Advanced Practice Practitioner-Madison, WI

Molina Healthcare•Long Beach, WI

11d

About The Position

JOB DESCRIPTION Job Summary Facilitates advanced practice clinical consultations for enrolled members including in-home histories, physical assessments and care plans; strives to ensure member progress toward desired member outcomes in conjunction with interdisciplinary team facilitating care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties Conducts comprehensive member in-home health history and physical assessments, and identifies active and chronic disease conditions. Determines physical, behavioral and social needs at time of visit. Obtains vital signs, measures body mass index (BMI), reviews pharmacological therapies and conducts physical examinations. Captures and documents annual diagnoses accurately consistent with Medicare risk adjustment. Conducts comprehensive annual medication reviews and follows-up as necessary. Identifies gaps in acute/primary care and chronic disease management. Identifies medical risk and collaborates with members of the care team to mitigate. Communicates recommendations and collaborates with primary care providers/specialists to ensure clinically relevant treatments are explored, if not already in place. Communicates recommendations and collaborates with other providers to confirm suspected, but not yet identified/coded diagnoses. Develops a medical plan of care in conjunction with primary care provider/specialists as dictated by member need and assessment/consultation findings. Collaborates with leader and other clinicians in the department to ensure effective patient care consistent with quality indicators for patients cared for in the designated service. Educates and counsels members and family on any conditions identified during assessment and screening procedures. Provides quality member-centered care. Ensures timely appointments and documentation per department procedures. Provides consultation as needed, for medically complex members and/or high utilization members (e.g., palliative care, dementia, psychiatric). Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws. 50-60% local travel may be required (based upon state/contractual requirements). To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Requirements

At least 1 year of experience as nurse practitioner or physician assistant, or equivalent combination of relevant education and experience.
Physician Assistant (PA) or Advanced Practice Registered Nurse (APRN) through American Nurses Credentialing Center (ANCC) or American Association of Nurse Practitioners (AANP). License must be active and unrestricted in state of practice.
Drug Enforcement Administration (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice.
Physician assistant must be a graduate of an accredited physician assistant studies program. Nurse practitioner must be a graduate of an accredited nurse practitioner program.
Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
Strong organizational skills with ability to multitask and prioritize various projects.
Ability to function independently with minimal supervision on a variety of tasks.
Ability to provide information effectively with a diverse population.
Ability to maintain schedules, meet deadlines and manage multiple projects.
Ability to think critically and demonstrate solution-oriented results in a fast-paced environment.
Ability to manage change, deal with situations as they arise and work independently or as part of a team.
Ability to work as a team, and participate productively while also managing independent duties and responsibilities.
Excellent verbal and written communication skills.
Microsoft Office suite/applicable software program(s) proficiency.

Nice To Haves

Previous experience as a registered nurse, nurse practitioner or physician assistant.
Previous clinical experience.

Responsibilities

Conducts comprehensive member in-home health history and physical assessments, and identifies active and chronic disease conditions.
Determines physical, behavioral and social needs at time of visit.
Obtains vital signs, measures body mass index (BMI), reviews pharmacological therapies and conducts physical examinations.
Captures and documents annual diagnoses accurately consistent with Medicare risk adjustment.
Conducts comprehensive annual medication reviews and follows-up as necessary.
Identifies gaps in acute/primary care and chronic disease management.
Identifies medical risk and collaborates with members of the care team to mitigate.
Communicates recommendations and collaborates with primary care providers/specialists to ensure clinically relevant treatments are explored, if not already in place.
Communicates recommendations and collaborates with other providers to confirm suspected, but not yet identified/coded diagnoses.
Develops a medical plan of care in conjunction with primary care provider/specialists as dictated by member need and assessment/consultation findings.
Collaborates with leader and other clinicians in the department to ensure effective patient care consistent with quality indicators for patients cared for in the designated service.
Educates and counsels members and family on any conditions identified during assessment and screening procedures.
Provides quality member-centered care.
Ensures timely appointments and documentation per department procedures.
Provides consultation as needed, for medically complex members and/or high utilization members (e.g., palliative care, dementia, psychiatric).
Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws.