This role primarily provides medical care and management to
members served by the Landmark program who request urgent visits to
the IDT team during daytime and/or swing hours (8 hour shifts).
This position also participates in new patient enrollment,
post-discharge visits, and gathering clinical information for
medical necessity determinations for service requests.
Dedicated to improving the health and well-being of members, this
position collaborates within longitudinal Landmark provider and/or
the PCP as needed to discuss immediate and ongoing patient care
Practices in accordance with the respective state laws and
regulations governing the practice of registered nurses.
During the visit, promptly communicates with the longitudinal
provider and/or pod leader to discuss patient assessment and
receive/document/implement orders received.
Comfortable with basic procedures of nursing care, including IV
placement, blood draws, injections, foley catheters, nasal packing,
wound care, etc.
Competes the required documentation in a timely manner (goal:
during or immediately after the visit) allowing the care team
access to the care provided and a note to be generated for
Competency in care for core chronic disease condition of
internal medicine and their respective exacerbations (e.g. COPD,
Heart Failure, Diabetes, Kidney Disease, Wounds, Infections,
Communicates to and participates in discussions with the on-call
and other team members regarding urgent call matters that may
require close patient follow-up or alteration of the care plan.
Completes follow-up and post-hospital assessments according to
documented standard operating procedures.
Implements appropriate diagnostics and completes interventions
received via verbal order (?) from longitudinal provider/pod leader
as appropriate, to avoid unnecessary transfers/acute
Consults with hospital physicians following notifications of
Works with the Regional Medical Director (RMD) and physician pod
leaders to develop quality improvement programs and provides
feedback regarding needed equipment and training to ensure maximum
value to the RN Urgentivist position.
Educates members and/or their caregivers in disease processes
and ways to manage them effectively
Participates in management meetings that include, but may not be
limited to: Daily huddle calls
Weekly case conference reviews
Monthly staff meetings
Quarterly Quality Improvement Committee meetings
Continuing education/journal club programs
On-call for caseload during business hours.
Keeps current on relevant medical and nursing research,
technology, and related issues by attending continuing education
courses, professional meetings and journal reviews.
Perform related duties as necessary and other duties as
EDUCATION AND EXPERIENCE
To perform this job successfully, an individual must be able to
perform each essential duty satisfactorily. The requirements
listed below are representative of the knowledge, skill, and/or
ability required. Reasonable accommodations may be made to
enable individuals with disabilities to perform the essential
Completion of Registered Nurse accredited program.
Minimum of two (2) years clinical experience; Emergency Room or
ICU care experience preferred.
Knowledge of inpatient, skilled nursing, community resources and
cost-effective alternatives regarding patient care delivery
systems. (home health experience and or understanding?)
Knowledge of CPT, ICD-10 and HCPC codes – for what purpose?
Knowledge of clinical standards of care
Awareness about CMS guidelines, Milliman guidelines, and
Medicare contracts and benefit systems preferred
In order to work with potentially vulnerable patient populations
and to keep employees healthy while caring for patients, all
patient-facing employees of Landmark must provide evidence of the
following required immunizations/vaccinations as a condition of
employment: TB, MMR, Tdap, and Influenza. Declinations may be
accommodated based on your medical history, an allergy or religious
beliefs. Please immediately contact HR if you wish to apply for an
exemption from our vaccination requirements so that we may
determine if you qualify for an accommodation.
Problem Solving - Identifies and resolves problems in a timely
manner; gathers and analyzes information skillfully; develops
alternative solutions; works well in group problem solving
situations; uses reason even when dealing with emotional
Technical Skills - Assesses own strengths and weaknesses;
pursues training and development opportunities; strives to
continuously build knowledge and skills; shares expertise with
Customer Service - Manages difficult or emotional customer
situations; responds promptly to customer needs; solicits customer
feedback to improve service; responds to requests for service and
assistance; meets commitments.
Interpersonal Skills - Focuses on solving conflict; maintains
confidentiality; listens to others; keeps emotions under control
and overcomes resistance when necessary; remains open to new
Oral Communication - Speaks clearly and persuasively in positive
or negative situations; listens and seeks clarification; responds
openly to questions. Able to deal with frequent change,
delays, or unexpected events.
Attendance/Punctuality - Is consistently at work and on time;
ensures work responsibilities are covered when absent; arrives at
meetings and appointments on time.
Dependability - Follows instructions, responds to management
direction; takes responsibility for own actions; keeps commitments;
commits to long hours of work when necessary to reach goals;
completes tasks on time or notifies appropriate person with an
Initiative - Volunteers readily; undertakes self-development
activities; seeks increased responsibilities; takes independent
actions and calculated risks; looks for and takes advantage of
opportunities; asks for and offers help when needed; generates
suggestions for improving work and workflow.
Computer literacy ? Experience in electronic health records