NURSE PRACTITIONER

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    "requisitionDescription": "\n    <link href=\"https://static.workforcenow.adp.com/mas/mdf-components/22.46.11/styles/froala_editor.pkgd.min.css\" rel=\"stylesheet\" type=\"text/css\" />\n    <link href=\"https://static.workforcenow.adp.com/mas/mdf-components/22.46.11/styles/froala_style.min.css\" rel=\"stylesheet\" type=\"text/css\" />\n\n    <div class=\"fr-view\">\n      <ol id=\"isPasted\" start=\"14\" style=\"list-style-type: lower-alpha;margin-left:undefined;\"><li>See all patients at team visits: &nbsp; Review chart for previous surgeries, audiology, speech and genetics reports, outside provider reports, primary care status, previous team recommendations and insurance status. &nbsp;When seeing the patient/family weight and measure the patient and complete the Nursing Evaluation Form. &nbsp;Do physical exam to include at least oral exam and ears. &nbsp;Clean ears of cerumen for patients seeing audiologist that day. &nbsp;Make appropriate verbal recommendations based on history and exam and tell parent/patient about possible other team recommendations.</li><li>Assist front staff in ensuring that patients see all providers needed for that visit.</li><li>Open notes in Aprima and complete the Vitals, start the CC, HPI, Hx, Dx and Plan sections. &nbsp; Do the Nursing HPI using completed Nursing Evaluation form. &nbsp;Make sure that Dr. Wilson is listed as the Billing Provider and the Rendering Provider under the right hand slider Visit Information.</li><li>Team conference. &nbsp; Gather the team when all are finished seeing patients. &nbsp;Ensure that providers sign the conference attendance sheet. &nbsp;Take notes of the provider recommendations to be listed as the Plan on the team note in Aprima. &nbsp;</li><li>After the team conference, complete the Social Services, Pediatrics, Audiology and Psychology HPI using the providers&rsquo; handwritten notes. &nbsp;Complete the Plan section by listing the team recommendations as obtained from the team conference.</li><li>Create the team report from the View button in the patient note screen&mdash;click on Generate Document. &nbsp;Go to &ldquo;Use Formatting Model&rdquo; and type cpp cl and press the tab button on the keyboard&mdash;this will bring up the Cleft Palate Team Conference Report, partially completed. &nbsp; Click on the Preview Tab.</li><li>Edit the Team Conference report on each patient, deleting unnecessary words and correcting any errors in grammar. &nbsp;</li><li>When the team report on the patient is complete, print 3 copies, one to be sent to the parent, one for the chart and one to be given to the front desk staff for billing team nurse services. &nbsp;Print envelopes and create cover letter for parents; send team report to parents. &nbsp; Fax the team report to patient&rsquo;s primary care provider. &nbsp;(Find the fax number either on line or by calling PCP office.)</li><li>Make sure the billing sheets are correctly and completely filled in. &nbsp;Add the ICD-10 code to each billing form. &nbsp;Leave billing sheets and one copy of the team report on the front of the chart for front desk staff to process. &nbsp;File the provider reports and team report with team report on top.</li><li>Complete each of the patient recommendations that require action. &nbsp;If action is required in the future, note this on your Outlook calendar as a reminder. &nbsp;Check the recommendations as they get done or at least when there is a reminder in your calendar to do them.</li></ol><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>Referrals</p><ol start=\"14\" style=\"list-style-type: lower-alpha;margin-left:undefined;\"><li>Request CCS authorizations using online SAR request form at <u>https://www.dhcs.ca.gov/formsandpubs/forms/Forms/ChildMedSvcForms/dhcs4509.pdf.</u>&nbsp; Note on your calendar to check the status in 8-14 days.</li><li>Request HMO authorizations for specialists outside the CPP through the primary care provider. &nbsp;Create the document &ldquo;cpp PCP Authorization Request&rdquo; in Aprima. &nbsp;Send it with documentation justifying the reason for the referral and with the patient&rsquo;s insurance or Medi-Cal information. &nbsp;Note on your calendar to check the status of the auth by calling the PCP office in one week.</li><li>No need to get authorization for PPO referrals, may send referral directly to specialty office with insurance info and medical reports.</li><li>Create referral form in Aprima&mdash;generate the document titled &ldquo;cpp Consultation Request&rdquo;. &nbsp;</li><li>Make specialty appointments for patients after faxing the Consultation Request, authorization, medical reports and demographics, unless the office requires that only the parent call for scheduling. &nbsp;Inform the patient/parent of the date, time and place of the appointment. &nbsp; Write it on the Consultation Request form and also add in the appropriate space when and how the patient or parent was notified. &nbsp;Note on your calendar reminding yourself to remind the patient the day before the appointment. &nbsp;Note on your calendar the day or so after the appointment to obtain the report from the specialty office.</li><li>If unable to reach a family to notify them of an appointment, write on your calendar reminder to keep trying. &nbsp;Send a letter to the family but don&rsquo;t assume they received it until you have verbally confirmed all appointments.</li><li>For referrals to orthodontist see below.</li></ol><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>Obtaining Outside Reports</p><ol start=\"14\" style=\"list-style-type: lower-alpha;margin-left:undefined;\"><li>Use a current release of information sheet (Authorization for Use or Disclosure of Medical Information) signed by the parent or patient at time of annual team visit. &nbsp; Before completing it, make sure it is correct and complete and make a copy. &nbsp;Complete the form with the name of the office you&rsquo;re requesting info from, &ldquo;Attn&rdquo; (write your own name), dates and what reports are being requested.</li><li>Obtain the fax number of the office you are requesting from, either from the rolodex, online or calling the office. &nbsp;Fax the request to the office. &nbsp;Once you have the confirmation that it went through, use the fax stamp and write the date it was faxed. &nbsp;Mark on your calendar to check status in 1-3 weeks, depending on where you&rsquo;re sending it. &nbsp; Call the office at that time if you haven&rsquo;t received the report.</li><li>When the report arrives, review it and the patient&rsquo;s chart to determine what action, if any, is necessary. &nbsp;Do a written chart review.</li></ol><p style='margin-top:0in;margin-right:0in;margin-bottom:8.0pt;margin-left:0in;line-height:107%;font-size:15px;font-family:\"Calibri\",sans-serif;'>Chart Reviews</p><ol start=\"14\" style=\"list-style-type: lower-alpha;margin-left:undefined;\"><li>May be done on any given patient any time, but may be BILLED TO CCS up to 12 times per year.</li><li>Should be done 1) &nbsp;on reception of a pertinent outside report, 2) &nbsp;on a patient who for whatever reason (complicated case, history of family non-compliance, etc.) has need to be followed closely or &nbsp;3) randomly when time permits. &nbsp;</li></ol>\n    </div>\n  \n",
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