General Duties/Responsibilities (May include but are not limited to)

• Conduct hospital based assessments and be able to review and create treatment plans for high care needs members.
• Collaborate routinely with market MD to identify critically ill members.
• Conduct in-home assessments (with some outpatient clinical work) on health plan members.
• In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings.
• Comfort with End-of-life care discussions imperative.
• Laboratory specimen collection in the home setting when appropriate.
• Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management.
• Communicate findings of the patient assessment to inform the PCP of potential gaps in care.
• Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs.
• Emphasis on knowledge of appropriate community resources for referral.
• Comply with all HIPAA regulations and maintain security of protected health information (PHI).

Supervisory responsibilities

N/A

Minimum Requirements

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Experience

Computer literacy/EMR proficiency

At least one (1) year prior clinical experience

Education/Licensure

Active North Carolina state license as a Nurse Practitioner/Physician Assistant

Active Nurse Practitioner/Physician Assistant Board Certification

Medicare Part D Prescriber

Valid NC driver license and current automobile insurance

NP (Nurse Practitioner)

Active RN License (Must, upon hire)

Active NP License (Must, upon hire)

Furnishing number (Must, upon hire)

NPI Number (Must, upon start)

DEA Number (Must, within 6 months of start)

Board Certification: AANP, ANCC (Must, within 6 months of start)

Valid BLS (Basic Life Support) (Must, upon start)

Valid ACLS (Advanced Cardiovascular Life Support (Preferred)

PA (Physician Assistant)

Active PA License (Must, upon hire)

NPI Number (Must, upon start)

DEA Number (Must, within 6 months of start)

Board Certification: NCCPA (Must, within 6 months of start)

Valid BLS (Basic Life Support) (Must, upon start)

Valid ACLS (Advanced Cardiovascular Life Support (Preferred)

Other

Knowledge of current clinical standards of care

Ability to work independently

Experience in care of older adult (geriatric) patients preferred

Home care experience preferred

Excellent administrative, organizational, and verbal skills preferred

Effective communication skills especially with older adults preferred

Previous EPIC experience preferred but not required preferred

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $126,422.00 - $189,634.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.