Advanced Practice Practitioner (NP/PA)

Cinqcare•Baltimore, MD

About The Position

Grace at Home is a provider-led, community-based health and care partner focused on improving the health and well-being of people who need care most, particularly in high-needs urban and rural communities. The Advanced Practice Practitioner (NP/PA), reporting to the Clinical Manager, conducts patient visits and supports effective collaboration, clinical management, documentation, and high-quality care. The role provides direct care in person and through telehealth to improve outcomes and meet organizational goals. The practitioner delivers value-based, home-centered care and manages acute and chronic conditions in collaboration with multidisciplinary teams. The role requires knowledge of home-based care, value-based care, HEDIS and Stars, documentation and coding, and medical practice principles. The practitioner is expected to stay informed about healthcare developments, share relevant knowledge, and embody the organization’s values: Trusted, Empathetic, Committed, Humble, Creative, and Community-Minded.

Requirements

  • Master’s degree in nursing or a related science field.
  • Active and unrestricted NP or PA license in the state of hire.
  • Excellent verbal, written, presentation, and group facilitation skills.
  • Strong critical analytic, thinking, and communication skills.
  • Excellent computer skills, particularly with Microsoft Word, Excel, PowerPoint, and Outlook.
  • Willingness to explore and learn unfamiliar applications that may benefit the clinical team.
  • Good judgment, impeccable ethics, and the ability to work as a strong team player.
  • Desire to succeed and grow in a fast-paced organization.

Nice To Haves

  • Two or more years of direct patient care as a Nurse Practitioner.
  • Community-based care experience.
  • Experience with Medicare and Medicaid.
  • Two or more years of clinical experience treating complex chronic conditions and high-needs patients.
  • Medicare and LTSS experience.

Responsibilities

  • Deliver comprehensive and follow-up care through in-home and virtual visits, including Annual Wellness Visits, Comprehensive Assessments, follow-up visits, and Transitions of Care, in accordance with Medicare, Medicaid, and commercial plan requirements.
  • Provide value-based, home-centered care focused on quality, cost reduction, population health outcomes, and patient satisfaction.
  • Manage acute and chronic conditions and collaborate with multidisciplinary teams to develop and implement individualized care plans.
  • Participate in daily huddles and interdisciplinary team meetings to improve patient care coordination.
  • Prescribe medications, therapies, and lifestyle interventions within scope of practice.
  • Communicate clearly and compassionately with Family Members to support prevention, chronic disease management, and health education.
  • Provide on-call backup support to the nurse line in licensed states; cross-coverage requires additional state licensure.
  • Maintain accurate documentation in the EMR and demonstrate proficiency with practice management systems.
  • Comply with clinical ethics, HIPAA, and applicable federal and state regulations.
  • Participate in quality improvement initiatives and professional development, and perform other duties as assigned.

Benefits

  • Competitive compensation.
  • 401(k) plan with a 4% employer match.
  • Comprehensive medical plan with an employer contribution.
  • Employer-paid dental and vision coverage through MetLife.
  • Employer-paid life, short-term disability, and long-term disability insurance.
  • Generous paid time off, holidays, and wellness time.
  • Continuing Medical Education allowance for APPs.
  • Commuter benefits.
  • Mileage reimbursement for work-related travel.
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