Job Description:

We have the great privilege of helping patients and families re-build their lives. It's extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients \\"Ask for Mary,\\" they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them.

Mary Free Bed is a not-for-profit, nationally accredited, rehabilitation hospital with 167 inpatient beds - 119 acute and 48 sub-acute. There are numerous outpatient programs as well as home and community services. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes.

Mission Statement

Restoring hope and freedom through rehabilitation.

Diversity and Inclusion

Mary Free Bed values diversity and inclusion among patients, families and staff. We strive to hire people who reflect the communities we serve. Our employees will serve all patients, families and each other with dignity and respect.

Summary:

The Nurse Practitioner will be responsible for working with assigned inpatient and/or outpatient physicians at locations within the Mary Free Bed Network where they have privileges. Maintains a collaborative practice arrangement with the assigned physician(s). Provides independent judgment in the assessment, diagnosis and initiation of selected protocols/procedures. Provides educational support for patients/significant others, team members and the community liaisons. Coordinates quality improvement studies to measure outcomes of care and develops research opportunities.

This position will also be responsible for reviewing inpatient referrals, performing consults, and finalizing the admission of patients to the inpatient unit at the assigned host hospital(s). This position will provide a pro-active consult service to targeted hospital systems in the host hospital or service location(s). This position will provide direction to ensure that all medically appropriate patients have access to Mary Free Bed and the Mary Free Bed Network. The Access Advance Practice Provider will work in conjunction with consulting Mary Free Bed physiatrists to establish best practices for admission processes with the goal of achieving census and admissions targets.

Essential Job Responsibilities:

- Functions in the role of advanced practice practitioner to provide coordinated comprehensive care delivery in both the inpatient and outpatient setting. Writes orders/prescriptions for standard formulary medications, laboratory studies, radiographic studies and consultations, coordinating the scheduling of new patients, diagnostic evaluations, follow-up exams, laboratory tests, referrals to home care, social services, and other community agencies, etc., in order to ensure continuity of care and coordination of services for patients.

- Screens new patients referred to gather pre-appointment clinical information and functional status/priorities for the appointment. Shares responsibility of staffing patient return visits with other providers.

- Provide services in the inpatient setting which may include, but are not limited to:

- Performing Admission History and Physicals as assigned

- Rounds on assigned patients, documenting and communicating with physician and other team members as appropriate

- Complete inpatient consult requests, records reviews, and patient screenings to determine appropriateness for inpatient admission

- Participates in team conferences

- Performs clinical duties in the outpatient setting, including such activities as:

- Provide medical care for scheduled patients

- communicating lab tests, x-rays, MRI, and other specialty evaluations to the other team members,

- formulating a problem list, and updating this at each contact,

- arranging medication, lab work, medical evaluation, or other orders prescribed by the physician,

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- coordinating referrals for social work or other community resources,

- communicate assessments, test results, and plan of care with patients, family members and care team members

- receiving telephone calls or other inquiries from the patient, evaluating the problem, and developing a plan of care.

- When assigned - leads the inpatient multidisciplinary wound round team; provides consultation and input into protocols to be implemented for patient care; provides consultations when requested by attending physicians.

- Documents in the medical record and dictates information as appropriate. Demonstrates competence in navigating and appropriate documentation in electronic medical record.

- Assesses the educational needs of the patients, significant others, health care team, and the community. Develops, implements, evaluates and revises teaching strategies and educational programs specific to the patient's medical and psychosocial needs.

- Measures the outcomes of care and evaluates services across the continuum of outpatient services. Makes recommendations to improve the quality of patient care provided and utilizes the scientific method to research clinical problems.

- Maintains knowledge of current trends and developments in the field by reading appropriate books, journals and other literature and attending related conferences, seminars and other related activities. Maintains the professional competence, knowledge, and skills necessary for all responsibilities. Completes required training and education, including department specific requirements.

- Ensures that services are provided in accordance with state and federal regulations, organizational policy, and accreditation / compliance requirements.

- Performs such individual assignments as management may direct. Establishes and maintains effective working relationships within the organization. Provides information to senior levels of management on the implication of policies and procedures being formulated and recommends specific action.

- Acts as a patient advocate, crossing multidisciplinary lines to meet patient needs. Communicates, collaborates, networks with and acts as a consultant to other members of the health care team within and outside Mary Free Bed Rehabilitation Hospital. Acts as a consult in area of expertise.

- Serves as a resource for patients, families, team members, and community for information related to patient populations served.

- Participates in program development and service recovery as needed.

- Other duties as assigned.

Essential Job Qualifications (Knowledge, Education, and Training Requirements):

- Registered Nurse with current Michigan Nursing License in good standing.

- Master's Degree in nursing/health related field.

- Certified and licensed as a Nurse Practitioner (NP) by the State of Michigan.

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.

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