Nurse Practitioner - Baltimore, MD
Location: Baltimore Maryland
Description: Cigna is looking of Nurse Practitioner - Baltimore, MD right now, this career will be placed in Maryland. For detail informations about this career opportunity please read the description below. Job Description
THE ORGANIZATION
Based in Nashville, Tennessee, HealthSpring got its start in 2000 and is now one of the country’s largest and fastest-growing coordinated! care plans whose primary focus is Medicare Advantage plans. HealthSpring currently owns and operates Medicare Advantage plans in Alabama, Delaware, Florida, Georgia, Illinois, Maryland, Mississippi, New Jersey, Pennsylvania, Tennessee, Texas, and Washington, D.C., as well as a national stand-alone prescription drug plan.
HealthSpring/Bravo Health, a Cigna subsidiary, is dedicated to improving the health of the communities we serve by delivering the highest quality and greatest value in healthcare benefits and services.
POSITION SUMMARY
The nurse practitioner has responsibility for continuous, coordinated and comprehensive care of Bravo Health members at designated institutional sites.
As coordinator of the care management team, the nurse practitioner assumes responsibility for collaborative practice with the member’s primary care physician, as that physician defines it. In addition, the nurse practitioner serves as medical liaison to t! he interdisciplinary staff and allied health providers, provid! es case management services, integrates components for care conferences and case presentations, and communicates information and reports to assure seamless delivery of services to members of the interdisciplinary team that include the primary care physician, nurses, therapists, social workers, dieticians, pharmacists, and members and their responsible parties.
As a key member of the clinical team in the facility, the nurse practitioner provides preventive services, establishes medical diagnoses for both chronic and common acute problems, establishes a plan of care with short-term and long-term goals, orders and interprets diagnostic tests, prescribes medications, refers to specialists and other providers as appropriate, provides basic emergency care if necessary, and acts as a resource to members, families, and staff. The nurse practitioner also assists with transitions between health care facilities and provides pertinent health care information to receiving facil! ities.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Clinical Service Provision
Demonstrates both autonomy and proficiency in performance of comprehensive historical, social, physical, and functional assessments.
Pursues therapeutic interventions and diagnostic reasoning that reflect current, evidence-based nursing and medical knowledge and practice.
Collaborates with member’s physician to create a proactive plan of care (Member Care Plan) focused on early prevention, detection and timely intervention.
Reliably discharges on-call responsibilities and responds to calls within fifteen minutes.
Complies with the practice parameters of the state in which he or she practices.
Develops an individualized comprehensive plan of care that aims to reduce the risk of adverse health outcomes and unplanned discharges from the nursing home.
Communicates with physicians and family members during transitions of care.!
Case Management
Effectively listens to and communica! tes with all members of the care team, incorporates the ideas of the team to consensus, and manages the agreed-upon plan with confidence and discipline.
Utilizes critical thinking as to determine appropriate treatment and least restrictive placement, acknowledging a member’s right of self-determination.
Utilization Management
Facilitates a medically appropriate and effective plan of care to avoid unnecessary duplication of testing, prolonged hospitalization, iatrogenic illness, and fragmentation of care.
Demonstrates awareness of internal and external customers by following established Bravo Health guidelines for pre-certification, authorization, nursing facility stays, specialty services, and use of authorized service vendors.
Strategizes with physician and management team to enhance cost effectiveness of services while addressing continuing needs of member, maximizing member’s health potential and supporting corporate missi! on.
Coordinates with social services for appropriate community and supportive resources across all settings of care.
Participates in case rounds to review skilled and hospitalized members.
Marketing Support
Supports and participates in member events.
Serves as Bravo Health brand ambassador and promotes Bravo Health programs and initiatives to members, their family and to the community.
Assists supervisors in the rollout of new facilities.
Leadership Activities
Assists supervisors in the orientation of new Nurse Practitioners.
Assists supervisors in the rollout of new facilities.
Serves as a resource to newer team members.
Participates in committees and group projects as needed.
QUALIFICATIONS
Active and unrestricted NP license in state of Maryland (licensure in Adult, Family or Gerontology required)
Must be able to meet Bravo Health credentialing req! uirements
Must possess or be eligible for DEA licensure and CD! S (if required in the state of practice)
BCLS certification required
Clinical competence and understanding of evidenced-based practice.
Proficient in basic computer skills, such as sending e-mails, saving electronic files, retrieving saved documents, and searching the internet.
Confidence in learning and using unfamiliar computer programs and electronic devices.
Clear commitment to the care of the elderly and the attendant needs of their families
Strong interpersonal and communication skills
Superior organizational skills
Ability to multi-task
Enthusiasm, flexibility and a sense of humor
Excellent teaching skills
Strong customer service orientation .
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to Cigna.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Sat, 10 Aug 2013 02:24:51 GMT