The Department of Medicine, Division of General Internal Medicine is seeking a Nurse Practitioner (NP) for the outpatient medicine clinic setting to help co-manage a small panel of high-risk adult patients in a primary care practice, enhancing standard PCP care. The NP will collaborate with established resident and faculty PCPs in the Johns Hopkins Outpatient Center Medical Clinic to provide enhanced, high touch, independent and collaborative primary care to a select group of high-risk patients. The NP will have extended visit times and significantly lower visit volumes than seen in standard primary care practices in order to develop meaningful relationships with patients at-risk for hospitalization. The NP will collaborate and coordinate care with interdisciplinary care teams to ensure the plan of care is in line with and supports the patient’s goals of care, physical and social needs. The NP will be responsible for documentation of visits and follow up re-assessment(s) in the electronic medical record, along with recommendations and/or prescriptions. Specific Duties & Responsibilities * Work schedule includes 40 hours per week, being comprised of five (5) in person or telemedicine clinic sessions (20 hours) and five (5) administrative sessions per week (20 hours). Administrative time is allotted to allow the provider ample time to coordinate care and interface with other team members. * Assist with providing comprehensive and episodic care to high-risk patients. This includes reviewing the patient chart, taking a history, completing a physical assessment and interpreting diagnostic and radiologic testing. * Proactive patient communication, education and coordination of care between visits and schedule patient appointments for telehealth or in-person visits when appropriate * Provide post discharge coordination to reduce hospital readmission rates and emergency room utilization * Development of specific care plans for high-risk patients that includes diagnosis- specific recommendations, medications, follow-up appointments, and sick day plans to prompt a call to the Provider. * Counsel and teaches patients and family members concerning disease process and expected outcomes. * Make referrals to other specialists as indicated by the patients’ condition. * Document clinic notes and other pertinent data into EMR that is necessary in the care of the patient. Provide information to referring physicians. * Participate in the clinic’s weekly high risk rounds and provide updates and insights into patients on panel * Collaborate with clinic leadership to identify in-need patients * Provide regular feedback to clinic leadership on PCP and NP collaboration, assisting to make workflow changes or provide education on program where appropriate Licensure and Certifications * Successful completion of the national certification examinations. * Current CPR certification required. Maryland CDS and DEA licensure required. * Familiarity with regulations and standards governing NPs in the State of Maryland. * Must maintain current licensure and certification during duration of employment. * Completion of the JHH credentialing process is required prior to start date. Technical Qualifications or Specialized Certifications * Completes all required HIPAA and other specified online training courses. * Successfully completes all necessary EPIC training courses and other applicable clinical software systems. Minimum Qualifications * Master's Degree in Nursing; Registered Nurse license and Certified as a Nurse Practitioner. * Must be licensed as NP in State of Maryland. Minimum of three years of related clinical NP experience preferred. * Additional education may substitute for required experience to the extent permitted by the JHU equivalency formula. Preferred Qualifications * * * Classified Title: Nurse Practitioner Role/Level/Range: ACRP/04/MG Starting Salary Range: $100,000 - $152,900 Annually ($113,000 targeted; Commensurate w/exp.) Employee group: Full Time Schedule: Monday to Friday 8am to 4:30pm FLSA Status: Exempt Location: School of Medicine Campus Department name: SOM DOM General Internal Medicine Personnel area: School of Medicine