Remote Nurse Practitioner

JOB DESCRIPTION

Job Title: Nurse Practitioner

Work Location: Remote

Department: Clinical

Reports To: Director, Clinical Services

FLSA: Exempt

Who We Are: Purposeful, Progressive, Dynamic

Spiras Health is an in-home healthcare provider taking an innovative approach in the delivery of personalized clinical care to patients with complex needs. We collaborate with patient’s physicians, health plan, discharge planners, and other ancillary providers to help improve quality of life, improve compliance, and reduce avoidable emergency room and hospital visits. We are privileged to serve patients who are living with several chronic and complex conditions. Our vision is to deliver patient care in the comfort of their homes while reducing their fear, uncertainty, and anxiety about their health. We use technology to connect clinicians in the home with additional expertise and have developed a team structure to ensure we do so consistently. Our culture is anchored on a promise of full accountability and integrity in everything we do.

How We Serve

The Nurse Practitioner (NP) is a key clinical role providing leadership for a team of 5-7 colleagues to deliver exceptional care to patients. This position works in concert with RNs, LPNs, RTs, and CMAs that meet directly with the patient in their home and will develop trusting relationships with the patients. The NP works with the Clinical Care Team via video, phone, or text communications to further support and direct their work with patients. The NP is accountable for clinical care in the assigned population and the leadership of the team.

Members of the Clinical Care Team will meet directly with patients in the patient’s home. The NP works with the clinicians to understand the patient’s unique needs. Each patient is assessed through an intake process to identify and define a plan of care. Based on the situation, the NP may diagnose and recommend a clinical path of action, including ordering labs, imaging, and/or treatments as required. This role will regularly communicate with PCPs and specialists involved in the patient’s care to encourage a single, coordinated plan for the patient.

This individual will primarily work independently under physician oversight. This role will utilize support from others on the Spiras Health team as needed to ensure only high-quality care is delivered to their patients. The role will ensure the clinical team follows defined standards, protocols, and processes to document and manage interactions with patients and other providers. The right candidate will have an interest in providing leadership and professional development to a small clinical team. Additionally, this role will provide clinical expertise through virtual care delivery working with the colleagues in the field who are the eyes, ears, and hands of the Clinical Care Team. Colleagues that are successful in this role embrace technology, have the ability to remain calm and focused in stressful situations, and find joy in working with others to serve aging adults with complex care needs.

A typical day for one of our nurse practitioners may include:

• Working directly with the 5-7 colleagues to support their patient panel
• Leading Clinical Team Coach to ensure protocols are followed
• Reviewing medical records
• Working with patients directly via video, phone, secure communications
• Answering clinical questions, assessing patients, ordering labs, DME, and medications
• Reviewing patient panels to address gaps or questions about the panel
• Talking with other PCPs and specialists regarding a patient
• Assisting with patient advocacy and addressing barriers or gaps with care
• Managing an exacerbation event in collaboration with Clinical Care Team
• Documenting all interactions in the Spiras EMR

Duties and Responsibilities

• Review charts against defined protocol for consistent care delivery
• Collaborate with providers to ensure care coordination
• Order clinically appropriate services such as imaging, DME, and medications
• Manage emergent after-hours care needs to patients per scheduled call
• Collaborate with other Spiras clinicians in service to the patient
• Navigate EMR platform to document patient interactions
• Document clinical and quality information consistently and concisely
• Ensure compliance with HIPAA, company policies, and state and federal guidelines
• Perform other duties as assigned

Qualifications

• Board-certified nurse practitioner in good standing
• 7+ years of experience with adult / geriatric population
• Demonstrated experience working with multiple chronic conditions such as COPD, CHF, Diabetes, Asthma, etc.
• Active licensure in state of residence and willingness to pursue additional states
• Medicare Billing ID

Skills Required:

• Experience with cardiac or pulmonology specialties
• Experience coordinating care with health plans and health systems
• Experience with advance directives and palliative care
• Strong and concise communicator able to rapidly identify and gather required information to assess and treat patients
• Comfortable working with patients that may have difficulty hearing, struggle with memory issues, or have a lower health care literacy level
• Willingness to collaborate with others
• Ability to think quickly and provide information with confidence and clarity
• Ability to manage competing priorities, organize work efficiently, and meet deadlines
• Perseverance and self-management to achieve defined objectives

Physical & Other Requirements:

• This job operates in a remote professional environment free from noise and distraction. This role routinely uses standard office equipment such as computers and phones.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
• While performing the duties of this job, the employee is regularly required to talk and hear.
• This position requires the ability to occasionally lift office products and supplies, up to 20 pounds.

EEOC STATEMENT:

All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.