The Department of Medicine, Division of General Internal Medicine is seeking a Nurse Practitioner (NP) for the outpatient medicine clinic setting to help co-manage a small panel of high-risk adult patients in a primary care practice, enhancing standard PCP care. The NP will collaborate with established resident and faculty PCPs in the Johns Hopkins Outpatient Center Medical Clinic to provide enhanced, high touch, independent and collaborative primary care to a select group of high-risk patients. The NP will have extended visit times and significantly lower visit volumes than seen in standard primary care practices in order to develop meaningful relationships with patients at-risk for hospitalization.
The Nurse Practitioner will collaborate and coordinate care with interdisciplinary care teams to ensure the plan of care is in line with and supports the patient's goals of care, physical and social needs. The NP will be responsible for documentation of visits and follow up re-assessment(s) in the electronic medical record, along with recommendations and/or prescriptions.
Specific Duties & Responsibilities:
Work schedule includes 40 hours per week, being comprised of five (5) in person or telemedicine clinic sessions (20 hours) and five (5) administrative sessions per week (20 hours). Administrative time is allotted to allow the provider ample time to coordinate care and interface with other team members.
Assist with providing comprehensive and episodic care to high-risk patients. This includes reviewing the patient chart, taking a history, completing a physical assessment and interpreting diagnostic and radiologic testing.
Proactive patient communication, education and coordination of care between visits and schedule patient appointments for telehealth or in-person visits when appropriate
Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization
Development of specific care plans for high-risk patients that includes diagnosis- specific recommendations, medications, follow-up appointments, and sick day plans to prompt a call to the Provider.
Counsel and teaches patients and family members concerning disease process and expected outcomes.
Make referrals to other specialists as indicated by the patients' condition.
Document clinic notes and other pertinent data into EMR that is necessary in the care of the patient. Provide information to referring physicians.
Participate in the clinic's weekly high risk rounds and provide updates and insights into patients on panel
Collaborate with clinic leadership to identify in-need patients
Provide regular feedback to clinic leadership on PCP and NP collaboration, assisting to make workflow changes or provide education on program where appropriate
Master's degree in nursing; Registered Nurse license and Certified as a Nurse Practitioner. Must be licensed as NP in State of Maryland or other state where practicing. Minimum of three years of related clinical NP experience preferred.Current CPR certification required. Additional experience may substitute for master's degree per the JHU Equivalency formula. Must maintain current licensure and certification during duration of employment. Completion of the JHH credentialing process is required prior to start date.
JHU Equivalency Formula: 30 undergraduate degree credits (semester hours) or 18 graduate degree credits may substitute for one year of experience. Additional related experience may substitute for required education on the same basis.
Licensure and Certifications:
Maryland CDS and DEA licensure required.
Familiarity with regulations and standards governing NPs in the State of Maryland.
Additional Knowledge, Skills, and Abilities:
Operates personal computer to access email, computerized scheduling and documentation databases, and other basic office support software.
Strong oral and written communication skills required.
Demonstrates ability for self-direction and initiation.
Demonstrates ability to work independently as well as collaboratively within team structure. Demonstrates customer service skills.
Must be able to prioritize responsibilities and work in a fast-paced environment.
Technical Qualifications or Specialized Certifications:
Completes all required HIPAA and other specified online training courses.
Successfully completes all necessary EPIC training courses and other applicable clinical software systems.
Sitting, standing and walking for extended period. Reaching by extending hand(s) or arm(s) in any direction. Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s). Ability to move standard equipment through a hospital or clinical environment.
Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: Competitive; Commensurate with experience Employee Group: Full Time Schedule: Monday - Friday, 8:30am - 5:00pm Exempt Status: Exempt Location: School of Medicine, East Baltimore Campus Department Name: Medicine, General Internal Medicine Personnel Area: School of Medicine
The successful candidate(s) for this position will be subject to a pre-employment background check.
If you are interested in applying for employment with The Johns Hopkins University and require special assistance or accommodation during any part of the pre-employment process, please contact the HR Business Services Office at email@example.com. For TTY users, call via Maryland Relay or dial 711.
The following additional provisions may apply depending on which campus you will work. Your recruiter will advise accordingly.
During the Influenza ("the flu") season, as a condition of employment, The Johns Hopkins Institutions require all employees who provide ongoing services to patients or work in patient care or clinical care areas to have an annual influenza vaccination or possess an approved medical or religious exception. Failure to meet this requirement may result in termination of employment.
The pre-employment physical for positions in clinical areas, laboratories, working with research subjects, or involving community contact requires documentation of immune status against Rubella (German measles), Rubeola (Measles), Mumps, Varicella (chickenpox), Hepatitis B and documentation of having received the Tdap (Tetanus, diphtheria, pertussis) vaccination. This may include documentation of having two (2) MMR vaccines; two (2) Varicella vaccines; or antibody status to these diseases from laboratory testing. Blood tests for immunities to these diseases are ordinarily included in the pre-employment physical exam except for those employees who provide results of blood tests or immunization documentation from their own health care providers. Any vaccinations required for these diseases will be given at no cost in our Occupational Health office.
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