Nurse Practitioner - Full Time Days - Immanuel Pathways Central Iowa

Job Locations US-IA-Windsor Heights
Posted Date 2 months ago(2/12/2020 12:56 PM)
Job ID
# of Openings
Immanuel Pathways Central Iowa


Provides primary medical management in collaboration with the Immanuel Pathways Primary Care Provider (PCP) Medical Doctor (MD). Follows initial and semi-annual assessments completed by the PCP MD, performs additional physical assessments of participants as needed, and then develops and implements appropriate plans of care to Immanuel Pathways program participants. Practices collaboratively with the Medical Director and PCP MDs following protocols developed within the specified Code of State Regulations.   Evaluates participant’s expressed concerns and recommends appropriate treatment to the Interdisciplinary Team (IDT) for decision. Provides participants and their caregivers with instruction and education. At the direction of the Medical Director, functions as a member of the IDT and informs the IDT of the medical condition of each participant, remaining alert to pertinent input from other team members, participant’s caregivers, as well as documenting changes in a participant’s medical record consistent with documentation policies. Works with Medical Director to coordinate scheduling and care for participants in the clinic. Performs rounds at Immanuel Pathways contracted provider locations (i.e. nursing home, hospital and assisted living). Supports and lives out Immanuel’s Mission and CHRIST Promises.


Key Areas

Key Responsibilities and Duties of the Job

Participant Care


  • Provides primary medical coverage in collaboration with Immanuel Pathways PCP MD(s). Completes initial, semi-annual and unscheduled assessments.
  • Develops and implements appropriate plans of care, as determined by the IDT, to Immanuel Pathways program participants.
  • Integrates the approved primary care treatment plan into the overall plan of care developed by the IDT.  Interacts with team members to meet emergent and acute need of participants.  Participates in discharge planning for acute and long-term placement.
  • Functions as a member of the IDT. Attends and participates in IDT meetings; communicates participant changes, collaborates on care planning decisions and coordination for 24 hour care delivery.
  • Evaluates and treats participants during acute illness.  Manages participants’ chronic illnesses and conditions in collaboration with the PCP MD(s).
  • As requested and directed by the PCP MD, manages care of participants when residing in contracted provider environments (i.e. hospital, nursing home or assisted living). Provides regular visits as determined by IDT and in collaboration with provider and participant need. Performs telephone contact with contracted provider staff as needed.
  • Provides preventive health maintenance for participants, including immunizations, screenings and monitoring of pertinent indicators. Follows the Immanuel Pathways clinical protocol.
  • Prudently prescribes medications, therapies and other treatments for participants.
  • Following consultation with the PCP MD refers participants to medical specialist as indicated.
  • Acts as resource during intake of new participants and in the day-to-day operation of the center programs.
  • Serves as a resource for participant safety.
  • Complies with state Home Health Licensure regulations for home care.

Quality / Compliance


  • Works with Medical Director and Clinical Practice Manager to formulate clinical policies, procedures and standards of care.
  • Assists with the development of standards of care; performs on-going monitoring and evaluation of patient care practice and service delivery; provides guidance and training to staff regarding medical and quality assurance issues.
  • Participates in and supports Quality Improvement Initiatives.
  • Advises the Medical Director and PCP MD(s)  in ways and means to establish better accountability of Immanuel Pathways  services to participants and referral sources, keeps Medical Director aware of needed material and human resources as program expands.
  • Provides training and clinical support to Immanuel Pathways staff.
  • Takes it upon self to educate others related to policies and procedures when non-compliance is observed.
  • Champions necessary and continuous changes in order to improve care.
  • Participates in peer reviews with Medical Director.

Professional Activities


  • Attends continuing education classes and required staff/training meetings. Maintains professional licensure and certifications.
  • Provides information about Immanuel Pathways Program to interested individuals/groups in adherence to PACE regulations.
  • Keeps abreast of current nursing knowledge, especially in the field of geriatrics by attending professional seminars and conferences.



  • May provide coverage for a counterpart at a different Immanuel Pathways PACE site on a fill-in basis for a short duration.
  • Perform other duties as required or requested.



  • Current Certification as a Nurse Practitioner, in good standing, with prescriptive authority in the respective state in which he/she is employed, is required.
  • RN license in the respective state in which he/she is employed is required.


  • Two (2) years treating patients in a hospital, skilled care, or other health related entity is required.
  • One (1) year of management experience, preferably in a geriatric care setting required.
  • One (1) year of experience working with the frail or elderly population required, or completion of job specific training related to working with the elderly population must be completed within the first six months of hire.

Other Requirements-

  • Must notify Immanuel Pathways and State Board of Nursing of change in residence.
  • Be legally authorized (currently licensed or if applicable, certified or registered) to practice the job’s functions and actions in the respective state in which he/she is employed.
  • Only act within the scope of his/her authority to practice in the respective state in which he/she is employed.
  • Agree to abide by the philosophy, practices, and protocols of the PACE organization.
  • Job-specific competencies for the PCP Nurse Practitioner will be met prior to assuming participant care.
  • Must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.
  • Basic Life Support (BLS) current certification.
  • Must have a valid driver’s license, proof of insurance and have reliable means of transportation.
  • Incumbent may be asked to cover for a counterpart at a different PACE Pathways site on a fill-in basis for a short duration.

KSA- Knowledge Skills and Abilities-

  • Knowledge of current concepts, theories and practices related to home and community-based care for the elderly and disabled adults.
  • Knowledge of health care delivery and financing systems, including Medicaid, Medicare, waiver programs, prospective and systems with a monetary cap, public health programs and Health Maintenance Organization (HMO)/Managed Care.
  • Knowledge of the PACE regulations.
  • Knowledge of local/state healthcare and aging networks; in the respective state in which he/she is employed.
  • Knowledge of physical, mental, and social needs of the frail elderly and their families.
  • Knowledge of the various disciplines to assess the needs of the elderly population.
  • Skilled in establishing and maintaining effective working relationships with participants, co-workers and the public.
  • Skilled in oral and written
  • Skilled in organizing time, priorities and duties.
  • Ability to lead and work within the interdisciplinary setting.
  • Ability to supervise medical staff effectively.
  • Ability to chart via Electronic Health Records.
  • Ability to manage changing priorities per needs of the PACE program and the agency.
  • Ability to effectively and efficiently plan, prioritize and follow-up on delegated responsibilities.
  • Ability to foster collaborative working relationships.
  • Proven experience and basic computer proficiency (Microsoft Office, internet, email, and calendar).


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