ConcertoCare-posted 2 months ago
Hopkinsville, KY
101-250 employees

At ConcertoCare, we believe seniors and older adults with complex care needs deserve a more holistic, equitable, and compassionate approach to health and wellness. ConcertoCare’s tech-enabled in-home care teams leverage our value-based, interdisciplinary care model to address unmet health and social needs and improve patients’ quality of life, partnering with them, their caregivers, families, health providers, and communities. This exciting role allows you to deliver clinical care flexibly through a blend of in-person care delivery at your patient’s home and virtual care delivery from your own home, with the support of nurses, community health workers, medical assistants, social workers, and clinical pharmacists. This position also affords professional development via dedicated clinical education programming and real-time support from our on-staff world-class experts in geriatric medicine, palliative care, geriatric psychiatry, clinical pharmacy, care management, and social determinants of health and health equity.

  • Provision of compassionate, individualized, and holistic patient care including comprehensive care, urgent care, and chronic condition management.
  • Collaboration with the multidisciplinary team to deliver transitions of care support, social determinants of health interventions, behavioral health evaluation and management, and complex medication management.
  • Delivery of exceptional clinical care both in-person and virtually.
  • Integration of clinical practices, data dashboards, and operational processes that support achievement of company performance goals.
  • Promotion of and participation in patient engagement and experience initiatives.
  • Maintenance of comprehensive medical records including timely and accurate completion of clinical documentation and coding.
  • Active participation in care team huddles, operational huddles, organizational meetings, and clinical partnership meetings.
  • Collaborative engagement with internal care team members and external providers to support care coordination.
  • Adherence to medical policies, protocols, criteria, and clinical guidelines.
  • Supportive function as growth/engagement ambassador in initiating, developing, and sustaining relationships with patients and caregivers.
  • Participation in after-hours on-call schedule and other clinical care cross-coverage as requested.
  • Other market-specific duties as assigned.
  • Nurse Practitioner with graduation from an accredited health professions school and successful completion of an ANCC or AANP certification; or board-certified Physician Assistant.
  • Active licensure in Kentucky.
  • Active DEA licensure and state-specific controlled substance registration.
  • Certification in basic life support (BLS) required.
  • Clinical experience caring for aging adults and adults with complex care needs required.
  • Average to advanced computer and software skills required.
  • Ability and means to travel as needed in a timely manner.
  • Advanced training in geriatrics and/or palliative medicine preferred.
  • Clinical experience caring for patients in the home setting including private homes and/or congregate living facilities preferred.
  • Clinical experience providing virtual care via telehealth.
  • Previous experience with managed care and/or value-based healthcare delivery preferred.
  • Yearly continuing education allowance
  • Medical, Dental, Vision and 401k
  • Competitive salary and bonus program
  • 20 days of PTO
  • 11 paid holidays yearly
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