities

  • Lead the development and execution of care plans for members

  • Provide clinical oversight, guidance, and supervision to naviHealthRegistered Nurses

  • Engage in meaningful Advance Care Planning discussions with members to establish goals of care and assist in the execution of appropriate legal documentation to support their end-of-life wishes

  • Conduct initial and ongoing assessments

  • Identify needs, resources, and other key elements required for member care management and coordination of care

  • Visit members routinely as indicated by their care plan

  • Collaborate with ICT to identify and address member needs

  • Advise on appropriateness of transitions of care through consultation with the facility RN/LPN and by being the first point of contact for the facility RN/LPN

  • Provide care to members when deemed clinically necessary and/or to support the ICT in times of heightened demand

  • Develop relationships with members of the ICT both in the facility and in the community such as local health systems, hospitals, skilled nursing facilities, rehab facilities, and PCP offices

  • Provides 24/7 on-call support for exacerbations and for consultation prior to transfers

  • Provide clinical and non-clinical education to members and their families, including self-management techniques

  • Provide care coordination support with I-SNP facility staff during transitions of care

  • Evaluate inpatient treatment and clinical progress of members admitted to acute care facilities, skilled nursing facilities and inpatient rehabilitations facilities and coordinates continued services during transition back into their institutional or institutional-equivalent setting

  • Develop relationships with members of the interdisciplinary care team both in the facility and

  • in the community, such as local health systems, hospitals, skilled nursing facilities, rehab facilities, and PCP offices

  • Facilitate family care conferences to address medical, behavioral, and social needs

  • Consult with Registered Nurse Care Manager on calls from members and/or facility staff

  • Travel requirements: Ability to travel to assigned facilities within geographical area up to 30 minutes

  • Perform other duties and responsibilities as required, assigned or requested

Qualifications

  • Bachelor’s degree plus Nurse Practitioner or Physician’s Assistant licensure

  • Execution of a collaborative agreement with the Facility Rounder/Attending Physician/PCP

  • Experience in Geriatrics, Hospice, Palliative Medicine, or the long-term care population preferred

  • Intense intellectual curiosity and an ability to view old problems with a fresh perspective

  • Strong focus on culture and employee engagement

  • Ability to attract, manage, and develop staff of superlative quality

  • Proactive and collaborative working style, cross functionally

  • Demonstrated ability to communicate, present and influence credibly and effectively

  • Proven ability to interact with and influence clients and partners at all levels

  • Highest level of ethics and integrity

About naviHealth

Being a pioneer in post-acute management and care transitions with 19 years of experience, naviHealth is uniquely positioned to manage patients, improve clinical and financial outcomes, and share risk with payors and providers. We provide clinical service support alongside proprietary technology and advisory solutions that empower health systems, health plans and post-acute providers to navigate care episodes across the continuum, with the goal of reducing waste and improving patient outcomes.

Our Purpose

Improving the healthcare experience for seniors to live a more fulfilling life

Our Values

Rooted in respect

Guided by purpose

Devoted to service

Energized by impact

Requisition ID: 2020-3879

Location Type: Field / Office / Virtual: Field (in Market)

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