Advanced Practice Practitioner (NP/PA)

Cinqcare•Atlanta, GA

About The Position

Grace at Home is a provider-led, community-based health and care partner focused on improving health and well-being in high-needs urban and rural communities. The Advanced Practice Practitioner (NP/PA) conducts patient visits and supports effective collaboration, clinical management, accurate visit documentation, and high-quality care. The role provides direct patient care in person and through telehealth to improve member outcomes and meet organizational goals. The practitioner is expected to embody the organization’s core values and maintain knowledge of home-based care, value-based care, HEDIS and Stars, documentation and coding, and medical practice principles. They stay informed about healthcare advancements and share relevant knowledge. This role reports to the Clinical Manager. Visits take place in patients’ homes and remotely via telehealth, and travel to patient homes is required. Any in-office work takes place indoors in a traditional office setting. The position includes communication with patients, vendors, management, and coworkers, including occasional interactions with agitated people; regular telephone and email use; and extended periods of sitting. Occasional lifting of up to 10 pounds may be required.

Requirements

Master’s degree in nursing or a related science field.
Active, unrestricted NP or PA license in the state of hire.
Strong verbal, written, presentation, and group facilitation skills.
Strong critical and analytical thinking and communication skills.
Excellent computer skills, particularly with Microsoft Word, Excel, PowerPoint, and Outlook.
Willingness to explore and learn new or 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 is strongly preferred.
Community-based care experience is preferred.
Medicare and Medicaid experience is preferred.
Two or more years of clinical experience treating complex chronic conditions and high-needs patients.
Medicare and LTSS experience is preferred.

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.
Practice 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 support 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 EMR documentation and demonstrate proficiency with practice management systems.
Comply with clinical ethics, HIPAA, and applicable federal and state regulations.
Participate in quality improvement initiatives, professional development, and other assigned duties.
Stay informed about healthcare practice advancements and disseminate relevant knowledge.