The Nurse Practitioner (NP) will perform Medicare Advantage health risk assessment, annual wellness visits, follow-up visits in clinic, home or facility. The NP will have frequent interactions with the patients, coders, schedulers, quality coordinators, case managers and primary care or supervising physician to ensure accurate and timely assessment and interventions as identified for the patient. The NP will educate the patient and/or family on chronic medical conditions, preventative care and medication management, adherence compliance. The NP will work within the practice EMR and the company applications for quality, care management and risk adjustment. The NP will work within their scope of practice and under the general supervision of the supervising physician.
• Conducts health risk assessments, annual wellness visits and/or follow-up visits in clinic, facility or home setting. • Determines abnormal conditions by administering or ordering diagnostic tests, such as x-rays, electrocardiograms, and laboratory studies; interpreting test results. • Documents patient care services/encounters in the electronic medical record system and documents in the applicable care management, quality and risk adjustment applications to ensure appropriate documentation of acute, chronic and long term healthcare issues. • Instructs and counsels patients by describing therapeutic regimens for chronic and acute conditions; giving normal growth and development information; promoting wellness and health maintenance. • Provides continuity of care by developing and implementing patient management plans. • Must be able to follow physician treatment plan of care. • Complies with federal, state, and local legal and professional requirements by studying existing and new legislation; anticipating future legislation; enforcing adherence to requirements; advising management on needed actions. • Maintains professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. • Contributes to physician's effectiveness by identifying short-term and long-range patient care issues that must be addressed; providing information and commentary pertinent to deliberations; recommending options and courses of action; implementing physician directives. • Collaborates with Social Worker, Pharmacist, Case Manager, Coder and Quality Coordinator on needed interventions • Addresses gaps in care related to HEDIS or STARs measures with patient and staff. • Diagnose and treat patient health by interviewing patients; performing physical examinations; obtaining, updating, and studying medical histories, ensuring accurate charting. • Contributes to team effort by accomplishing related results as needed. • Understand and ensure non–violation of HIPAA laws
• Current ANCC or AANP board certification as a family, acute, adult or geriatric nurse practitioner • Current active/unrestricted licensure in the State of Texas as Advanced Practice Nurse • Must be credentialed by Medicare • Must have current BLS certification • Graduate of accredited Nurse Practitioner Program
• New graduates will be considered • Prefer 1-3 years' experience as nurse practitioner in primary care setting • Working knowledge of EMR’s • Working knowledge in adult health maintenance requirements and preventative health requirements preferred • Must be proficient in use of Microsoft tools and technology • Working knowledge of Medicare risk adjustment and health plan quality measures preferred • Knowledge and understanding of credentialing and insurance process preferred • Local D/FW travel will be required. Must be willing to float to different primary care practices, home environment, long term or skilled facilities.
Skills or Special Abilities:
• Self Confidence • Composed • Ability to Multitask • Organization Skills • Time Management • Communication Skills • Attention to Detail • Adaptability • Customer Relations • Problem Solving • Judgment • Decision-Making • Confidentiality • Teamwork • Integrity • Favorable Disposition • Calm Demeanor
The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.
Physical Demands: • Must be able to frequently sit, use finger dexterity, has good vision, hearing, and speaking to promote information exchange. • Must be able to stand and use copier, collate, staple, and bind large packets for meetings. • Occasionally may have to lift boxes of office supplies and stack reams of paper on high shelves.
Mental Demands: • Must be able to frequently problem solve, make decisions, interpret data, organize and analyze work flow, write, plan, and use simple arithmetic.
Working Conditions: • Work is conducted indoors. • Requires sitting at a desk in an office setting. • Requires entering patient rooms and conducting accurate charting • Requires travel among physician offices in the DFW area
Major Activities of the job include: • Must be able to operate general office equipment including but not limited to: computer, phones, and related media and information devices.
Communication requirement: • Must have the ability to communicate in writing, speaking, and hearing, both in person and/or by telephone. • Ability to appropriately discuss sensitive patient information with patient, family and staff • Effective communication through telephone encounters to staff and patients
This job description is designed to indicate the general nature and level of work performed by employees within this classification. It is not designated to contain or be interpreted as a comprehensive inventory of all duties and responsibilities required of employees assigned to this job.
North Texas Specialty Physicians, an independent physician association, exists to support the success of the more than 900 primary care and specialty physicians. NTSP provides the business services, analytics and clinical support tools that enable member physicians to maximize performance and deliver superior care to more than 15,000 patients every day.Since 1995, our physician-led organization ha...s engaged the most experienced doctors who want to work with like-minded professionals to use their accumulated knowledge to identify and implement proven practices, successfully manage risk, efficiently share information, and effectively deliver cost-effective, patient-centered care. We promote collaboration, communication, and coordination with processes, systems and technologies that leverage the strengths of the entire network. Our utilization management, case management and disease management services, and in-house clinical consultants, help physicians provide targeted care plans.