Nurse Practitioner - AAP - APP or PA - Nephrology for Miami
Physician Assistant, Nurse Practitioner - Nephrology
Miami, FL
Specialist, Nephrology Extender (APP) Position Summary The Nephrology Extender provides coordination of quality care for CKD and ESRD patients between primary care physicians, community nephrologists and dialysis clinics. Reporting to the National Director of Nephrology, the incumbent will be responsible for identifying opportunities to minimize fragmentation of health care for ESRD and CKD patients. They will continually seek to improve patient and quality outcomes, monitoring program performance across multiple medical centers. They will be responsible for patient education and will help develop strategies for quality improvement and management. KNOWELDGE SKILLS AND ABILITIES •Works directly with the National Director of Nephrology to analyze care gaps sharing recommendations with PCPs and dialysis clinics to decrease crash into dialysis. •Responsible for care coordination between ChenMed Nephrology team, PCPs, Dialysis units and vascular or inpatient care facilities. •Ability to review patient charts, provide assessments and recommendations for care plan. •Enhances home dialysis utilization for patients with emphasis on increasing de-novo start of home dialysis. •Works with transitional care team on decreasing ESRD hospitalizations and length of stay •Provides virtual education to patients on CKD and options for dialysis. •Develops trusting relationships with all internal and external stakeholders to determine areas of opportunity supplemented with remediation strategies. •Supports and completes ad-hoc initiatives including, but not limited to research and care advancement proposals. •Ability to travel up to 75% •Other duties as assigned. EDUCATION & EXPERIENCE •Licensed Physician Assistant or Nurse Practitioner with 5+ years of nephrology experience •Nephrology CAQ or Certified Nephrology Nurse (CNN) preferred •Experience with care coordination and coaching •Excellent verbal and written communication skills •Intermediate computer skills with Microsoft Office Suite products, including Excel and Word •Medicare and/or Medicare Advantage experience a plus •Prior experience in a value based care (e.g. ESCO) , risk-model based healthcare a plus Kidney Care Promoter Scope of Work and KPIs A. Late-stage CKD (near dialysis) patients: - Analyze gaps in care and make recommendations to Dr Kheda/PCP - Chart reviews and provide assessment if candidate for home dialysis - Provide virtual education to patients on CKD and dialysis options - Care coordinate with community nephrologist to avoid ‘Crashing into Dialysis’ - Increase de-novo start of home dialysis - Decrease Crash into Dialysis B. ESRD on hemodialysis: - Analyze gaps in care and make recommendations to Dr Kheda/PCP/dialysis clinics - Do virtual assessment if candidate to transition to home dialysis - Work with TCM team on decreasing ESRD hospitalizations and LOS - Care coordinate between ChenMed, Dialysis unit, vascular and inpatient care - Increase proportion of patients on home dialysis - Decrease hospitalization rate and LOS Scope of Work and KPIs - Provide virtual dialysis options education - Nephrology and transplant referral management - Promote home dialysis among existing ESRD patients - Care coordination with TCM teams to decrease nephrology hospitalizations - Develop CKD education material for patients and PCP use If you are interested in this position please respond with your CV and I will set up a time to discuss the position.

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