The ARNP hired into this role will primarily work within an assigned core facility building and must be flexible and willing to float to other buildings or care settings within the assigned geographic area when census or operational needs require additional clinical support.

Must be willing and able to take on changes to the assigned core facility when census levels, staffing needs, organizational priorities change require additional clinical support.

Provide mid-level practitioner services to geriatric population in sub-acute skilled nursing facility (SNF) stays and residential care. Perform in-depth physical assessment and management of illnesses or conditions within the ARNP scope of practice and in collaboration with MD, pharmacists, and other interdisciplinary team members. May diagnose and manage acute episodic and chronic health problems independently.

• Provides comprehensive evaluation and management of acute, episodic, and chronic health problems for patients in skilled nursing facility and residential care stays, ensuring complete and appropriate assessment and plan of care in a timely manner within ARNP scope of practice.  Collaborates with attending physician and provides mid-level practitioner services, including initial evaluation, ongoing medical monitoring, triage of changes in patient condition for the MD/ARNP team, and ensures appropriate medical discharge planning.  Uses prescriptive authority, in compliance with State and Federal law, to appropriately order medications, treatments, and therapies.  Orders and interprets lab work, x-rays, and other tests.  Facilitates day to day plans for ongoing medical care; makes telephone encounter or episodic visits as necessary in response to patient, family, and SNF/LTC facility concerns.  Performs annual physical assessments for residential patients.
• Provides primary contact for health and medical care for Kaiser Foundation Health Plan of Washington members during a nursing home stay. Monitors quality of care and provides expert clinical resource for nursing home staff. Educates patients and families about medical treatment options. Participates in family care conferences when needed for health care planning. Coordinates care within KFHPW care continuum. Monitors quality of care and provides expert clinical resource for nursing home staff.
• Ensures complete, accurate, legible, and timely submission of paperwork. Attends staff meetings. Participates in after-hours call coverage rotation. Participates in precepting ARNP students. Makes presentations to facilities, communities, and colleagues. Participates in Nursing Home Services quality improvement projects.