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nurse practitioner palliative care

Gentiva

<div>Overview:
<div><b>
Deliver Compassion. Elevate Care. Empower Lives.</b></div><div></div><div><br>
We are seeking a compassionate and skilled Palliative Care Nurse Practitioner to join our interdisciplinary team. In this role, you will provide advanced palliative care to patients in their homes, helping them achieve the highest quality of life possible while managing complex medical needs. You will work autonomously in collaboration with the Palliative Medical Director, delivering exceptional care and guiding patients and families through every stage of treatment.</div><div></div><div><b><br>
Responsibilities:</b></div><ul><li><div>
Collaborate with the Palliative Medical Director and care team to deliver comprehensive, patient-centered palliative care.</div></li><li><div>
Perform in-depth patient assessments, including physical, emotional, and psychosocial evaluations.</div></li><li><div>
Develop and implement individualized care plans in partnership with patients and families.</div></li><li><div>
Manage and adjust treatment plans based on patient needs and progress.</div></li><li><div>
Prescribe medications (including controlled substances) and order diagnostic tests as permitted by state law.</div></li><li><div>
Maintain timely, accurate clinical documentation in compliance with professional standards.</div></li><li><div>
Communicate effectively with physicians, caregivers, and other healthcare professionals.</div></li><li><div>
Participate in evening/weekend call rotation as needed.</div></li><li><div>
Facilitate referrals for additional care services when appropriate.</div></li></ul>
About You:
<div><b>
Specialized Knowledge/Skills:</b></div><ul><li><div>
Excellent leadership, interpersonal, written, and verbal communication skills.</div></li><li><div>
Strong independent decision-making abilities and self-motivation.</div></li><li><div>
Understanding of palliative medicine principles, home health, hospice care eligibility, and Medicare/Medicaid regulations.</div></li><li><div>
Familiarity with the interdisciplinary care process.</div></li><li><div>
Meets mandatory continuing education requirements for Gentiva and licensing boards.</div></li><li><div>
Proficient in point-of-care software and technology.</div></li></ul><div><b>
Education/Experience:</b></div><ul><li><div>
Master of Science in Nursing from an accredited school of nursing (or equivalent per state law).</div></li><li><div>
Minimum two years&rsquo; Nurse Practitioner experience.</div></li><li><div>
Specialty in Family or Adult Medicine preferred.</div></li><li><div>
Experience with Part B billing.</div></li><li><div>
Ability to work autonomously in an advanced practice role.</div></li></ul><div><b>
Licenses/Certifications/Agreements:</b></div><ul><li><div>
Current RN license and Nurse Practitioner certification/license as required by state law.</div></li><li><div>
Collaborative agreement with supervising physician (or willingness to establish).</div></li><li><div>
Part B Provider certification.</div></li><li><div>
Federal DEA license and state DEA license (if required).</div></li><li><div>
ACHPN certification in Hospice and Palliative Care preferred.</div></li><li><div>
Valid driver&rsquo;s license and current automobile insurance.</div></li></ul>
We Offer:
<div>
Compensation may vary within the salary range provided based on several factors including but not limited to a candidate&rsquo;s location, experience, education, skills, licensure, certifications and department equity. Gentiva provides associates with a comprehensive benefits and total rewards package, of which base pay is just one piece.</div><div></div><div><br>
Salary Range &ndash; $106,540 to $133,170</div><div></div><div><br>
Full Time Employee Benefits:</div><ul><li>
Medical, Dental, Vision</li><li>
Wellness Program and Resources</li><li>
401k match</li><li>
PTO</li><li>
FMLA, ADA and other federal and state required leaves</li><li>
Short/Long Term Disability</li><li>
HSA Contribution</li><li>
Mileage or Fleet Car Program</li><li>
Cell Phone Reimbursement (for eligible roles)</li><li>
Short Term Incentive (for eligible roles)</li><li>
Tuition Reimbursement</li></ul><div></div><div><b><br>
Benefits for All Associates (Full-Time, Part-Time &amp; Per Diem):</b></div><ul><li>
Competitive Pay</li><li>
401(k) with Company Match</li><li>
Career Advancement Opportunities</li><li>
National &amp; Local Recognition Programs</li><li>
Teammate Assistance Fund</li></ul><div></div><div><b><br>
Additional Full-Time Benefits:</b></div><ul><li>
Medical, Dental, Vision Insurance</li><li>
Mileage Reimbursement or Fleet Vehicle Program</li><li>
Generous Paid Time Off + 7 Paid Holidays</li><li>
Wellness Programs (Telemedicine, Diabetes Management, Joint &amp; Spine Concierge Care)</li><li>
Education Support &amp; Tuition Assistance (ASN to BSN, BSN to MSN)</li><li>
Free Continuing Education Units (CEUs)</li><li>
Company-paid Life &amp; Long-Term Disability Insurance</li><li>
Voluntary Benefits (Pet, Critical Illness, Accident, LTC)</li></ul><div></div><div><b><br>
Apply now to be part of a team that values expertise, compassion, and excellence in care.
</b></div>Legalese:
<ul><li>This is a safety-sensitive position</li><li>
Employee must meet minimum requirements to be eligible for benefits</li><li>
Where applicable, employee must meet state specific requirements</li><li>
We are proud to be an EEO employer</li><li>
We maintain a drug-free workplace</li></ul>
Location: Empatia Our Company:<p></p><div><br>
At Empatia, part of Gentiva, it is our privilege to offer compassionate care in the comfort of wherever our patients call home. We are a national leader in hospice care, palliative care, home health care, and advanced illness management, with nearly 600 locations and thousands of dedicated clinicians across 38 states.</div><div></div><div><br>
Our place is by the side of those who need us &ndash; from helping people recover from illness, injury, or surgery in the comfort of their homes to guiding patients and their families through the physical, emotional, and spiritual effects of a serious illness or terminal diagnosis.</div><div></div><div><br>
Our nationwide reach is powered by a family of trusted brands that include:</div><ul><li><b>
Hospice care:</b> Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon</li><li><b>
Palliative care:</b> Empatia Palliative Care, Emerald Coast Palliative Care</li><li><b>
Home health care:</b> Heartland Home Health</li><li><b>
Advanced illness management:</b> Illumia Health</li></ul><div></div><div><br>
With corporate headquarters in Atlanta, Georgia, and providers delivering care across the U.S., we are proud to offer rewarding careers in a collaborative environment where inspiring achievements are recognized &ndash; and kindness is celebrated.</div></div>

Nurse Practitioner Palliative Care

Mercy Health Services (MD)

<div>Overview:
<div></div><div>
Join Our Team at Mercy Medical Center &ndash; Now Hiring a Graduate Advanced Practice Provider (PA/NP)!</div><div></div><div><br>
Mercy Medical Center is honored to be recognized by Newsweek as one of America's Most Trustworthy Companies for three consecutive years (2023&ndash;2025) and as one of America's Greatest Workplaces for Women in 2025. Additionally, we are proud to be a multi-time recipient of Forbes' America's Best Midsize Employers award, most recently in 2025.</div><div></div><div><br>
As a hospital founded by the Sisters of Mercy, we offer a supportive and empowering environment where dedicated medical professionals thrive. If you're passionate about making a meaningful impact through your work and contributing to a mission of compassionate care, we invite you to apply today and join our Mercy family.</div><br>
<div></div>
Responsibilities:<div></div><div><br>
The Physician Assistant / Nurse Practitioner Graduate Advanced Practice Provider (&quot;GAPP&quot;) works with both Inpatient and Outpatient physicians in a challenging, but highly rewarding, academic community-hospital setting. Physician Assistant / Nurse Practitioner Graduate Advanced Practice Practitioners collaborate with attendings, resident physicians, and students from allied schools within a team-based approach in Inpatient Medicine, Emergency Medicine, and Surgery rotations. The Physician Assistant / Nurse Practitioner Graduate Advanced Practice Practitioner will also work directly with physicians in high volume office settings during Outpatient rotations. The Physician Assistant / Nurse Practitioner Graduate Advanced Practice Practitioner will also have the opportunity to engage in Quality and Patient Safety Department projects and initiatives. Patient care will remain within the scope of the Maryland Board of Physicians Quality Assurance practice under the supervision of physicians for Physician Assistants. Patient care will remain within the scope of the Maryland Board Nursing for Nurse Practitioners.</div><br>
<div></div><ul><li>
The Physician Assistant / Nurse Practitioner GAPP will be assigned to clinical rotations in both inpatient and outpatient settings.</li><li>
The Physician Assistant / Nurse Practitioner GAPP must participate in a structured educational program.</li><li>
The Physician Assistant / Nurse Practitioner GAPP is expected to perform the following during inpatient rotations:</li><li><div><ul><li>
Perform initial history &amp; physical examinations and initiate admission orders.</li><li>
See, examine, evaluate assigned patients daily, discuss with attending provider and document care in a daily progress note.</li><li>
Assess acute patient problems.</li><li>
Initiate emergency or urgent treatment.</li><li>
Communicate significant changes in patient condition to the patient's attending provider.</li><li>
Order and evaluate pertinent radiographic data on initial read only.</li><li>
Meet with Medical Teams at the beginning of shift to identify and review patients ready to be discharged. Discuss issues related to discharges with appropriate resident or attending.</li><li>
Meet with Case Management to proactively anticipate discharge dates.</li><li>
Order, interpret, follow-up on pertinent laboratory data.</li><li>
Perform final patient visit.</li><li>
Assist in discharge planning and scheduling of follow-up visits and discuss same with patients.</li><li>
Initiate referrals to Social Services.</li><li>
Facilitate follow-up Home Health care needs</li><li>
Complete assigned discharge summaries on patients in a timely fashion to include history of present illness, medical history, medications, allergies, social history, family history, physical examination, laboratory and x-ray data, hospital course (including rehabilitation plans, discharge medications, and discharge diagnosis).</li><li>
Provide patient teaching and counseling regarding discharge treatment plan, medications, diagnostic tests, follow-up appointments, etc.</li><li>
Discuss problems in patient discharges with the resident or attending provider/specialist</li><li>
Prepare daily, written signout on patients and provide verbal signout to primary team</li><li>
Exhibit flexibility in meeting the needs of the hospital</li><li>
Other duties as assigned</li></ul></div></li><li>
The Physician Assistant / Nurse Practitioner GAPP is expected to perform the following during outpatient rotations:<ul><li>
See, examine, and evaluate assigned patients, discuss with attending provider, and document care in the patient chart</li><li>
Assess acute patient problems.</li><li>
Initiate emergency or urgent treatment.</li><li>
Communicate significant changes in patient condition to the attending provider</li><li>
Order and evaluate pertinent diagnostic tests and discuss with attending provider.</li><li>
Order, interpret, follow-up on pertinent laboratory data.</li><li>
Consult with other healthcare professionals</li><li>
Provide patient and family education and counseling regarding all aspects of care</li><li>
Initiate appropriate referrals to other providers along with collaborating with other multidisciplinary team members including but not limited to case management, social work, and home health services.</li><li>
Exhibit flexibility in meeting all needs of the practice</li><li>
Other duties as assigned</li></ul></li><li>
The Physician Assistant / Nurse Practitioner GAPP is expected to perform additional duties as assigned by the Department of Quality and Patient Safety</li></ul>
Qualifications:
<ul><li>Must have completed a certified Physician Assistant or Nurse Practitioner program.</li><li>
License Requirements: Maryland PA License, Maryland NP Certification</li><li>
Certification Requirements: NCCPA, ANCC/AAN</li><li>
Must have current CPR/BLS certification.</li></ul>
Min: USD $46.88/Hr. Max: USD $84.38/Hr. Salary Information: Compensation decisions are made in alignment with internal equity, role scope, and market data to ensure fair and consistent pay practices. Most new hires are typically placed within the lower to mid-portion of the range; offers above that level are reserved for candidates with advanced or highly specialized qualifications. Benefits:
<div>
Benefits Eligibility is based on your scheduled FTE status and Job Category</div><ul><li>
Competitive health, prescription, vision and dental benefits &amp; wellness credit for eligible employees</li><li>
403(b) retirement plan with generous company match and &ldquo;catch up&rdquo; provision</li><li>
Paid Time Off (PTO) &amp; company paid holidays</li><li>
Tuition reimbursement</li><li>
Mental Health resources and other employee related wellness opportunities through our Employee Assistance Program</li><li>
Employer paid Short &amp; Long Term Disability benefits for eligible employees</li><li>
Voluntary Benefits</li><li>
Discounts on auto &amp; home insurance and Verizon plans</li><li>
Mercy&rsquo;s Rewards &amp; Recognition Program rewarding employees for going above and beyond in living Mercy&rsquo;s Mission and Values</li></ul>
EEO Statement:
<div>
Mercy Health Services is sponsored by the Sisters of Mercy. We are an Equal Opportunity Employer (EEO) recruiting talent for Mercy Health Services, which serves the greater Baltimore Metro and surrounding Maryland areas.</div></div>

Graduate Advanced Practice Provider (Physician Assistant / Nurse Practitioner)

Chase Brexton Health Care

<div>
 <strong>
  Job Summary
  <br/>
  <br/>
 </strong>
 The Nurse Practitioner provides clinical care to patients, based upon his/her specialty training, through an interdisciplinary and collaborative approach that takes into consideration the psychosocial aspects of both health and disease.
 <br/>
 <br/>
 <strong>
  Major Duties And Responsibilities
  <br/>
  <br/>
 </strong>
 Analytical and Critical Thinking
 <br/>
 <br/>
 <ul>
  <li>
   Maintains the standard of clinical care, using diagnostic testing appropriately and providing appropriate treatment
  </li>
  <li>
   Considers the psychosocial aspects of both health and disease
  </li>
  <li>
   Uses diagnostic testing appropriately yet cost-effectively, and providing appropriate treatment
   <br/>
   <br/>
  </li>
 </ul>
 Patient Focus
 <br/>
 <br/>
 <ul>
  <li>
   Effectively engages patients in their care
   <br/>
   <br/>
  </li>
 </ul>
 Checking, Examining, and Recording
 <br/>
 <br/>
 <ul>
  <li>
   Maintains complete and comprehensive documentation
   <br/>
   <br/>
  </li>
 </ul>
 Professionalism
 <br/>
 <br/>
 <ul>
  <li>
   Seeks physician consultation when appropriate
  </li>
  <li>
   Demonstrates professionalism and integrity in all aspects of patient care
   <br/>
   <br/>
  </li>
 </ul>
 Compliance, Policy, and Procedure
 <br/>
 <br/>
 <ul>
  <li>
   Shows meaningful progress toward quality improvement goals
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Skills And Abilities
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Ability to work with a multidisciplinary clinical team
  </li>
  <li>
   Computer skills including Microsoft office suite, electronic medical records and practice management system
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Education And/Or Experience
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Experienced Family Nurse Practitioner with at least 2 years of clinical experience in primary care
  </li>
  <li>
   Family Nurse Practitioner with at least 2 years of primary care experience
  </li>
  <li>
   Appropriate Maryland licensure and clinical certification, DEA and Maryland CDS, X license
  </li>
  <li>
   Interest in and/or experience in community health settings
  </li>
  <li>
   Excellent communication and team skills required.
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Working Conditions/Physical Demands
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Work is typically performed in a clinical and office environment. Travel among Chase Brexton Health Services clinics is required. Exposure to communicable diseases or hazardous material is possible, with little likelihood of harm if established precautions are followed.
  </li>
  <li>
   Ability to perform functions normally completed during the course of clinical care (i.e., sitting, standing, fine motor coordination), use of the keyboard for typing or editing of EMR notes, clinically evaluating and communicating plans to patients.
  </li>
  <li>
   Must meet FTCA requirements.
   <br/>
   <br/>
  </li>
 </ul>
 IND1
</div>


Nurse Practitioner

SNF HEALTHCARE

<div><p>DESCRIPTION</p><p>
We are seeking a licensed and dedicated <b>Nurse Practitioner (NP) or Physician Assistant (PA)</b> to join our growing team. The provider will travel to skilled nursing facilities across <b>Maryland</b> to perform monthly patient visits.</p><p>
This is an excellent opportunity for a motivated clinician who enjoys working independently, making a direct impact on patient care, and maintaining flexibility in their schedule.</p><p><b>
Responsibilities:</b></p><ul><li><p>
Conduct monthly visits on assigned patients in skilled nursing facilities</p></li><li><p>
Review patient charts, document findings, and update care plans as needed</p></li><li><p>
Collaborate with facility staff to ensure continuity of care</p></li><li><p>
Maintain compliance with all state, federal, and company documentation standards</p></li></ul><p><b>
Requirements:</b></p><ul><li><p>
Active <b>Maryland NP or PA license</b> (required)</p></li><li><p>
Experience in geriatrics, long-term care, or internal medicine preferred</p></li><li><p>
Willingness to travel to multiple facilities across North Jersey</p></li><li><p>
Strong communication and clinical documentation skills</p></li><li><p>
Reliable transportation</p></li></ul><p><b>
Compensation:</b></p><ul><li><p><b>
Paid per visit</b> &ndash; competitive rates</p></li><li><p>
Flexible scheduling</p></li></ul><p><b>
Join Us:</b><br>
If you are a compassionate NP or PA who thrives in skilled nursing environments and values flexibility, we&rsquo;d love to hear from you.</p><p><b>
Apply today to make a difference in the lives of patients while enjoying autonomy and competitive per-visit pay!</b></p></div><p></p>

Nurse Practitioner NP or Physician Assistant PA Skilled Nursing Facility Rounds

Coppin State University

<div><div>Job Posting:</div>
JR101554 Assistant Professor (Open)<div>
Department:</div>
Doctor of Nursing Practice , PM<div>
Position Type:</div>
Regular<div>
Open Date:</div>
03-12-2026<div>
Close Date:</div>
04-03-2026<div></div>
$100,000 Annually<div></div><div>
Job Description:</div>
The Assistant Professor is responsible for teaching in the classroom, clinical/campus laboratory clinical sites and clinical seminars; planning, implementing, and evaluating nursing curriculum as a member of the nursing teaching team' and providing academic counseling and guidance to nursing students.<div></div><div>
Responsibilities:</div><ul><li>
Teaching in the classroom, clinical/campus laboratory clinical sites and clinical seminars; planning, implementing and evaluating nursing curriculum as a member of the nursing teaching team.</li><li>
Coordinating with community health agencies utilized for clinical experiences and maintaining effective relations with them, planning, supervising and evaluating learning experiences for students in the clinical area; scheduling conferences with individual students regarding progress.</li><li>
Participating in all School of Nursing and nursing course team planning meetings and selected subcommittee within School of Nursing and College of Health Professions; Participating actively in University, College, School and Community service and Activities.</li><li>
Maintaining own professional growth and remains current nursing practice; Assisting in preparation for nursing accreditation visits; Day, evening and weekend classes and clinical as applicable.</li><li>
Providing academic counseling and guidance to nursing students; Holding at least four post office hours per week.</li></ul><div></div><div>
Minimum Qualifications:</div><div>
EDUCATION</div><ul><li>
A Doctoral Degree in Nursing required or in public health or a health-related field from an accredited institution.</li><li>
Nationally certified as a Family Nurse Practitioner (FNP).</li><li>
Eligibility for Maryland, DC and VA RN and NP Licensure.</li><li>
A minimum of 1 year teaching experience.</li><li>
Recent clinical experience in the specialty area.</li></ul><div></div><div>
EXPERIENCE</div><ul><li>
Demonstrated clinical experience as an advanced practice nurse in a primary care setting.</li><li>
Recent classroom and clinical teaching experience in a college-level nursing program.</li><li>
Ability to meet challenges of adult students with diverse background.</li><li>
Holds current license as a Registered Nurse in the State of Maryland or other verifiable state.</li><li>
Preference will be given to candidates who have experience and an appreciation for and are committed to working in a global, multicultural academic setting.</li><li>
Preference will be given to candidates who have experience with the integration of technology and alternative delivery systems of instruction in teaching-learning process.</li></ul><div></div><div>
KNOWLEDGE, SKILLS, AND ABILITIES</div><ul><li>
Must be able to independently manage multiple tasks and set priorities.</li><li>
Process strong oral/written communication, presentation, and interpersonal skills.</li><li>
Ability to meet challenges of adult students with diverse background.</li><li>
Integration of technology and alternative delivery systems of instruction in teaching-learning process.</li></ul><div></div><div>
Conditions of Employment:</div><ul><li>
Operate personal computer and audio-visual equipment.</li><li>
Stand or sit for up to one to three hours at a time.</li><li>
Fly or drive to off-site meetings or conferences or to observe subjects in project.</li><li>
Move around campus for classes and meeting.</li><li>
Other requirements as specified by a job description.</li></ul><div></div><div>
Additional Job Information:</div><div>
BENEFITS SUMMARY</div><div>
Coppin State University offers a competitive benefits package to include health insurance options (medical, dental, vision), life and disability insurance, retirement plan contributions, as well as paid leave and federal holidays for all regular employees. Please see the link below to view the benefits that Coppin State University has to offer.</div><div></div><div><div>
https://www.coppin.edu/benefits</div></div><div></div><div>
E-VERIFY</div><div>
This agency participates in the E-Verify system for verification of citizenship and employment authorization.</div><div></div><div>
Coppin State University is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, creed, color, ethnicity, national origin, ancestry, religion, gender, sexual orientation, gender identity, genetic information, marital status, pregnancy, age, disability status or veteran status. View the <div>EEOC Know Your Rights poster</div> for more information regarding your rights under the law.<br>
<br>
If you experience difficulties utilizing the online application system or you require reasonable accommodations during any part of the pre-employment process, please contact Human Resources at AskHR@coppin.edu. Please note that only inquiries regarding a request for reasonable accommodation or system issues will be responded to when contacting this e-mail account. Reasonable accommodation will be considered on a case-by-case basis.</div></div>
<br><p></p><div><div><div><p>About Us</p><div><div><div><div><div>
Coppin State University is a fully accredited institution and a member of the University System of Maryland. Founded in 1900, Coppin, a Historically Black Institution in a dynamic urban setting, serves a multi-generational student population and provides education opportunities while promoting lifelong learning. The university fosters leadership, social responsibility, civic and community engagement, cultural diversity and inclusion, and economic development. Coppin offers 36 Bachelor's, 13 Master's degree programs and 1 Doctoral degree program.</div></div></div></div></div></div></div></div><div></div>

Assistant Professor

<div>
 JOB SUMMARY: The Nurse Care Coordinator delivers and oversees care management services for medically and/or socioeconomically complex patients in accordance with patient-defined goals, multi-disciplinary plan of care, and established policies and procedures. Drawing on best practices in motivational interviewing and care management, the Nurse Care Coordinator collaborates with clients and multi-disciplinary teams to develop and implement flexible, patient-centered, and cost-effective strategies that support clients to achieve health-related goals. The Nurse Care Coordinator will collect and analyze patient-level data, assist with development and maintenance of care plans, and evaluate outcomes of interventions. The Nurse Care Coordinator also serves as a role model and mentor to CBHC staff on best practices in care coordination, motivational interviewing and addressing social determinants of health. Assures compliance with regulatory body standards (including Joint Commission, HRSA, PCMH, and grant funding sources). This is a hybrid position, and the staff member is expected to be licensed and based in Maryland.
 <br/>
 <br/>
 <strong>
  Major Duties And Responsibilities
  <br/>
  <br/>
 </strong>
 Analytical and Critical Thinking
 <br/>
 <br/>
 <li>
  <br/>
  <br/>
 </li>
 Work to develop systems and processes to engage patients in self-management and care navigation.
 <br/>
 <br/>
 <ul>
  <li>
   Ensure that appropriate community resources, home care and ancillary services are in place and being delivered.
  </li>
  <li>
   Identify high and rising-risk, high-need, and potentially high-cost patients within the assigned panel of Chase Brexton Health Care patients
  </li>
  <li>
   Identify patients at risk for poor outcomes and those who may require more intensive services; provide additional outreach and frequent follow up (by phone and in-person) to this population.
  </li>
  <li>
   Provide complex case management, including chronic disease case management, care coordination, transition care management, high risk clinical tracking, and complex medication management to appropriate patients.
  </li>
  <li>
   Access appropriate resources inside and outside the organization to meet the needs of the patient.
  </li>
  <li>
   Provide referrals to appropriate community resources; facilitate access and communication when multiple services are involved; monitor activities to ensure that services are actually being delivered and meet the needs of the patient, coordinate services to avoid duplication. Teamwork
  </li>
  <li>
   Role model and mentor others, including RN Care Managers, to assess and address the physical, functional, social, psychological, environmental, learning and financial needs of patients.
   <br/>
   <br/>
  </li>
 </ul>
 Communication
 <br/>
 <br/>
 <ul>
  <li>
   Deliver, and assist others to also provide, appropriate interventions which demonstrate knowledge of, and sensitivity toward, cultural diversity and religious, developmental, health literacy, and educational backgrounds of the population served. Utilize interpreter services per policy.
  </li>
  <li>
   Facilitate disease prevention and health promotion with nursing staff, patients and families. Patient Focus
  </li>
  <li>
   Provide education, information, and support related to care goals of patients.
  </li>
  <li>
   Act as a patient advocate and assist with problem solving and addressing any barriers to care or compliance with care plan. Checking, Examining, and Recording
  </li>
  <li>
   Maintain accurate patient records and patient confidentiality. Willingness to Learn
  </li>
  <li>
   Engage in professional development activities to keep abreast of care management practices and patient engagement strategies.
  </li>
  <li>
   Attend training sessions and staff meetings as assigned.
   <br/>
   <br/>
  </li>
 </ul>
 SKILLS AND ABILITIES:
 <br/>
 <br/>
 <li>
  <br/>
  <br/>
 </li>
 Able to prioritize competing responsibilities and manage complex caseloads.
 <br/>
 <br/>
 <ul>
  <li>
   Motivational interviewing skills.
  </li>
  <li>
   Supportive coaching and mentorship to colleagues at clinic sites, including RN Care Managers, around care coordination and addressing social determinants of health.
  </li>
  <li>
   Experience with documentation in an Electronic Medical Record
  </li>
  <li>
   Ability to work with computers in word processing, and database applications preferred.
  </li>
  <li>
   CPR certified by scheduled start date.
  </li>
  <li>
   Must be flexible and adapt to a changing environment.
   <br/>
   <br/>
  </li>
 </ul>
 EDUCATION AND/OR EXPERIENCE:
 <br/>
 <br/>
 <li>
  <br/>
  <br/>
 </li>
 Graduate from an Accredited School of Nursing; Current Maryland Nursing License
 <br/>
 <br/>
 <ul>
  <li>
   At least five years of related nursing experience serving vulnerable clients in a community-based, home-based, or ambulatory care setting.
  </li>
  <li>
   Chronic disease management experience
  </li>
  <li>
   Encouraged to maintain membership in professional organizations such as the AAACN, ANAC, etc.
  </li>
 </ul>
 <li>
  <br/>
  <br/>
 </li>
 Preferred: Case Management Certification
 <br/>
 <br/>
 WORKING CONDITIONS/PHYSICAL DEMANDS:
 <br/>
 <br/>
 <ul>
  <li>
   Work is typically performed in an office environment. Depending on client/population needs, may also include clinical and community and/or home-based activities, as appropriate to program. The specific statements shown in each section of this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
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</div>


Population Health RN Care Coordinator

AbsoluteCare

<div><p>Team Nurse</p>
<p><b>Location:</b> Baltimore, MD, USA</p>
<div><div><div><div><div><b>Requisition Number</b><b>2751</b></div><div><b>
Remote?</b><b>No</b></div><div><div><p>
Salary Range $85,000 - $90,000</p></div></div></div></div><div><div><div><div><p><b>
Why Work at AbsoluteCare?</b></p>
<p>At AbsoluteCare, we serve the most vulnerable individuals in America. These are our neighbors, people who are at higher risk for disease or who have multiple, complex, chronic illnesses. Often, they deal with an unequal healthcare system and wind up seeking basic care from emergency rooms. We take these patients out of those spaces and turn them into <i>members</i>: people who are entitled to some of the best, most focused care this country has to offer.</p>
<p>We call this &ldquo;care beyond medicine.&rdquo; We have turned the doctor&rsquo;s office into a comprehensive care center. Here, we surround our members with a core care team of doctors, nurses, social workers, and medical assistants who have the time and skills to get to know our members&rsquo; needs. We make the most important services available to our members under one roof. This includes a pharmacy, X-rays, a blood lab, nutrition services, urgent care, and much more.</p>
<p>We don&rsquo;t stop at our four walls. We engage members in the communities where we all live to find the people who need us most. Through these community care teams, we remove the barriers to healthcare that so many people face daily. And it <i>works</i>.</p>
<p>Our unique care is guided by our core values of accountability, caring, trust, and teamwork. We call it ACT2.</p></div></div></div></div><div><div><div><div><div>
<div><div><div><div>Job Description:
</div><div><div><div><div><p><b>Job Summary</b></p>
<p>This role works with a dedicated Primary Care Provider and supports primary care activities for the PCP panel, including patient education, orders, referrals, and medication management, and addressing gaps in care. The Team Nurse works directly with members to achieve their care plan goals through patient education, care coordination, and building relationship.</p>
<p><b>Duties and Responsibilities</b></p>
<ul><li>Act as the practice-based nurse, supporting on-site providers in facilitating high quality primary care that promotes appropriate healthcare utilization.</li>
<li>Facilitate Patient Centered Medical Home (PCMH) functions through management of diagnostic order tracking, medication refills, review of the medical record, and fielding messages from members and the integrated care team.</li>
<li>Lead panel management for members attributed to the assigned primary care provider through activities including, but not limited to, following disease care pathways, entering standing orders for preventive care, and leveraging available reports to close care gaps.</li>
<li>Monitor access to the primary care provider. Ensure members have scheduled follow-up.</li>
<li>Coordinate services to complete primary care provider action plan tasks.</li>
<li>Meet with members in the medical center as an extension of the primary care provider to address member needs, including medication reconciliation and teaching and coaching for effective disease management.</li>
<li>Engage members telephonically between primary care visits to support PCMH activities, panel management, and action plan completion.</li>
<li>Prepare for and participate in daily huddle with the integrated care team.</li>
<li>Act as a bridge between the primary care provider and the greater integrated care team. Coordinate internal referrals between team members.</li>
<li>Coordinate with the Immediate Care Area to provide in person and telephonic triage. Perform nursing interventions including wound care, IV (intravenous) therapy, and phlebotomy as needed.</li>
<li>Provide coverage support for fellow care team members as needed, including point of care testing, medication administration, and office flow.</li>
<li>Leverage strong time management skills to prioritize and balance member care responsibilities with provider panel management and role-specific tasks.</li>
</ul><p><b>Minimum Qualifications</b></p>
<ul><li>Active, unrestricted license as a Registered Nurse in the state of practice required. Compact RN license preferred, or willingness to obtain.</li>
<li>3+ years of experience providing clinical services to Adult and Geriatric individuals with co-occurring chronic medical and behavioral health conditions.</li>
<li>Active CPR certification.</li>
<li>Experience working for a community-based organization preferred.</li>
<li>Proficiency in clinical nursing skills such as wound assessment and care, venipuncture and phlebotomy, and assessment and management of common chronic conditions such as diabetes, hypertension, CHF, and COPD.</li>
<li>Excellent interpersonal communication, problem solving, and organizational skills.</li>
<li>Independent self-starter and critical thinker interested in population health, healthcare utilization management, and the ongoing development of our care model.</li>
<li>Proficiency with Microsoft Office applications.</li>
</ul><p><b>Working conditions</b></p>
<p>This job operates in a professional office environment. This role routinely uses general office equipment. Often wear a special uniform, such as a lab coat or surgical scrubs, protective or safety attire, such as gloves and masks. Exposed to the diseases and infections of patients daily. May share workspace with other technicians and staff.</p>
<p><b>Physical requirements</b></p>
<ul><li>Ability to communicate clearly and exchange accurate information constantly.</li>
<li>Ability to remain stationary for long periods of time.</li>
<li>Constantly operates computer, keyboard, copy and fax machine, phone, and other general office equipment.</li>
</ul><ul><li>Ability to occasionally move objects up to 20 lbs.</li>
</ul><p><b>Direct reports</b></p>
<p>None.</p>
</div></div></div></div></div></div><br>
</div></div></div></div></div></div><div><div><div>AbsoluteCare, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, age, disability, genetics, protected Veteran status, or any other characteristic protected by law or policy.</div></div></div></div></div></div><p></p>

Team Nurse

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