Advance Practice Provider

Cinqcare • Brooklyn, NY

5d

About The Position

Why Join Grace at Home? Grace at Home is a provider-led, community-based health and care partner dedicated to improving the health and well-being of those who need care the most, with a deep commitment to high-needs, urban and rural communities. Our local physicians, nurses, and caregivers work together to serve people and the communities they live in, beyond just treating symptoms. We remove barriers by delivering personalized care as close to home as possible, often in-home, because we know a deep understanding of our patient’s race, culture, and environment is critical to delivering improved health outcomes. By empowering patients, providers, and caregivers with the support they need, we strive to make health and care a reality—not a burden—every single day. Join us in creating a better way to care. Overview The Advance Practice Nurse Practitioner or Physician Assistant will provide Home-Based Primary Care in patient homes or Assisted Living communities. They hold a panel of patients and are responsible for diagnosing, treating and managing their acute and chronic medical conditions with MD oversight. Integral to the primary care team, you will perform annual health assessments, complete post discharge visits, and deliver cost-effective, quality care to assigned patients. Working collaboratively across a multi-disciplinary team, you will contribute to the development, implementation, and on-going refinement of home health processes.

Requirements

• Ability to travel within the market to provide care to patients in their home based on the needs of the business/market.
• Highly relationship oriented and ability to passionately serve the aging and elderly population.
• Ability to evaluate and treat complex chronic conditions in the home setting
• Positive attitude with a solution-oriented approach andacomfortworking within ambiguity.
• Ability to receive constructive feedback from other team members, market Medical Director, and Management and address opportunities for improvement.
• Ability to deliver constructive feedback to team members and discuss improvement opportunities.
• Open minded; willingness to trynew ideas, consider different perspectives, and adapt to change.
• Ability to make decisions and create solutions that consider patient, team member, and business needs.
• Be a clinical leader and work with all providers to: Accuracy on risk capture, high quality metrics, gap closure rates, and HEDIS exclusion diagnoses.
• High patient satisfaction and improved health status including reduced hospitalization and emergency department visits.
• Thinking critically to address patient needs, providingthe appropriateresources and follow-up care to improve stability.
• Educating patients on topics such as disease process, medication, and compliance
• Complying with all HIPAA regulations and maintaining security of protected health information.
• Creating a positive, supportive, trusting team environment.
• Effectively onboard new hires so they can provide care independently in the home
• Contribute to program development that ensures team success in reaching performance goals.
• Education: Family Nurse Practitioner (FNP), Adult Nurse Practitioner with geriatric experience, Advance Practice Registered Nurse (APRN), or Physician Assistant (PA).
• Current New York License.
• Nurse Practitioner Certification from the ANCC or AANP.
• Experience: 3+ years of clinical experience as an APRN / FNP / PA in the primary care or home care setting.
• Working knowledge of chronic care management and various medication options
• Current DEA license/Prescriptive Authority post-hire in IN.

Nice To Haves

• Experience in Family Medicine, Internal Medicine, Geriatrics, Palliative Care, or home care.
• Prefer minimum of six months experience with Grace At Home.

Responsibilities

• Performing comprehensive in-home assessments for identified patients of the practice and assisting the primary care team in better managing chronic diseases.
• Reviewing current symptoms and identifying diagnosis to be used in care management and active medical management of treatment.
• Completing physical examinations, medication reviews, vital checks, lab draws, wound care and depression screenings.
• Communicating assessment findings that will be used to inform the PCP of potential gaps in care.
• Provide short term and ongoing home-based care for patients with complex chronic medical conditions.
• Coaching
• Answering team member questions, helping with team member concerns, and overseeing team member work for quality and guideline compliance.
• Assistingand supportingmarketMedical Director/Clinical Leadership in reviewing advance practice providers’ (APP’s) charts for quality assurance and quality improvement purposes and provision of feedback to team members. This is in addition tochartreview performed by the advance practice providers’ (APP’s) supervising physician
• Assistingand supporting market Medical Director/Clinical Leadership in providing virtual and in person consultation with team members during home visits
• AssistingmarketMedical Director/Clinical Leadership in providing feedback to APP’sregardingclinical performance and opportunities for improvement
• Providing encouragement to team members, including communicating team goals andidentifyingareas for new training or skill checks
• Actively updating team members on best practices and continuing expectations
• Assisting market Medical Director/Clinical Leadership in promoting team member achievement of company and market performance goals.
• Program Development and Management
• Assisting market Medical Director/Clinical Leadership with the planning, organization, direction, and evaluation of health care services provided by the provider team in support of the clinical model.
• Onboarding / training
• Assisting Management and medical directors with planning and execution of new team member training on basis.
• Training new team members on clinical processes and programs within individual’s area of expertise.
• Providing new team members with additional coaching and mentorship during and following onboarding.
• Providing ongoing education to team members on clinical processes and programs within individual’s area of expertise.
• Utilization management
• Supporting market Medical Director/Clinical Leadership in organization and execution of team case rounds (ex. utilization management case rounds, wound care case rounds)

Benefits

• Grace at Home provides all employees working an average of 30+ hours/week with a comprehensive benefits package including the option to enroll in healthcare benefits.
• The cost of healthcare is shared between the company and the employee.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed