Central Ohio Primary Care Physicians is seeking a Acute Care Nursing Supervisor for our Comprehensive Care team located in Westerville, OH. Acute Care Nurses and MAs will focus on delivering hands on clinical care to the most clinically complex patients in the home setting. Together with the manager, the Acute Care Nursing Supervisor provides guidance on departmental and organizational policies and procedures, clinical consultation, and problem-solving to ensure patients receive timely, effective, and high-quality care. The Acute Care Nursing Supervisor is the subject matter expert in his/her discipline and will always strive for clinical excellence, mindful service, and the modernization of primary care. This position can be a hybrid role upon completion of training.

The Comprehensive Care team will focus on the delivery of care for the frailest and most clinically complex segments of the population – the estimated 2-5% of adult seniors that are home-limited/bound and at highest risk for fragmented and uncoordinated care. The RN will be part of an interdisciplinary team that will provide Palliative and Primary Care to patients in their home setting. The RN will provide clinical oversight to acute care nurses and acute care MAs. The Acute Care Nursing Supervisor will provide clinical oversight to acute care nurses and acute care MAs as well as maintain a small caseload of patients.

The Comprehensive Care program aims to keep patients safe and well at home and to reduce the suffering associated with advanced illness and/or functional decline. The team will be experts in establishing patient goals of care and will implement a care plan to support the patients/ families in achieving those goals in the home setting.

This goal of this role and team is to favorably impact the following metrics:

• Inpatient utilization
• ED utilization
• 30-day readmission rates
• % of CHPC patients who die on hospice vs without

POSITION(S) SUPERVISED: Acute Care RNs, LPNs and MAs

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

Responsibilities include but are not limited to:

Leadership and Operational Support

• Support all acute care staff onboarding and education, time card and PTO approval, staff reviews, etc.

• Serve as a representative of the Comprehensive Care program in various settings including internal COPC team meetings and with external partners (home health, hospice, etc.).

• Develop and implement workflows that support effective patient care and positive program outcomes, involving interdisciplinary team members and internal and external stakeholders as required.

• Lead and / or represent Acute Care nursing in special projects that drive care transformation and program effectiveness. Examples may include: vaccine distribution, home IV administration, remote patient monitoring, and evening and weekend visit shift creation.

• Responsible for the ongoing education and professional development of acute care nursing (RN and LPN) team members.

Facilitation of Patient Centered Care

• Provide assessment, planning, and direct patient care to patients in accordance with the plan of care established by the interdisciplinary team.

• Lead patients and families in discussions and decision-making regarding advanced care planning, code status, and planning for future care needs.

• Evaluate, update and revise plan of care to facilitate achievement of expected outcomes.

• Assess the educational needs of patients, care givers and family considering cultural issues and other special challenges.

• Provide teaching and educational material to the patient and/or caregiver concerning the following topics when applicable: diagnosis and disease progression, diagnostic tests and procedures, safe and proper use of equipment, reason for and safe use of medication food/drug interactions, injury prevention, self-care, and nutritional needs.

Interdisciplinary Practice

• Participate in the development and execution of the Plan of Care across the continuum of care.

• Work in collaboration with internal and external care teams and community partners as necessary to facilitate continuity of care.

• Facilitate referrals to other disciplines and internal health and community based programs as appropriate to improve patient outcomes.

Evidence-Based Care

• Utilize validated Palliative Care tools such as the PPS, FAST, and ESAS to assess and document patient status and symptom burden.

• Increases knowledge of best practices and clinical standards of care and incorporates knowledge into practice

Measurement and Reporting

• Documents in the electronic medical record in accordance with policies and guidelines.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

A. Education, Licensures & Certifications

Required: Current Ohio RN License; BSN preferred

Required: Certified in CPR

• Required: Minimum five years of med/surg, critical care, hospice, or home health nursing

B. Knowledge, Skills & Abilities

• Knowledge of nursing care principles, procedures, and practices

• Knowledge of pharmaceuticals, expected beneficial effects, potential side effects and be skilled in safe administration practices

• Ability to recognize adverse patient signs and symptoms and to react appropriately

• Must be able to identify and provide for age-specific patient needs

• Must be able to assess, interpret, and appropriately react to key data about a patient’s status

• Demonstrated ability to work independently and within a fast-paced team environment

• Strong assessment and prioritization skills

• Ability and comfort in supporting patient care centered around palliative care goals

• Ability to administer IV/IM medication

• Ability to perform straight or indwelling catheter procedures, blood draw, nebulizer treatment, etc.

• Excellent written and verbal communication skills, especially the ability to communicate effectively in stressful situations

• Ability to cope well with change and ambiguity

• Self-disciplined, energetic, passionate, and innovative

• Must have a high degree of accountability and comfort in creative problem solving within an uncontrolled setting (patients’ homes)

• Must have reliable transportation and the ability to travel to patient homes within Central Ohio