Opportunity Description
Essential Job Duties:
- Perform comprehensive assessments for participants and coordinate with the IDT to develop a comprehensive care plan for each participant
- Be an engaged member of the IDT, communicating participant changes, collaborating on care planning arrangements, and coordinating 24-hour care delivery
- Work collaboratively with network providers and other members of the IDT to ensure effective care coordination, particularly around hospital discharge, short-term, and long-term placement
- Provide direction and guidance to Nurse Practitioners
- Oversee participants' use of medical specialists and inpatient care
- Participate in rotating night and weekend call
- Oversee all care of participants in the nursing home, providing regular visits as dictated by PACE standards an...
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