The Nurse Practitioner functions autonomously within a defined scope of practice, as well as function in a variety of roles in collaboration with other health care professionals. He/she is a direct care provider in the CLC line of Extended Care whose responsibilities may also include education, research, consultation and administrative roles. - Serves as a clinical expert in providing clinical care management through a variety of patient interactions including face to face, telephonic, or via other correspondence, to patients with complex and specialized needs resulting in a positive outcome and improvement in a patient population or service level: - Assesses patients to identify needs, medical issues and care goals, and identifies resources and critical factors for achieving desired outcomes and primary/specialty care parameters. - Identifies opportunities for improvement and initiates performance improvement processes using interdisciplinary performance approaches to direct the organizations primary and specialty care clinical processes - Develops appropriate medical management plan for LTC Veterans. - Analyzes initial assessment data and coordinates with the primary/specialty care providers and others on the interdisciplinary team to develop a plan for disease and medication management. - The nurse practitioner must complete admission and annual history and physicals for all Veterans on the unit, as well as monthly notes. - The nurse practitioner must also provide episodic care as problems arise as well as authoring transfer documentation when a Veteran moves to a higher level of care, readmission documentation upon his/her return, and discharge documentation. - The nurse practitioner must educate patients and families on numerous health care topics and issues. - The nurse practitioner must also participate in performance improvement projects as assigned, as well as cover for care planning meetings when physician is not available. - The nurse practitioner must be able to identify changes of condition and be able to complete assessment and initiate treatment. - The nurse practitioner will work closely with Hospice medical director in providing palliative care inpatient consults for veterans in the CLC. - The nurse practitioner will also be doing consults in the inpatient and outpatient palliative care clinic and VVC. Assumes a leadership role in utilizing problem solving methodologies to resolve system and/or process problems that impact on patient care, staff performance, and/or systems(s) improvements:
Providing Health Care for Veterans: The Veterans Health Administration is America’s largest integrated health care system, providing care at 1,255 health care facilities, including 170 medical centers and 1,074 outpatient sites of care of varying complexity (VHA outpatient clinics), serving 9 million enrolled Veterans each year.