Delia A. (NY)
Introduction to Circadia Health and Role Overview
Kiani introduces herself as part of the clinical operations team at Circadia Health.
She discusses handling back-end operations including:
HR functions
Scheduling of employees
Credentialing clinicians with Medicare and Medicaid.
Kiani's experience includes ten years in healthcare, primarily in hospital administrative roles, but she has been with Circadia for two years.
Delia's Background
Delia’s introduction and her experience in healthcare includes:
Started in healthcare at age 13, involved in health careers program in high school.
Volunteered in nursing homes and hospitals before becoming a Certified Nursing Assistant (CNA).
Has been a nurse for 22 years, graduated from a nursing program 10 years ago.
Transitioned from clinical nursing to administrative roles due to financial considerations.
Managed ICUs and later took on a director of nursing role in a gastrointestinal practice.
Moved to Parker Jewish Nursing Home as the Director of Regulatory Compliance, with no prior experience in nursing homes, which differ in regulatory compliance.
Currently holds a dual role as Director of Infection Control and clinician in a 527-bed facility, balancing administrative and patient care responsibilities.
Recently re-certified as a nurse practitioner after taking exams again due to lack of clinical hours.
Responsibilities and Role of Nurse Practitioners (NPs) at Circadia
Kiani explains Circadia's remote patient monitoring system and the role NPs will play:
NPs do not directly monitor data but visit skilled nursing facilities (SNFs) for patient evaluations.
They conduct six-minute condensed histories and physical exams (H & P) during visits.
Perform assessments based on alerts for patients at risk (e.g., for exacerbations of conditions such as COPD or sepsis).
Act as consultants, providing recommendations to the facility's healthcare team but not changing care plans directly.
Implementation and Operations of Circadia
Circadia implements a monitoring device above hospital beds which:
Monitors vital signs (heart rate, respiratory rate).
Uses AI to analyze patient data and provide clinical alerts to healthcare professionals.
Overview of the clinical workflow:
NPs follow up on patients flagged by the system, ensuring that clinical teams adhere to recommendations or assessments.
Integration of technology, such as patient monitoring and data sharing, aids in clinical decision-making.
Challenges and Dynamics in Nursing Facilities
Kiani contrasts the staffing and workflow dynamics:
Some facilities have well-established staff, while others may lack adequate coverage, leading to a higher risk of missed assessments.
Discussion highlights the value of added support through NPs, especially in rapidly changing clinical situations.
Flexibility and Opportunities in Work Schedules
Discusses work flexibility:
NPs generally handle 25 visits daily, within clusters of facilities (e.g., 5-6 facilities).
They have flexibility in visitation scheduling and can select facilities to visit based on a structured system.
Per diem options available with the requirement of working at least 10 days per month.
Compensation and Benefits
Compensation structure explained:
Base salary for NPs ranges between $150,000 to $200,000, supplemented by a $500 monthly travel stipend.
Credentialing and Onboarding Process
Credentialing is streamlined, starting prior to the onboarding of new hires, typically completing within a week and a half.
Discusses preparation for work with Medicare and other payers.
Next Steps in Hiring Process
The next step involves a clinical interview and discussion about specific clinical scenarios.
Kiani suggests potential days for interviews, emphasizing further communication options with Delia.
Conclusion
Kiani concludes with well-wishes and next steps, while Delia expresses interest and readiness to move forward with the application process.
Recognition of the dynamic and technology-driven environment of Circadia, with potential for professional growth for nurse practitioners.