Nurse Practitioner - Raleigh, NC

Nurse Practitioner

As part of Strive’s interdisciplinary clinical care team, the NP will utilize their advanced education, skills, and judgment to deliver advanced nursing care for CKD and ESKD patients. The NP will be responsible for managing patient care by working with the Strive interdisciplinary team of social workers, care coordinators, pharmacists, dietitians, and physicians to provide best in class patient care. The Strive NP will be an advocate, navigator, trusted clinician, and safety net for the patient while delivering exceptional clinical care, building empathy and trust with patients, and delivering a world class patient experience.

Essential Functions

• Accountable for patient outcomes and KPIs for a panel of CKD and ESKD patients. 
• Understands value-based care and applies principles to practice.
• Assess patient needs including preventative care, immunizations, and screenings deliver advanced quality nursing care, and achieve optimal patient outcomes for patients with chronic kidney disease and ESKD.
• Obtains patient history, performs physical exam, orders, and interprets diagnostic tests and lab values to identify and assess patient’s health care needs.
• Formulates a plan, diagnoses, and prognosis based on assessment findings and individual patient short term and longitudinal needs.   
• Performs follow up assessments and touchpoints to address acute and interim events, monitor progress, update care plans.
• Adheres to expectations outlined in Strive’s documentation policy.
• Collaborates with the interdisciplinary team to meet immediate and longitudinal needs.
• Collaborates with external providers to ensure alignment on goals, treatment, and care plans.
• Follows best demonstrated practices and evidence-based medicine and incorporates best into patient care.
• Presents patient cases and provides clinical support for clinical rounds and interdisciplinary team meetings.
• Ensures assessment and plan of care incorporate best practices for chronic kidney care:
  • CKD clinical care including management of all stages of CKD, co-morbidities, ESKD and support of transitions to renal replacement therapy, transplant, or conservative care
• Participation in shared decision making and end of life/advanced care planning discussions
• Serves patients and perform patient visits in multiple care settings as defined by role:
  • Including patient home, clinics (where applicable), partner MD space (where applicable) and via telehealth/virtual visits
  • House Calls/ Mobile NP – majority of visits conducted in patient home, minimal telehealth
• Meet in person with internal and/or external stakeholders to facilitate team and business priorities/opportunities.
• Serves as a liaison with dialysis facilities, PCPs, and nephrologists, providing care plan updates to help streamline the transitions in care.
• SCP NP: Deliver primary and urgent care visits to adult and geriatric patients with history of chronic kidney disease (in designated markets).
• Responsible for maintaining current board certification and state specific requirements for continuing education.
• Remains up to date on guidelines and advances for kidney care and associated co-morbidities including Strive specific clinical programs, protocols, policies and procedures.
• Participates in Strive’s on-call program.
• Other duties as assigned.

Minimum Qualifications

• Completion of Master’s or Doctorate level degree in Nursing  
• Minimum of 2 (two) years' experience as a Nurse Practitioner 
• Current state specific licensure required
• Obtain additional licenses as required to meet patient and contractual needs
• National Board Certification 
• Current Drug Enforcement Administration (DEA) license required for SCP and markets with contractual requirements
• Current Basic Life Support for Healthcare personnel (BLS) certification required 
• Experience as a family/primary care or geriatric NP or experience in internal medicine, cardiology, nephrology or diabetes
• Basic computer skills and experience with EHR required 
• Experience with electronic medical record, preferable 2 years
• Internet connectivity – Min speeds: 3.8Mbps/3.0Mbps (up/down): Latency <60 secs
• Must have ability to travel to a member’s location including use of public transportation (plane, train, subway, ferry) as dictated by patient location  
• Business travel as required
• Must meet company driving standards: valid unrestricted driver’s license, active automobile liability insurance with proof of coverage

Preferred Qualifications

• Demonstrated proficiency in clinical assessment, diagnosis, planning, implementation, documentation, and evaluation of complex chronic patients 
• Excellent communicator, team builder, and evidence of results 
• Demonstrated knowledge and understanding of data and managing to clinical, financial, and patient satisfaction outcomes 
• Excels at developing and fostering strong patient and family relationships that center on engagement, trust, honesty, empathy, follow-through and doing what’s best for the patient  
• Preferred NP experience in internal medicine, nephrology, cardiology, diabetes, acute care, or ICU care
• Wound Care certification is a plus (market specific)
• Experience using audio-visual technology platforms.

Physical/Environmental Demands

• Ability to reach overhead and side to side
• Lifting overheard and carrying of 10lbs routinely, 20 lbs sporadically 
• Ability to sit, stand and kneel as needed to perform physical assessment
• Ability to grasp and hold medical instruments as needed to perform physical assessment
• Ability to navigate stairs and a variety of patients dwelling conditions and configurations

Annual Salary Range: $109,000.00-$136,000.00