Geriatrics Nurse Practitioner

Seeking a Transitional Care Nurse Practitioner to d eliver high-touch, high-quality care to high-risk patients within their homes in the Allentown, PA area.

Details / Responsibilities :

• Full-time, Mon - Fri, 8am-5pm
• Deliver high-touch, high-quality care to the highest risk patients within their homes
• This role is supported by a scribe / medical assistant, nurse, social worker, and other resources.
• NPs make 6-7 visits daily in a defined territory and collaborate continuously with other team members for care coordination and all other needs.
• APPs in a defined territory collaborate continuously with other team members for post-discharge follow up care coordination, medication reconciliation, and social services follow up.
• Provide post-discharge support according to defined pathways within the patient's home
• Develop care plans and individualize goals of care with patient, their families, and their providers
• Optimize and monitor clinical status, identify and address gaps in care, reconcile medications and address adherence challenges
• Collaborate with Transitional Care Managers, home health, social workers, hospitals, SNFs, and specialists
• Structure and prioritize scheduling based on clinical complexity for both new and routine patients
• Recognize, diagnose, and manage both acute and chronic medical conditions in order to prevent destabilization and readmissions
• Provide after-hours and weekend call support, shared with other in state providers
• Facilitate and conduct goals of care and advance care planning discussions with patients and families
• Assess and evaluate family / caregiver needs and limitations
• Teach patients, caregivers, and others about their health conditions
• Accurate and timely documentation of patient encounters in electronic medical records
• Champion compliance and dissemination of policy, including HIPAA, Patient Identification, and Incident Reporting
• Other duties, as assigned

Qualifications :

Compensation & Benefits :

The Community :

Experience the perfect blend of peaceful living and vibrant community life in a region where rolling hills meet revitalized downtowns, and affordability goes hand-in-hand with opportunity. This area offers a welcoming, family-friendly atmosphere with excellent schools, diverse dining, and a growing arts and culture scene. Residents enjoy access to scenic parks, hiking trails, and local festivals, as well as a strong job market in healthcare, manufacturing, education, and logistics. With easy highway access to major cities like Philadelphia and New York, it s an ideal location for those seeking a balanced lifestyle where small-town comfort meets big-city convenience.

APPLY NOW or TEXT Job and email address to 636 - 628 - 2412.

Search all of our provider opportunities at : brittmedical DOT com