Nurse Practitioner Np)-Lufkin/Livingston (24072)

Location of work: Livingston/Lufkin

Job Summary:

The Nurse Practitioner, in collaboration and consultation with physicians, staff RNs and other health care professionals, provides holistic, compassionate care to Members and families. The Nurse Practitioner practices within the context of collaborative management with a physician(s) in diagnosing, managing, and preventing acute and chronic illness and disease, and promoting wellness. The Nurse Practitioner role includes accountability for Plan Medical Management activities.

Essential Functions:

• Performs in-depth health risk assessments on all assigned Members
• Works collaboratively with physicians, case managers, social workers, family members, key care givers and any appropriate ancillary medical personnel as appropriate
• Responsible for identifying overall quality improvement activities through assessing and planning health care which is individualized to the member and consistent with policies and protocols
• Reviews and interprets the medical, surgical and social history of members
• Performs appropriate screening procedures for members
• Interprets laboratory and other diagnostic data and recommends appropriate treatments or actions for follow-up, reconciles medications
• Responsible for prescribing or performing various treatment modalities - including, but not limited to: medications, injections, wellness counseling, suturing and ancillary testing
• Refers members to PCP, case management and disease management programs as necessary
• Practices in accordance with applicable local, state, and federal laws which govern confidentiality and medical information privacy regulations (HIPAA)
• Maintains control of all PHI information
• Consistently identifies unmet needs and gaps in care, and initiates appropriate referrals as indicated
• Synthesizes information and easily diagnoses and creates a comprehensive plan of care.
• Achieves clinical performance targets
• Creates positive rapport and engagement with Members
• Communicates and collaborates with Facility leadership to achieve Member care needs and goals
• Participates in Plan Committees relating to Clinical Guidelines, Quality Improvement, and Compliance as indicated.
• Creates and maintains schedule of team member availability to ensure continuity of care.