About The Position

The Field Remote Nurse Practitioner or Physician Assistant joins Alignment Health’s Jump Start Assessment (JSA) program, a physician-led and advanced practice clinician-driven program supporting 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 team members to deliver clinical and home-based care. The clinician assesses patients, develops and coordinates care options and services, and promotes quality, cost-effective care in compliance with Alignment Health policies and state and federal regulations. Members are typically age 65 and older. Home and virtual visits generally 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 per week, some outpatient clinical work, and two work-from-home days. The position requires home visits in Riverside and San Bernardino counties in 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, and 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.

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 three days per week, with some outpatient clinical work, and work from home two days per week.
  • Obtain comprehensive histories and perform physical exams, medication reviews, and appropriate cognitive, depression, and safety screenings during in-home assessments.
  • Conduct end-of-life care discussions.
  • Collect laboratory specimens in the home when appropriate.
  • Identify diagnoses for active medical management and care management, with a focus on chronic disease management.
  • Communicate assessment findings to the patient's primary care provider to inform them of potential gaps in care.
  • Educate patients, families, and caretakers, emphasizing close monitoring and follow-up of patient needs.
  • Identify appropriate community resources for referral.
  • Comply with HIPAA regulations and maintain the security of protected health information.
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