Advanced Practice Clinician

Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program.

In the field position (Manhattan/Bronx). Rate: $200 per visit.

• Personal and financial wellness programs  
• Opportunities for professional growth and career advancement  
• Internal mobility and advancement opportunities   
• Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals 

• Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes. 
• Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate. 
• Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. 
• Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings. 
• Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. 

• License and current registration to practice as a Registered Professional Nurse in New York State required
• Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required
• Valid driver's license, as determined by operational/regional needs may be required
• Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required
• Maintains NPI, Medicaid and Medicare provider numbers preferred
• Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred
• Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required
• For Psychiatric Nurse Practitioners only:
• Current PMHNP-BC certification required

Education:
Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required For Psychiatric Nurse Practitioners only: Master's Degree in psychiatric-mental health Nurse Practitioner required. PhD in psychiatric-mental health Nurse Practitioner preferred

Work Experience:
Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred. Clinical home care experience or two years managerial experience preferred. Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required. Bilingual skills, as determined by operational needs required. For Psychiatric Nurse Practitioners only: Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice required