• Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes.

• Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate.

• Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted.

• Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings.

• Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements.

For Mental Health only:

• Conducts psychosocial assessments of interventions patients and develops treatment recommendations. Determines whether further evaluation by a collaborating psychiatrist is needed.

• Provides the following services to patients: advocacy, psychoeducation, psychopharmacology, cognitive/behavioral interventions, monitoring of mental status, emotional support, brief psychotherapy and family-based interventions.

• Supports and educates VNS Health staff and caregivers to enable them to better care for patients with psychiatric, cognitive, and/or behavioral challenges.

• Consults with a collaborating psychiatrist as necessary to develop psychiatric evaluation and treatment plans.

• Consults with the referrer on assessment, recommendations, and updates on treatment progress.

• Follows treatment plans, revising and updating them as necessary, makes appropriate referrals for additional mental health services and provides crisis intervention as required.

• Participates in interdisciplinary team meetings, case conferences and clinical supervision; attends in-service education programs.

• Master's degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure), required.

• Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner, required.

• Minimum of two years of experience as a nurse practitioner utilizing full scope of practice, preferred.

• Clinical home care experience or two years managerial experience, preferred.

• Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services, required.

• Bilingual skills, as determined by operational needs

For Mental Health only:

• Master's degree in psychiatric-mental health Nurse Practitionerrequired.

• PhD in psychiatric-mental health Nurse Practitioner, preferred.

• Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice

• Must be able to walk up and down steps to access patient residences and transport required supplies weighing approximately 25 - 30 lbs.