Jefferson Health Plans
Location
Jefferson Township, Pennsylvania
The Advance Practice Clinician will conduct comprehensive clinical risk assessments via telehealth and in-home visits for high-risk patients, managing chronic diseases, preventive care, and acute needs while ensuring accurate documentation. This role requires collaboration with the interdisciplinary team, including communicating ongoing care needs to the Primary Care Provider.
Candidates must possess a Master’s Degree and National Board Certification as a Primary/Family Care Nurse Practitioner or Physician Assistant, along with required licensure in Pennsylvania. Applicants must have reliable transportation for home visits and are encouraged to have experience in home-based care and telemedicine.
Job Details The APC for Clinical Risk Assessments will conduct clinical visits through telehealth and in-home visits with patients identified in the health system with high medical risk factors and suspected care gaps. The APC will conduct a comprehensive assessment of medical conditions and provide care as needed including chronic disease management, preventive care, and any acute needs. The APC will consistently carry out complete and accurate documentation in the medical record and communication of ongoing care needs to the primary care provider (PCP). As schedule allows, the APC may also participate in other service types within Jefferson Primary Care, including Supplemental Access Visits and/or coverage of other clinical services both telehealth and in-home.
Assessment & Management Performs complete history & physicals and documents in the medical record. Orders and collects data using appropriate assessment techniques, relevant supporting diagnostic information and diagnostic procedures where indicated. Assesses for risks associated with the care of the acute and complex chronically ill patient including: medication side effects, immobility, impaired nutrition, fluid and electrolyte imbalance, immunocompetence, invasive interventions and diagnostic procedures. Diagnosis Collaborates with interdisciplinary health care team in making diagnoses of acute and complex chronic conditions. Manages diagnostic tests through ordering, interpretation, performance, and supervision. Formulates differential diagnoses by priority. Diagnoses complications and orders appropriate interventions. Formulates Plan of Care Utilizes evidenced based practice guidelines and protocols in an individualized, dynamic plan of care that can be applied across the continuum. Shared proposed plan of care with existing care team, including PCP. Identifies health-related social needs and collaborates with care team to support from high socioeconomic risk factors. Documentation Documents/dictates key components of patient's progress via daily progress note, transfer, and discharge summary, and or clinic note where applicable in Epic (EMR). (SOAP, daily progress notes, plan of care, problem lists, procedure notes, acute event note, discharge summaries, in medical record per specific patient unit or service, death summary) Documentation is timely, meets acute care compliance standards and captures patient acuity. Communication and Collaboration Maintains ongoing communication and collaboration with interdisciplinary health care team. Facilitates and communicates with patient, family and staff to promote continuity of care across the inpatient and outpatient continuum of care. Professional Practice Demonstrates Professional Practice behaviors including: preceptor/mentoring, education and instruction of graduate students. Seeks opportunities for active engagement in research and the analysis of evidenced based practice. Actively participates in Advance Practice Grand Rounds and specialty specific meetings. Maintains CEUs, and membership in a professional organization.
Master’s Degree National Board Certification as a Primary/Family Care Nurse Practitioner or Physician Assistant Licensure in PA is required; multi-state licensure is encouraged Must have means of transportation to accommodate home visits (mileage is reimbursed) Must reside within Southeastern Pennsylvania area BLS certification Home-based care experience is encouraged Telemedicine experience is encouraged Work Shift Workday Day (United States of America) Worker Sub Type Regular Employee Entity Methodist Associates in Healthcare, Inc. (d/b/a Jefferson Community Physicians) Primary Location Address 1101 Market, Philadelphia, Pennsylvania, United States of America Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years. Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status. Benefits Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance. For more benefits information, please click here In keeping with Jefferson's Mission, We Improve Lives, it is our goal to recruit, retain, develop and reward highly-qualified employees. If you are enthusiastic, caring and dedicated to service excellence, we invite you to consider joining Jefferson. Jefferson encourages its employees to expand their knowledge and develop their careers through growth opportunities and continuing education. With a long standing history, Jefferson has been advancing the medical field from the heart of Center City Philadelphia for nearly 200 years. Our Mission, We Improve Lives, expands to every corner of the organization. From our weekly farmer’s market, to our new Jefferson Accelerator Zone for innovation, our employees’ passion for the community is evident by the daily gestures towards our patients, students and each other.
Interventional Radiology Technologist (Full Time) Jefferson Health Einstein Philadelphia
RN - Med/Surg Liver Transplant - Full Time Days - Jefferson Einstein Philadelphia
RN - Med/Surg Oncology Transplant - Full Time Nights - Jefferson Einstein Philadelphia
Medical Assistant- 1300 Wolf Multispecialty- South Philly
Clinical Pharmacist - Part Time / Rotating Shift - Magee Rehabilitation
Clinical Pharmacist - Per Diem - Magee Rehab Hospital
Registered Nurse, Licensed Practical Nurse, or Medical Assistant
Admissions Registered Nurse RN / Hospice
Registered Nurse RN / Hospice Visit PRN
Registered Nurse RN / Hospice Visit PRN
Hospice Nurse (RN) – Day Shift / PRN
Patient Care Technician - Specialist