Advanced Practice Provider (APP), Nurse Practitioner (NP) or Physician Assistant (PA)

COPE Health Solutions•Los Angeles, CA

6d•$150,000 - $200,000•Hybrid

About The Position

COPE Health Solutions is seeking a full-time Advanced Practice Provider (APP)—either a Certified Nurse Practitioner (NP) or Licensed Physician Assistant (PA)—to deliver high-quality, autonomous clinical care directly in the homes of Medicare beneficiaries. Reporting to the Medical Director, the APP is the clinical backbone of the California-based home delivery model. The role includes conducting in-home Annual Wellness Visits (AWVs), managing complex transitions of care following hospital discharge, and providing ongoing stabilization for high-acuity patients enrolled in Complex Care Management (CCM). The provider should be proficient in HCC coding and medical disease documentation, and comfortable managing acutely ill patients recently discharged to home. The role is based in Los Angeles, California, with a hybrid remote and in-office work environment and patient-home visits across the regional service area. Travel is up to 30%. The position is classified as exempt, with a stated salary range of $150,000 to $200,000. It reports to the Medical Director and has direct reports. Care at Home Solutions is a community-based, physician-led care model serving people with multiple chronic conditions and elevated healthcare utilization. Its multidisciplinary team connects with patients in their homes and other care settings through clinical assessment, care management, navigation, and support for health-related social needs. The program coordinates with primary care providers, specialists, health plans, and community partners to stabilize complex conditions, improve continuity of care, and reduce avoidable emergency department visits and hospitalizations.

Requirements

Master’s or doctoral degree from an accredited Nurse Practitioner program, or graduation from an ARC-PA-accredited Physician Assistant program.
Active, unrestricted California Registered Nurse and Nurse Practitioner licenses, or an active California Physician Assistant license.
National certification from AANP, ANCC, or NCCPA in a relevant specialty, such as Adult-Gerontology Primary/Acute Care, Family Medicine, or Internal Medicine.
Active California furnishing/prescribing authority and valid DEA registration.
Minimum of 2–3 years of clinical experience as an Advanced Practice Provider.
Valid California driver’s license, clean driving record, and a reliable, insured vehicle for daily travel to patient residences.

Nice To Haves

Prior experience in home-based primary care, geriatrics, palliative care, or inpatient hospital medicine is highly preferred.

Responsibilities

Conduct comprehensive, in-person clinical assessments in patients’ homes or via telehealth across the California regional service area.
Conduct rapid post-discharge home visits, ideally within 48 to 72 hours of hospital or skilled nursing facility release.
Perform medication reconciliation, identify early signs of clinical decompensation, and intervene to help prevent 30-day readmissions.
Manage a designated panel of high-acuity, frail, or dual-eligible beneficiaries.
Develop, implement, and adjust individualized care plans in alignment with evidence-based protocols.
Perform Medicare Annual Wellness Visits in the home, including cognitive screenings, fall-risk assessments, and personalized prevention plans.
Close active quality-care gaps and appropriately capture HCC codes in documentation.
Serve as the primary clinical partner to the Care Navigation team.
Participate in weekly interdisciplinary team case conferences with the Medical Director, RNs, CHWs, social workers, and care coordinators.
Maintain accurate and timely EHR documentation using appropriate HCC risk-adjustment coding guidelines.
Ensure compliance with California practice acts, including maintaining standard written practice agreements or collaborative guidelines as legally required.