Requires NPI and Medicare Provider numbers prior to interview. Will cover patients in Manhattan or Bronx Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care.
Responsibilities
Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases.
Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes.
Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner scope of practice and national standards of care.
Works under general supervision.
Qualifications
Licensure: License and current registration to practice as a Registered Professional Nurse in New York State required. Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology, required.
Valid driver's license may be required, as determined by operational/regional needs.
Maintains credentialed status with ESPRIT Medical Care and associated managed care plans required.
Maintains NPI, Medicaid and Medicare provider numbers.
Maintains a collaborative practice agreement with a physician in compliance with New York State regulations.
Must be certified by ANCC or another accrediting Nurse Practitioner body ' in order to bill Medicare and meet credentialing requirements.
Education: Master of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure), required. Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required. Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred. Clinical home care experience or two years managerial experience preferred. Demonstrated knowledge of Hedis and QARR quality measures, ICD-9 and CPT coding for reimbursement of services required. Bilingual skills may be required, as determined by operational needs.