Molina Healthcare-posted 3 months ago
$76,391 - $156,803/Yr
Charleston, SC
Insurance Carriers and Related Activities

Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and 'pop up' clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care.

  • Provides general medical care and care coordination to various and/or specific patient member populations - adult, women's health, pediatric, and geriatric.
  • Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments.
  • Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency.
  • Establishes and documents reasonable medical diagnoses.
  • Seeks specialty consultation as appropriate.
  • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately.
  • Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed.
  • Creates and implements a medical plan of care.
  • Schedules appointments for visits when appropriate.
  • Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization.
  • Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations.
  • Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations.
  • Orders bulk laboratory orders to target specific member populations.
  • Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care.
  • Participates in community-based 'pop up clinics' to build relationships with communities, and address gaps in health care.
  • Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region.
  • Obtains and maintains cross-state license in other states besides home state based on business need.
  • Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively.
  • Actively participates in regional meetings.
  • May prescribe medications and perform procedures as appropriate.
  • Performs timely medical records documentation in electronic medical record (EMR) computer system.
  • On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment.
  • 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.
  • Local travel required (based upon state/contractual requirements).
  • At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience.
  • Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).
  • Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice.
  • Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice.
  • Current Basic Life Support (BLS) certification.
  • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements.
  • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations.
  • Ability to work independently with minimal supervision and demonstrate self-motivation.
  • Responsive in all forms of communication.
  • Ability to remain calm in high-pressure situations.
  • Ability to develop and maintain professional relationships.
  • Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change.
  • Excellent problem-solving and critical-thinking skills.
  • Strong verbal and written communication skills.
  • Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience.
  • Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting.
  • Experience in home health as a licensed clinician, especially in management of chronic conditions.
  • Experience with underserved populations facing socioeconomic barriers to health care.
  • Immunization and point of care testing skills.
  • Bilingual.
  • Competitive benefits and compensation package.
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