Kintegra Health

Key Responsibilities

• • Supports Senior TLC’s mission to encourage and support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.
• • Performs health histories, physical exams, and patient teaching.
• • Orders, interprets, and follows up on lab tests and results.
• • Performs selected procedures and documents care orally and in writing.
• • Initiates emergency measures as indicated.
• • Recognizes abnormalities that justify immediate referral for intervention by others.
• • Facilitates participant primary care management in conjunction with physician staff as is reflective of the PACE Model.
• • Initiates, evaluates, reviews, and changes orders for selected medications and diagnostic studies/treatments within attending physician approved protocols.
• • Completes medication reconciliations on a participant’s admission to a Skilled Nursing Facility (SNF) and reconciles medications at SNF per STLC standard protocol.
• • Supplies any “hard scripts” required by the SNF.
• • Assesses, initiates, and coordinates direct participant care daily under the supervision of the Medical Director.
• • Performs assessments for PACE participants as required by PACE regulations.
• • Visits participants in homes and hospitals as directed/required.
• • Requests consultations from other services as needed in collaboration with attending physician and/or established protocols.
• • Collaborates with physicians, nurses, and other healthcare professionals, providing education, communication and support for healthcare staff, patients, and families.
• • Participates in participant care planning including the implementation of SMART goals/interventions for the participant’s plan of care and enters all care plan information in a timely manner as per organizational protocols.
• • Supports his/her Interdisciplinary Team and promotes unity among the team while interacting with the team, other co-workers, and/or participants.
• • Supports team members and functions as a team player while providing that support and adheres to the “do no harm” team contract statement.
• • Emphasizes teamwork and collaboration in all clinic and Interdisciplinary Team interactions.
• • Attends morning STLC IDT meetings, monthly advanced practitioner supervisory meetings, and attends Family and Team meetings as needed.
• • Attends and complies with North Carolina Controlled Substance System (PMP) documentation meetings.
• • Dictates death notes in Primesuite (PS).
• • Participates in Primary Care on-call rotation.
• • Other duties as assigned.