Nurse Practitioner, Adult and/or Gerontology

CommuniCare Health Services•Baltimore, MD

4d•Hybrid

About The Position

Personalized Health Partners (PHP) is seeking Nurse Practitioners passionate about delivering high-quality care to seniors and other residents in various healthcare settings, including skilled nursing facilities, assisted living, independent living communities, and via telehealth. The PHP NP is responsible for providing high-quality primary care in a high-touch, person-centered care model, diagnosing, treating, and managing acute episodic and chronic illnesses. This role involves wellness visits, early detection of changes, and timely treatment, working collaboratively with primary care providers and interdisciplinary teams. The high-touch model aims to reduce hospital admissions and emergency room visits, fostering a culture focused on customer experience and satisfaction.

Requirements

Master of Science in Nursing, Doctor of Nursing Practice, or NP Certificate Program graduate
National certification of AANP or ANCC
Active, unrestricted state license
Active DEA license
US work authorization
2+ years clinical experience as a Nurse or Nurse Practitioner in geriatric, adult or family practice setting
Ability to work in a flexible environment and schedule
Passionate about providing healthcare to the senior and low-income populations

Nice To Haves

Training or clinical experience in geriatrics
2+ years clinical experience as a Nurse Practitioner
Experience with coding, ICD-10 and HCC (Hierarchical Condition Categories)
Experience or training working in a metrics, results driven healthcare model
Be open to professional development through training, obtaining certifications if necessary, and attending team meetings
Experience working in value-based care models
Training or experience in geriatric, assisted living, and/or skilled nursing setting
Experience working in a collaborative healthcare setting to drive positive outcomes and achieve goals
Training or experience in outpatient primary care setting

Responsibilities

Assess, diagnose, and manage chronic and acute conditions.
Provide health education.
Develop treatment plans and effectively verbalize them to residents and other appropriate providers, caregivers, etc.
Order and interpret appropriate lab and diagnostic testing and adjust treatment plans accordingly.
Maintain appropriate and compliant documentation within our EMR (electronic medical record) software.
Collaborate with local and regional operations and clinical leadership to achieve goals.
Support strategic initiatives regarding value-based care.
Provide an excellent customer experience to foster high customer satisfaction/retention.
Practice ethically and in accordance with the Scope and Standards of Practice of their profession and Board Certification.
Follow all state and federal regulations, guidelines, and laws.
Collaborate with PCP and interdisciplinary care team at facility.
Coordinate care with other providers and specialists including telemedicine providers.
Complete all regulatory required monthly, quarterly, and/or annual visits and acute visits as needed.
Participate in family conferences and provide advanced care planning and education when needed.
Address any pharmacy recommendations or pharmacist communications regarding residents.
Be present in assigned facilities during work hours to ensure adequate face-to-face coverage to meet resident care and facility needs.