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AMG Senior Medical Group

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Nurse Practitioner - AMA

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Description

The Practitioner will provide home-based primary and palliative care visits in independent or assisted living facilities, as well as in patients’ residential homes within an assigned geographic area. The Practitioner will perform comprehensive medical evaluations independently, demonstrating advanced clinical competence, and collaborate with patients, families, and caregivers to create personalized care plans that align with patients' palliative care needs and goals of care.

Key responsibilities include:

  • Conducting thorough medical evaluations for elderly, frail, chronically ill, and homebound patients, focusing on comfort and quality of life.
  • Managing Electronic Medical Record (EMR) documentation, ensuring timely completion within 72 hours of patient visits.
  • Developing and regularly reviewing individualized care plans with patients, families, and caregivers, focusing on symptom management and quality-of-life improvements.
  • Assessing and managing medications, including pain relief and symptom control, and issuing prescriptions as needed based on palliative care principles.
  • Ordering and interpreting diagnostic tests as necessary to inform the care plan while considering patient comfort and care goals.
  • Coordinating with a multidisciplinary team (e.g., social workers, spiritual care, nurses) to provide holistic, patient-centered care and facilitate smooth transitions between care settings.
  • Educating patients and families about healthcare options, emphasizing palliative care choices and advanced care planning.
  • Facilitating access to supportive services such as hospice care, social support, and community resources, as required.
  • Upholding professional standards, following policies, procedures, and regulatory requirements to ensure compliance and protection of the healthcare provider's practice.
  • Staying current with medical knowledge and palliative care practices by participating in ongoing education, attending professional development opportunities, and staying connected with relevant networks.
  • Enhancing the healthcare practice's reputation by promoting high standards of patient care and seeking opportunities to provide additional value and support to patients and families.
  • Providing coverage for other practitioners as needed within the care group.
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