The Elder Service Plan (ESP), a division of Harbor Health Services is currently seeking a full time Nurse Practitioner. The Nurse Practitioner provides primary care services to PACE participants in collaboration with the PACE physician.  The Nurse practitioner manages acute and chronic illnesses; provides routine preventative and health management services; and makes appropriate referrals for medical and non-medical conditions; and collaborates with the PACE interdisciplinary team. Position is located at the Elder Service Plan of Mattapan, a division of Harbor Health. 

Essential Functions: 

• Provides primary care to PACE participants in collaboration with the PACE physician.
• Conducts health assessments and evaluates patient needs at the PACE center, assisted living facility, skilled nursing facility or participant’s home.
• Participates in the development of a comprehensive plan of care for each participant.
• Participates in an on-call system with other providers to ensure 24-hour access to care for our participants.
• Participates in provider staff meetings, departmental meetings, general staff meetings, trainings, interdisciplinary team meetings and quality improvement activities.
• Makes appropriate, cost efficient referral decisions and refers primarily to contracted specialists; provides guidance and monitoring of systems necessary for the function of a capitated care program.
• Updates Electronic Medical Record (EMR) appropriately using proper coding and documents care accordingly; accurately and timely documents care in the medical record with progress notes, lab follow-ups, communications with participants; maintains a current problem list, medication flow sheet, immunization record and other appropriate information.

Required/Preferred Education, Experience and Skills: 

• MSN in Geriatric Nursing or related specialty field.
• Current MA Nursing license with current certification as a Nurse Practitioner; MCSR, DEA and current CPR/BLS.
• 2 or more years of experience working with a frail or elderly population preferred, 1 year required.
• Strong clinical, leadership, interpersonal and organizational skills.
• Experience in working with a Interdisciplinary Team (IDT).
• Experience in the development and implementation of geriatric program.
• Familiarity with medications preferred.
• Must be able to travel in a timely manner to ESP sites and patient's homes.

Harbor Health is an Equal Opportunity Employer M/F/V/D.