POSITION OVERVIEW
Part-Time Sub-Acute Rehab NP
Note: Job Description follows
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20 hours per week divided among 3 workdays of 6-8 hours each
o Workdays could be structured so that there is a 3 day weekend with regularity—that is,
M,Tu, Th or Tu, Th, F—depending upon what is most likely to be effective for the
location and in coordination with rounding physicians.
o Sub-Acute Rehab NP will generally work at one ARMS location, but at times of low
census or to cover a vacancy she/he may be asked to float to other locations.
Salary—Commensurate with training and experience
On-Call—Expectation is seven (7) nights per month remote availability, including one week-end
per month and pro-rata coverage of holidays.
Benefit Stipend—Part-time ARMS employees have access to a defined benefit amount that they
can utilize to purchase benefits or contribute to retirement accounts, etc. The amount is linked
to Base salary.
Professional Support
o ARMS will pay cost of licensure, DEA, medical malpractice and membership in one
professional organization per year.
o Continuing Education—ARMS will reimburse the up to $2000 of direct education cost
and associated travel costs for appropriate continuing education after six (6) months of
employment and with pre-approval.
Paid Time Off
o 12 days for Half Time (6 days paid and 6 days unpaid leave--equivalent to 2 weeks of
paid vacation and 2 weeks of leave for 4 weeks of planned time off per year)
o Holidays Expectation—If holiday falls on a usual workday, then this is a “paid holiday”
but if it falls on any other day of the week, then the usual work week is expected and no
day off is granted. (This is similar to the federal employee holiday schedule.)
 Example for NP working Tues, Thursday, Friday
 Memorial Day Monday—>Usual work week, no holiday
 Thanksgiving Day—>Thanksgiving is a paid holiday, but the day after is a
work day or must be taken as a vacation day.
Interested, qualified individuals should submit a cover letter and resume to John Sparzo, M.D., M.B.A.,
at jsparzo.md@armspecialists.com or mail to 8103 East US Highway 36, #228, Avon, IN 46123.
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JOB TITLE: Sub-Acute Care Nurse Practitioner
Administratively Reports to: ARMS CEO or designee
Collaborates with: ARMS Physicians who round at Nurse Practitioner’s Facility(ies)
Originated: March 2015
QUALIFICATIONS
1. The Sub-Acute Care Nurse Practitioner (SCNP) is a masters or doctorate prepared Nurse
Practitioner.
2. The Nurse Practitioner must have a valid Indiana license as a Registered Nurse and as a Nurse
Practitioner and be certified as an Acute Care, Adult or Family Nurse Practitioner by an
approved certifying body.
3. Certification as an Acute Care Nurse Practitioner (ACNP) preferred, but Certified Adult Nurse
Practitioner or Family Nurse Practitioner with appropriate experience can be considered.
4. Experience in caring for acutely ill patients with complex medical and surgical conditions
preferred.
5. Current DEA certificate for Schedule II-V drugs and state CSR.
6. BLS and ACLS certified or willingness to obtain prior to start with ARMS.
Note: The information below is not intended to be a complete of responsibilities, but provides an
outline of major functions and expectations.
JOB SUMMARY
The Sub-Acute Care Nurse Practitioner functions primarily within the skilled nursing facility
(“SNF”) setting and works in collaboration with a multidisciplinary health care team. The SCNP
generally serves as a “SNFist” caring for patients throughout their stay in the rehab environment
and helping with their transition home or to next level of care. The SCNP demonstrates a strong
foundation in evidence-based practice and education and encourages an environment that provides
high quality, compassionate, patient-centered, safe care. The SCNP must demonstrate high levels
of medical and nursing knowledge that translate into technical and clinical competence and must
exhibit professionalism in all interactions, whether with staff members at the SNF, patients, or
family members. The SCNP also shares in on-call responsibilities, providing timely response to
texts and phone calls from SNF staff.
While the SCNP is generally assigned to a specific facility or facilities, there may be times when
she/he is asked to provide temporary coverage at other facilities due to staffing requirements or
in times of low patient census at her/his primary facility.
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Key Function #1 Assessment, Diagnosis and Plans of Care
The SCNP coordinates with round physicians to ensure that each patient admitted to the SNF
receives a comprehensive health history and physical examination, appropriate diagnosis(es) and
a plan of care which can be communicated with the patient and other team members.
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Performs and documents a complete H&P appropriate to the patient’s level of illness and
complexity.
Formulates differential diagnoses and evaluates new problems.
Addresses care of patient’s acute and chronic medical problems, including the
development of problem-specific assessment and plan.
Writes appropriate orders, including diet, diagnostic testing, and evaluations an
consultations
Follows up on diagnostic tests
Assesses patients’ nutritional and behavioral health needs.
Incorporates patients’ desires into plan of care, including but not limited to,
o Goals of rehab stay
o Advance directives or other end of life wishes, when appropriate
Key Function #2 Involvement with Discharge/Transition Plan
The SCNP plays a key role in transitioning patients’ from the SNF rehab environment to their
next level of care, whether a higher level due to a return to acute care, or to a lower level such as
home with home health. In some cases, the SCNP may have responsibilities for the same patient
population as they return for additional outpatient follow-up.
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Coordinates with discharge planning team, patients and families, to determine the best
transition for patients
Records a discharge examination and prepares complete discharge paperwork to provide
communication to the next care provider
May provide patient and/or family education regarding plan of care at discharge, acute
and chronic conditions, and medication usage and possible side effects
Key Function #3 Communication, Documentation and Professional Practice
The SCNP represent ARMS as a company and her/his collaborating physicians, as well as the
medical/nursing professions at all times while providing services.
 The SCNP remains in active, ongoing communication with the multi-disciplinary care
team, collaborating physician(s) and patients/families. She/he encourages questions and
elicits concerns to ensure alignment of all parties involved in patient care.
 The SCNP documents completely and promptly in order to communicate plans of care,
ensure regulatory and billing compliance, and capture clinical acuity.
 Demonstrates professionalism in all respects, including, but not limited to:
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o Prompt and appropriate responses to staff and patient/family questions and
concerns
o Documentation that is free from “editorials” which are not germane to patient care
o Ongoing support for the facility’s (-ies’) quality improvement and patient safety
programs
o Membership in at least one professional organization that is pertinent to his/her
work as SCNP
o Ongoing continuing education supportive of work in the post-acute setting
o Willingness to accept constructive feedback
Educate nursing staff at facility (ies) to improve nursing improve patient outcomes.
Provide leadership at facility(ies) in the development of evidenced-based policies,
procedures and protocols, and best practice models/guidelines.
Key Function #3 Involvement and Support of ARMS
The SCNP is an integral member of the ARMS team. She/he supports ARMS and collaborating
physician(s) in several ways, including, but not limited to the following:
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Supports Corporate Compliance with regulatory, billing, and other standards
Participates in ARMS provider meetings with regularity
Embraces change as the ARMS care model and the facility(ies) evolve to meet the needs
of the post-acute care population
Remains up-to-date regarding Indiana-code relative to SCNP scope of practice
Participates in Community Outreach and Physician/Provider Liaison services on behalf of
ARMS and her/his assigned facility(ies).
Mentors and orients new SCNP’s during normal workday hours
During times with low SNF census, SCNP may be asked to help in development and/or
review of clinical policies, procedures and educational materials.
Approved: March 18, 2015
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