Field Provider (Per Diem): Physician Assistant, or Nurse Practitioner

About Us:

myLaurel is the leader in home-based acute care tailored for the needs of frail and complex patients. Our Recovery at HomeTM and Rapid Advanced CareTM models provide unmatched readmission prevention and utilization reduction solutions for high-risk populations. By treating in place with a team of compassionate advanced practitioners, myLaurel ensures patients avoid the conventional acute care journey from ER to admission to post-acute care, creating dramatic cost savings, avoiding hospital-acquired conditions and radically improving patient and caregiver experiences.

myLaurel has two clinical service programs; Recovery at Home™ post-discharge program and Rapid Advance Care™ on-demand acute care. When coupled these two programs provide a unique utilization reduction and readmission prevention solution for your patient population

Summary Description

We are hiring for our inaugural team of passionate Physician Assistants and/or Nurse Practitioners who will perform integrated medical services in patient’s homes, in partnership with field responders (EMT’s, Paramedics, Medical assistants). You will travel to the patient’s home or wherever they are, to provide extraordinary care and facilitate the coordination of patient care across a variety of providers and settings, to achieve integrated healthcare and improve patient outcomes. Within the company’s Flycar, you will have the point of care diagnostics, procedural and acute wound care supplies, and therapeutics, including IV fluid and medications, needed to ensure the highest quality in home care outcomes.

This is a per diem position.

Key Responsibilities :

• Working as part of a clinical care team with a field responder (clinical training similar to a Medical Assistant) to deliver Rapid Advanced Care and Recovery at Home in our patients’ homes by: Performing a problem focused assessment and various health assessments/screenings to ensure we are diagnosing and treating the factors leading to the acute symptoms Ordering, performing and analyzing test results to support medical decision makingPerforming POC diagnostic labs, phlebotomy for send out labs, point of care ultrasound (trained prior to performing in the field), EKGsActively providing therapeutic interventions, such as IV fluids and medications, splinting, suturing, acute wound care and arranging for appropriate follow up for the patient to ensure continuity of careOrganizing other mobile testing to ensure most appropriate therapeutic interventions
• Integrating the patient’s (or health care agent’s) goals of care into the care plan applying, where appropriate, palliative principles to the patient’s care.
• Using critical thinking skills and following evidence-based standards of practice.
• Educating patients and families on how to best continue treatment of their acute illness and manage their health and well-being.
• Communicating effectively with patients, family, the health care agent, primary care provider and all individuals involved in the patient’s care.
• Real Time communication with referring clinicians and close the loop with these referrers once the patient has been evaluated and a plan initiated.
• Effectively communicate with patients, caregivers and loved ones in diverse cultural, socioeconomic and age groups to interview patient, family members, and bystanders, and ability to discern deviations/changes patient's condition and gives direction as appropriate and according to approved guidelines and protocol
• Attending and actively participating in clinical conferences, training and huddles ● Identifying potential technical or patient care issues and work with leadership to make recommendations to enhance patient safety
• Supporting interprofessional team and leadership to evaluate and measure the impact of new approaches that have been implemented
• Supporting clinical guideline development, clinical pathways, disease management, transitional care management, drug use programs as identified and in collaboration with or under the guidance the medical director

Key Competencies

• Able and willing to provide medical services in the home and non-typical clinical environments
• Excellent organizational, interpersonal, problem solving, time management and communication skills, both verbal and written
• Exceptional understanding of empathy, compassion, exemplary customer service
• Ability and willingness to work in a cross-functional team
• Familiar with and able to demonstrate multicultural competency
• Familiar with the socioeconomic, and educational issues facing the population assigned
• A quick learner, willing to work in a fast-paced start-up where processes change regularly.
• Flexible availability, including nights and weekends
• Must demonstrate unwavering commitment to improving the health of patients and bringing safety and comfort to communities
• Competent in skills including, but not limited to - IV placement, phlebotomy, I&D, suturing, suctioning, foley catheter care, GT care, trach care, central line care, etc

Key Performance Indicators (KPIs)

• Great quality outcomes such as readmission rate, NPS, complication rate and return rate
• Attendance and participation in monthly clinical department meeting
• Participation in Quality Improvement evaluation, improvement and remediation when required
• Customer Service Satisfaction as measured by individual items such as NPS scores, surveys, written or verbal compliments or complaints.
• Timely completion of medical records

Requirements

• Current State Licensure as a Physician Assistant or Nurse Practitioner
• Minimum of two years of experience as a PA or NP in the Emergency Department, Urgent Care, Hospitalist, Cardiac, Pulmonary or other relevant areas
• Current unrestricted state license as a Nurse Practitioner or Physician Associate in Louisiana
• Current BLS required, ACLS certification preferred
• Prescriptive authority and DEA
• Valid driver’s license with clean driving record
• Ability to walk up and down several flights of stairs easily
• Must be able to maintain all required licenses and certifications, and must complete all required continuing education courses
• Eligibility to work in the US without Company sponsorship for a work visa or employment-based green card

Special Considerations

• Must be comfortable with unplanned care in a nonclinical environment.
• Must be able and willing to work in patients’ homes.
• Must complete all required mandatory company learning models in a timely manner
• Monthly scheduling will require flexibility and will require weekend and holiday hours. Full time will be three 12 hour shifts a week

myLaurel is dedicated to the principles of Diversity, Equity and Inclusion and Equal Employment Opportunities for all employees and applicants for employment. We do not discriminate on the basis of race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. Our decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs.