About The Position

Alignment Health is seeking a Field Remote Nurse Practitioner or Physician Assistant to join its physician-led, advanced practice clinician-driven Jump Start Assessment (JSA) program. The program supports patients with complex and chronic care needs. The role works within an interdisciplinary team of physicians, advanced practice clinicians, case managers, and other health care professionals to deliver clinical and home-based care, coordinate services, promote quality outcomes, and ensure cost-effective care in accordance with company policy and state and federal regulations. Members are typically 65 and older. Home and virtual visits last 45 to 60 minutes, depending on whether the visit is annual or initial. The schedule is Monday through Friday, with in-home assessments three days a week, some outpatient clinical work, and work from home two days a week. The role requires home visits in Riverside and San Bernardino, California.

Requirements

  • Master’s degree from an accredited Nurse Practitioner or Physician Assistant program.
  • Active California Nurse Practitioner or Physician Assistant license.
  • Active Nurse Practitioner board certification or Physician Assistant certification.
  • NPI number.
  • DEA registration.
  • Valid BLS certification.
  • Valid California driver license and current automobile insurance.
  • Ability to communicate positively, professionally, and effectively with others.
  • Effective problem-solving, organizational, and time-management skills, and ability to work in a fast-paced environment.
  • Ability to meet the physical demands of the role, including regularly talking or hearing; standing, walking, sitting, handling or feeling objects, tools, or controls, and reaching with hands and arms; frequently lifting or moving up to 20 pounds; and close vision and ability to adjust focus.

Nice To Haves

  • One year of prior clinical or home care experience.
  • Previous EMR experience.
  • Experience caring for older adult (geriatric) patients.

Responsibilities

  • Conduct in-home assessments of health plan members, including comprehensive history-taking, physical examinations, medication reviews, and appropriate cognitive, depression, and safety screenings.
  • Discuss end-of-life care with patients when appropriate.
  • Collect laboratory specimens in the home when appropriate.
  • Identify diagnoses for active medical and care management, with a focus on chronic disease management.
  • Communicate assessment findings to patients’ primary care providers to identify potential gaps in care.
  • Educate patients, families, and caretakers, emphasizing close monitoring and follow-up of patient needs.
  • Identify appropriate community resources and make referrals.
  • Comply with HIPAA regulations and protect the security of protected health information.
  • Work collaboratively within an interdisciplinary team to support delivery of clinical and home-based patient care.
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