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Nurse Practitioner

Smithfield, RI


Hiring Company

Neighborhood Health Plan of Rhode Island

Positions Available

Full Time

Position Description

This role’s primary responsibility is to provide a highly coordinated, comprehensive approach to Neighborhood’s plan member’s health care needs by providing personalized home-care to members that are in need of more tailored care due to chronic conditions. He/she will manage the care of members in accordance with the Nurse Practitioner standards of care (assessment of health status, diagnosis, development of plan of care and treatment, implementation of treatment plan and evaluation of member status). Clinical management is conducted in collaboration with other health care team members.

He/she will perform home-based comprehensive physical assessments of complex and chronically ill members while building trusting relationships. He/she teaches members, families, and caretakers how to provide safe, effective care and promote members' optimum function. He/she will use teaching methods appropriate to the situation, learning needs, readiness and ability to learn, language preference and cultural values and beliefs. Care will primarily be provided in the members’ home, however, he/she may provide support in other facilities as needed.


  • Evaluates the needs of each member in developing and updating a comprehensive individualized care plan in collaboration with team members, plan member, Primary Care Physician (PCP), specialists and other service providers
  • Makes home visits to monitor and track each member’s clinical status and delivers care in the home
  • Continued assessments of the status of identified problems, response to treatment, compliance with the therapeutic regimes and medications as well as progress towards goals
  • Utilizes practice guidelines and protocols established by Neighborhood
  • Serves as the team lead in monitoring progress of member’s care plan
  • Assigns appropriate resources, oversees, and manages the care provided by core interdisciplinary Health@Home team. Implements and monitors effective interventions to support the member to regain or maintain physiologic stability, including but not limited to serving in the first assisting role
  • Orders and interprets diagnostic and therapeutic tests relative to member’s needs
  • Prescribes and adjusts medications and treatments based on a sound understanding and interpretation of clinical indicators and findings
  • Help members and caregivers understand their health condition(s) and develop strategies to improve their health and well being
  • Observes safety and security procedures; reports potentially unsafe conditions
  • Determines the need for consultation from specialists
  • Collaborates with multidisciplinary team members by making appropriate referrals to Care Management. Manages both medical and behavioral chronic and acute conditions in collaboration with specialty providers and team members
  • Collaborate with PCPs, Emergency Department (ED)s, Hospitalists, Discharge Planners and other allied care providers
  • Coordinates and authorizes all skilled and ancillary services, including Durable Medical Equipment (DME) and supplies
  • Works in collaboration with the PCP, providers and discharge planners to facilitate proper care and timely discharge to an appropriate setting
  • Facilitates and/or participates in member care conferences and educational meetings
  • Establishes and maintains an ongoing working relationship with providers and other appropriate community resources/agencies
  • Facilitates staff, member and family decision making by providing educational tools
  • Serves as the key contact and central coordinator of the health care team
  • Documents member encounters, medical records, update the EMR within established timeframes
  • Documents plans, communications, rationales for plan changes and collaborative discussions
  • Collaborates with Neighborhood staff in support of organizational objectives
  • Other duties as assigned
  • Corporate Compliance Responsibility - As an essential function, responsible for complying with Neighborhood’s Corporate Compliance Program, Standards of Business Conduct, applicable contracts, laws, rules and regulations, policies, and procedures as it applies to individual job duties, the department, and the Company. This position must exercise due diligence to prevent, detect, and report unlawful and/or unethical conduct by fellow co-workers, professional affiliates and/or agents.


  • Advanced Practice Registered Nurse (APRN) Licensure – active license in the state of Rhode Island
  • Graduate of an accredited Nurse Practitioner (NP) Program
  • Three (3) years of NP clinical experience
  • Medicare/Medicaid experience
  • Proven skills and knowledge base necessary for independent clinical decision making
  • Demonstrated competency and experience delivering primary care to adults in underserved populations
  • A high comfort level in providing care in the member’s home
  • Strong organizational and documentation skills
  • Strong problem-solving skills and attention to detail
  • Effective oral and written communication skills
  • Intermediate skills in Microsoft Office (Word, Excel, Outlook) including electronic medical records (EMR)
  • Dependability –when necessary, commits to hours necessary to meet the needs of members
  • Time flexibility - Must be willing to work nights and/or weekends when member needs arise
  • Possesses a valid Rhode Island driver’s license, auto insurance, and personal transportation
  • Requires 24/7 telephonic on-call service and periodic on call for home visits – must be able to respond to calls within 1-2 hours
  • Compliant with State of RI immunization regulations for health care workers


  • Bilingual preferred

Neighborhood is an Affirmative Action and Equal Opportunity Employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, genetic information, age, disability, veteran status or any other legally protected basis.

Neighborhood is committed to ensuring individuals with disabilities and/or those who have special needs participate in the workforce and are afforded equal opportunity to apply for jobs. If you would like to contact us regarding the accessibility of our Website or need assistance completing the application process, please contact us at

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