Job Location : all cities,ME, USA
TELEHEALTH NURSE PRACTITIONERMUST BE LICENSED IN MAINE. PREFER NEW HAMPSHIRE, VERMONT, CONNECTICUT & NEW YORK LICENSURE AS WELL. SCOPE: Performs remote video visits for patients.Primarily a remote position with occasional in person requirements meetings, testing, potential for in person visits within designated geography.ADMINISTRATIVE DUTIES/PROGRAM DEVELOPMENT: Participate in development of clinical programs, development of clinical pathways and protocols, documentation templates and other tools, collaborate regarding content of policies and procedures.VISITS: Initial visit will include consent for care, regardless of patient program.Initial transitional care visits, follow up visits and change in condition visits.OVERSIGHT OF PLAN OF CARE: RPM/CCM creation/approval of plan of care upon patient enrollment, and minimum monthly review of plan with additional review/updates as needed with changes in condition. Oversight/review of readings and other staff interaction notes at time of review, minimum monthly.COLLABORATION WITH PCP AND OTHER CARE PROVIDERS: After each patient interaction, communication with MD via clinical note. If patient is active on Home Health or Hospice, communication with clinical team re: findings/outcome of visit via clinical notes. Phone calls will be made in addition to notes for urgent, time-sensitive issues.CLINICAL PRACTICE: Must be proficient in industry best practices for diagnoses treated. Protocols and tools developed will incorporate best practices. Every visit will include an assessment of the patient status, any changes will indicate reassessment of level of support and proper level of care.Practitioner will be proficient in knowledge of eligibility for all levels of care including Home Health, Hospice, Palliative and SNF.Timely communication and resolution of issues identified on visits including communication withPCP, clinical team, and patient/family.Priority focus of visits will be to ensure proper level of care, patient safety and avoidance of unnecessary hospitalizations. Practitioner will leverage known home diagnostic and treatment capabilities to advocate for patients who can safely be managed at home and avoid avoidable visits to Emergency Department. Target for patient population managed ACH