Nurse Practitioner

Organization Overview:

We are a multidisciplinary medical group that provides comprehensive in-home care around the clock. Our clinical team addresses physical, behavioral, and social health needs, ensuring that patients receive assistance whenever and wherever they require it. Every member of our organization, from healthcare professionals to support staff, is motivated by a commitment to enhance the well-being of our patients. Our holistic approach allows us to manage a variety of health concerns, ranging from poorly controlled blood sugar to anxiety and access to medically tailored meals. It’s no surprise that 98% of our patients express complete satisfaction with our services!

Position Title & Role Overview:

The Nurse Practitioner (NP) plays a crucial role in delivering high-quality, patient-focused primary care. By utilizing our unique Facilitated Virtual Care platform, the NP enhances patient outcomes while minimizing costs for those with complex diagnoses and chronic conditions. This position primarily involves virtual consultations, with occasional in-person visits to facilitate care transitions, conduct annual wellness exams, manage primary care needs, and address urgent situations. The NP works closely with a diverse team to ensure comprehensive care for patients in their homes.

Main Responsibilities:

• Assess, diagnose, and treat patients either in person or through our virtual care platform.
• Act as a clinical leader on a daily basis, providing guidance and support to the multidisciplinary team under the supervision of the Medical Director.
• Conduct primary care visits, urgent consultations, and annual wellness assessments, ensuring all necessary screenings and quality measures are completed.
• Make appropriate referrals for behavioral health and specialty services.
• Facilitate care transitions to avoid hospital readmissions by collaborating with primary care physicians, hospitalists, and skilled nursing facility providers.
• Participate in the on-call provider rotation to support the 24/7 patient hotline, which may require availability during evenings and weekends.
• Encourage a collaborative atmosphere among all team members, contributing to daily huddles, team meetings, and discussions about patient care.
• Monitor and respond to data collected from remote patient monitoring devices.
• Perform additional tasks as assigned.

Knowledge, Skills & Abilities:

• Conduct and document thorough risk assessments to ensure accurate representation of patient conditions.
• Expertise in managing patients with multiple chronic conditions, demonstrating the ability to assess and treat high-acuity cases.
• Experience with Medicare and Medicaid populations, having worked in both inpatient and outpatient or home care environments.
• Preferred proficiency in motivational interviewing, trauma-informed care, and support for vulnerable populations.
• Strong written, verbal, and computer communication skills, with the ability to engage effectively and proactively with the clinical team.
• Commitment to health equity and improving care for patients in their homes.
• Excellent organizational skills, with the capability to provide clinical leadership and coordination.

Qualifications:

• At least 5 years of experience as a healthcare provider, including a minimum of 3 years in a primary care or related environment.
• Possession of a multi-state Advanced Nursing License or willingness to obtain one.
• A valid driver’s license and auto liability insurance are required.
• Willingness to travel as necessary, although most responsibilities will be conducted virtually.
• Experience in urgent or emergency care settings is advantageous.

Core Competencies:

Clinical Leadership:

• Ability to provide guidance and support to the care team.

Patient-Centered Care:

• Dedicated to delivering high-quality, compassionate care to enhance patient outcomes.

Collaboration:

• Effectively works within a multidisciplinary team to provide comprehensive care.

Adaptability:

• Excels in a dynamic, fast-paced environment with changing protocols.

Problem-Solving:

• Proactively identifies and addresses challenges in patient care and team coordination.

We are proud to be an equal opportunity employer, dedicated to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce. This job description serves as a general outline of responsibilities and should not be interpreted as an exhaustive list of all tasks associated with the position.