Hospitalist Nurse Practitioner or Physician Assistant -NCH Downtown in Collier County, FL

Millennium Physician Group•Naples, FL

About The Position

As a Primary Care Advanced Practice Provider, you will deliver comprehensive, patient-centered care across the continuum in collaboration with physicians and an interdisciplinary care team. You will manage acute, chronic, and palliative care needs; conduct assessments; develop individualized care plans; diagnose and treat conditions; interpret diagnostic results; prescribe medications; and coordinate services to support patient outcomes. The role includes care gap closure, HCC documentation, chronic disease management, preventive care, advanced care planning, symptom management, and coordination with primary care providers, specialists, home health services, therapy providers, and community resources. Timely documentation, accurate billing, and effective communication with the care team are essential. This is a PRN role. The position is responsible for the total care of assigned patients in collaboration with community-based providers and the patient care team. It supports quality outcomes and continuity of care, including appropriate interventions to prevent unnecessary emergency department utilization, skilled nursing and therapy referrals, and coordination with social services, behavioral health, and community resources. The role also works with the Program Manager on oversight and development of workflows and training for an assigned Medical Assistant.

Requirements

Master's or Doctor of Nursing Practice degree from an accredited Nurse Practitioner program.
Current, unrestricted Nurse Practitioner license and Advanced Practice Registered Nurse licensure in the applicable state.
National board certification as an FNP, AGPCNP, AGACNP, or other certification appropriate to the practice setting.
Current Drug Enforcement Administration registration.
Basic Life Support certification.
Typically, two or more years of advanced practice clinical experience in primary care, family medicine, internal medicine, ambulatory care, or a closely related specialty.
Knowledge of primary care medicine, preventive health guidelines, chronic disease management, population health principles, evidence-based clinical practice, and value-based ambulatory care.
Experience with electronic health records, clinical decision support tools, population health platforms, and healthcare technology supporting patient care, regulatory compliance, and value-based care initiatives.
Strong clinical judgment, diagnostic reasoning, communication, patient education, interdisciplinary collaboration, relationship management, and cultural competence skills.
Ability to provide compassionate, comprehensive, high-quality primary care across diverse patient populations.

Nice To Haves

Advanced Cardiovascular Life Support certification.
Primary care experience is strongly preferred.

Responsibilities

Manage the total care of assigned patients in collaboration with community-based physicians/providers and the patient care team.
Conduct patient assessments and care planning, develop risk management plans, address quality measures and HCCs, and provide acute interventions, chronic care management, and palliative care within scope of practice.
Provide services that meet patient needs and prevent unnecessary Emergency Department utilization when appropriate.
Document pertinent and active medical conditions in the electronic medical record accurately, promptly, and in compliance with MPG policy, CMS, and insurance carrier requirements.
Apply strong clinical skills to improve care for an aging adult population and communicate health information to patients, families, and the care team.
Provide leadership in applying the nursing process to client care, organizational processes, or systems; initiate interdisciplinary projects to improve performance and outcomes.
Identify patients who may benefit from skilled nursing or therapy and initiate the qualifying process for value-based patients; follow CMS guidelines and ensure patients are admitted to a qualifying SNF.
Complete required documentation and collaborate with the health care team to support continuity of care and patient safety.
Instruct and counsel patients on adherence to prescribed therapeutic regimens and health maintenance.
Identify patients needing additional assistance and make appropriate referrals to home care, social services, behavioral health, and community resources.
Collaborate with the Program Manager on oversight of the assigned Medical Assistant, workflow processes, ongoing education and training, and employee improvement planning as needed.
Support advanced care planning and symptom management, coordinate care with providers and community services, and contribute to value-based care initiatives.