Job Description

Job Title: CRNP, Staff - Long-term Care
Job ID: 682444
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Advanced Practice Provid
Location: 5360 Saltsburg Road, Verona PA 15147

Description

Purpose:
The CRNP working in the UPMC Skilled Nursing Facilities functions within a Collaborative Practice Agreement with the facility Medical Director to provide on-site medical and palliative care for residents of the skilled nursing facility. This includes both attending to acute changes in medical conditions, as well as delegated review and monitoring of chronic medical conditions. In addition to medical management the CRNP is responsible for the provision of symptoms management and involvement in establishment of goals of care with residents and families. The CRNP works collaboratively with the DON, Unit Managers, and other members of the interdisciplinary team to accomplish such. The CRNP communicates proactively with attending physicians regarding the clinical condition of their patients . The CRNP prescribes medications including controlled substances and orders diagnostic/treatments as needed for residents. The CRNP must demonstrate the knowledge and skills necessary to provide care that is relevant to residents under their care. The CRNP must have well developed communication skills and be able to negotiate the complex medical and psycho-social needs of the residents at the facility. The CRNP must possess the ability to form professional collaborative relationships with attending physicians and all members of the care team. The successful candidate will be place according to years and months of experience for employment purposes.

This position is Monday through Friday days, no on-call or weekends. Free parking

Responsibilities:
  • Accountable to establish professional and respectful interpersonal relationships.
  • Acts as a change agent to design, facilitate, monitor, and evaluate program improvement initiatives.
  • As the expert clinician, is accountable and responsible for sharing that expertise with the nursing staff.
  • Assesses the need for and implements system or process improvements
  • Collaborates with staff development to provide instruction to nursing staff.
  • Collaborates with the attending physician, facility care managers, nursing staff, and Medical Director t coordinate services necessary to support resident care and treatment.
  • Communicated with attending physician regarding findings and treatment plans ordered.
  • Communicates with the UPMC Health Plan care management for Health Plan members regarding the resident care plan, advanced care plans and discharge planning when appropriate.
  • Constructively receives feedback and direction and provides the same for the other staff nurses.
  • Demonstrates awareness of the impact of his/her behavior of the efficient functioning of the department/organization.
  • Documents and communicates goals for care in the medical record and obtains POLST as indicated.
  • Evaluates and manages acute problems and changes in condition of patients/residents.
  • In conjunction with Unit Director mentors staff in effective and appropriate communication skills.
  • Initiates referrals and consultations with other licensed professional health care providers and consults with other health care providers when indicated.
  • Leads health care teams conferences.
  • Ongoing regular assessment of patient values, preferences and goals for care to ensure that the treatment plan reflects these goals.
  • Orders and interprets appropriate laboratory or diagnostic test/procedures as indicated.
  • Participated in facility/departmental Quality Improvement process through meeting attendance, outcome measures, and input regarding processes and procedures.
  • Participates in professional organizations.
  • Participates in self review, sets new goals, and objectives for self on an annual basis.
  • Perform medical evaluation of residents in response to identified need/request from nursing, attending physician or other staff.
  • Provides emergent care and initiates appropriate actions.
  • Provides for pain and symptom control.
  • Provides onsite medical management in collaboration with the Medical Director and Attending physicians
  • Provides patient and family education about their condition in and understandable and realistic manner, along with benefits and burdens of treatment options.
  • Responsible for guiding staff nurses to understand how to develop a Plan of Care that includes mutual and established goals with patient/family and that focus on Palliative Care.
  • Role models professional communication and encourages free exchange of ideas that serve to improve communication.
  • Serves as a resource for staff and other disciplines in the facility.
  • Suggests and leads changes within the department/organization that focus on improving care for seriously ill and dying patients.

Qualifications

The individual must be able to demonstrate the knowledge and skills necessary to provide care and/or interact appropriately to the patients served as specified below. They must also demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs and to provide the care needs as described in the department policy and procedures. 

CRNP:
  • The successful completion of an approved nurse practitioner program is required
  • MSN or higher is required in Adult, Geriatric or Family Health is required
  • Professional nursing experience and/or nurse practitioner experience is preferred
Special Skills and Abilities Required:
  • Ability to establish and maintain positive, caring relationships with executives, managers, physicians, non-physician providers, ancillary and support staff, other departments, and patients/families. 
  • Ability to work productively and effectively within a complex environment, handle multiple/changing priorities and specialized equipment. 
  • Critical thinking, analytical and problem solving abilities required as related to various aspects of patient care. 
  • Good clinical judgment. 
  • Critical thinking skills necessary to exercise and to lead others in application of acceptable standards of practice. 
  • Mobility and visual manual dexterity. 
  • Physical stamina for frequent walking, standing, lifting and positioning of patients. 
This position is dependent upon successful attainment and maintenance of hospital privileges, if applicable to the Business Unit practice.

Licensure, Certifications, and Clearances:

CRNP:
  • Current state RN license and CRNP certification are required
  • National certification, eligible for licensure by Pennsylvania board of nursing, eligible for certification as a CRNP by Pennsylvania state board of nursing
  • Current CPR certification is required
  • Act 33 Clearance will be required 
  • Act 73 Clearance will be required 
  • Act 34 Clearance required
  • Older Adult Services Act
UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $36.07 to $57.47

Union Position: No

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