Overview

Strive Health

Strive Health is built for purpose- to transform a broken kidney care system. We are fundamentally changing the lives of kidney disease patients through early identification and engagement, comprehensive coordinated care, and home-first dialysis. Strive's model is driven by a high-touch care team that integrates with local providers and spans the entire care journey from CKD through ESRD, leveraging comparative and predictive data and analytics to identify patients at risk. Strive Health's interventions significantly reduce the rate of emergent dialysis crash, cut inpatient utilization, and significantly improve patient outcomes and experience. Come join our journey as we create THE destination for top ta lent in the Healthcare community and set a new standard for how care kidney should be done.

House Call (Mobile) Nurse Practitioner

As part of Strive's interdisciplinary clinical care team, the House Call NP will utilize their advanced education, skills, and judgment to deliver advanced nursing care in homes, assisted living or skilled nursing facilities where our CKD and ESRD patients reside. The House Call NP will be responsible for managing patient care by working with social workers, care coordinators, pharmacists, dietitians, and physicians to provide best in class patient care. The Strive House Call NP will be an advocate, navigator, trusted clinician, and safety net for the patient while delivering exceptional clinical care, building empathy and trust with patients, and delivering a world class patient experience.

Essential Functions

• Perform house call visits within a designated geographic area. Geographic area to include max of 60 miles from farthest area.
• M-F schedule with travel and clinical care delivered 100% of the time autonomously in patient homes, skilled nursing and assisted living facilities.
• Educate members on topics related to health conditions and health promotion
• Accountable for patient outcomes and KPIs for a panel of CKD and ESRD patients
• Manage chronic diseases to include diabetes, hypertension, CHF, etc to slow the progression of CKD and ESRD.
• Assess patient needs, deliver advanced quality nursing care, and achieve optimal patient outcomes for patients with chronic kidney disease and ESRD
• Obtains patient history, performs appropriate physical exam, orders and interprets diagnostic tests and lab values to identify and assess patient's health care needs.
• On an ongoing basis, monitors and documents patient condition, response to the care plan and significant incidents. Formulates a plan and prognosis based on patient condition.
• Prescribes and adjusts patient medication when needed
• Alongside with other members of the interdisciplinary team, will assure that a patient's need for immediate and/or emergent care is handled promptly and appropriately.
• Follows established best practices for kidney care, including:
  • Patient Intake and Assessment
  • CKD clinical care including management of CKD progression and co-morbidities and support of transitions to renal replacement therapy or conservative care
  • ESRD clinical care and co-morbidity management
  • Preventative care
  • Patient engagement
  • Close monitoring of high-risk patients
  • Participation in shared decision making and Advanced Care Planning discussions
  • Transplant Support - pre and post
  • Collaboration with inpatient providers and Post Discharge Support
  • ER Diversion
  • End of Life Support

• Willingness to drive prevention at every opportunity to slow progression, decrease exacerbations, and minimize complications, while keeping in mind what the patient wants for their life
• Accountable across the continuum of disease process, healthcare systems, and patient's lives
• Assesses the longitudinal needs of patients and individualizes them in the patient's plan of care
• Collaborates well with all levels of the clinical team and is able to align and influence the care needs of a patient
• Serves as a liaison with dialysis facilities, PCPs, and nephrologists, providing care plan updates to help streamline the transitions in care
• Remains up-to-date and current on advances and trends in renal care treatment, guidelines, policies, and procedures
• Follows evidence-based medicine and incorporates best practices into patient care
• Identify urgent and emergent situations for proper intervention

Qualifications

Minimum Qualifications

• Completion of Master's or Doctorate level degree in Nursing
• Minimum of three (3) years' experience as a Nurse Practitioner
• Current state specific licensure required and meet all state clinical requirements
• National Board Certification
• Current Basic Life Support (BLS) certification required
• 2 years' experience with electronic medical records
• Must be able to travel by public transportation (eg. Trains, Airplanes, Subways, Ferry, etc.)
• Must have the ability to travel to member's visit location
• Must meet company driving standards
• Must have valid state driver license and be able to drive a car
• Must meet company's automobile liability insurance standards and provide proof of coverage
• Must be able to independently travel to assigned locations.
• Must be able to see patients autonomously.
• Must have technical resources to be able to successfully complete telehealth visits

Preferred Qualifications

• Experience as a Family Nurse Practitioner (NP) or Adult NP, experience in Primary Care or internal medicine, cardiology, Endocrinology or Nephrology
• Wound Care certification is a plus
• Basic computer skills and experience with EHR required
• Demonstrated proficiency in clinical assessment, diagnosis, planning, implementation, documentation, and evaluation of complex chronic patients
• Excellent communicator, team builder, and results oriented
• Demonstrated knowledge and understanding of data and managing to clinical, financial, and patient satisfaction outcomes
• Detail oriented; dependable and reliable
• Excels at developing and fostering strong patient and family relationships that center on engagement, trust, honesty, empathy, follow-through and doing what's best for the patient
• 2 years recent Home Health Care or House Call experience

Physical/Environmental Demands

• Ability to reach overhead and side to side
• Lifting overheard and carrying of 10lbs routinely, 20 lbs sporadically
• Ability to sit, stand and kneel as needed to perform physical assessment
• Ability to grasp and hold medical instruments as needed to perform physical assessment
• Ability to navigate stairs and a variety of patients dwelling conditions and configurations

Strive Health is an equal opportunity employer and drug free workplace. At this time Strive Health is unable to provide and work visa sponsorship. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. Please apply even if you feel you do not meet all qualifications . If you require reasonable accommodation in completing this application, interviewing, completing any pre-employment testing, or otherwise participating in the employee selection process, please direct your inquiries to [email protected]