Nurse Practitioner or Physician Assistant (San Fernando Valley)

SCAN Health Plan•San Fernando Valley, CA

2d•Remote

About The Position

The Advanced Practice Clinician provides and coordinates primary care for SCAN members to support the organization’s mission of keeping older adults healthy and independent. The role provides care to an assigned panel of members in their homes, most commonly in senior living communities or skilled nursing facilities. Care includes physical and wellness exams, assessments, occasional urgent visits, telephonic triage, vaccinations, diagnostic testing, goals-of-care conversations, and chronic disease management. The clinician identifies members’ healthcare needs and develops comprehensive care plans with patients, families, and community staff. The role collaborates with case management, Primary Care Physicians, other healthcare professionals, specialists, hospitals, ancillary providers, and community organizations to coordinate services, support continuity of care, and advocate for members. The clinician manages their visitation schedule in accordance with practice protocols and member needs, monitors quality-of-care gaps, documents visits and interactions, and serves as a direct resource for members, families, and community support staff. Additional responsibilities include participating in community education events with the Integrated Care Sales team, conducting virtual visits as needed, taking part in an after-hours and weekend on-call program, maintaining professional knowledge, and contributing to team quality goals and workflow improvements. This is a patient-facing position with travel of more than 75% of the time in the assigned area. The position is remote/field based in the San Fernando Valley, California area. Employees may be eligible for differential pay.

Requirements

Master’s degree in a Nurse Practitioner program or a master’s degree from an accredited Physician Assistant program; a comparable combination of education, experience, and/or training may be considered.
Current California Nurse Practitioner license or California Physician Assistant Certification (PA-C) in good standing.
Knowledge of treatment for complex chronic diseases, such as dementia, diabetes, heart failure, and COPD.
Ability to identify healthcare needs and appropriately refer and coordinate members with other resources and programs.
Knowledge of HCC and ICD-10 coding and documentation.
Knowledge of wound care and management.
Knowledge of CMS guidelines and Medicare Advantage Managed Care.
Comfort initiating goals-of-care and end-of-life discussions.
Strong interpersonal skills and a change-agent mindset to build relationships with healthcare teams and patients.
Knowledge of and ability to maintain HIPAA requirements.
Adaptability, openness to change, and problem-solving ability.
Basic technological skills or ability to learn them, including Word, Excel, PowerPoint, Outlook, and EMR, and openness to new technology.
Ability to stoop, kneel, and crouch.
Ability to bend, reach, lift, pull, push, and carry up to 10 pounds regularly and up to 50 pounds occasionally.
Travel more than 75% of the time in the assigned area.
Valid driver’s license, automobile insurance, and reliable transportation.
If selected, provide proof of tuberculosis screening upon hire or proof of a negative screening within the last year.
Pass a background check.

Nice To Haves

Education in adult/geriatric medical care.
Wound Care Certificate.
Palliative Care Certificate.
Multilingual or multicultural background.

Responsibilities

Provide and coordinate primary care for an assigned panel of members in their residences, including senior living communities and skilled nursing facilities.
Conduct physical and wellness exams and assessments, occasional urgent medical visits, telephonic triage, vaccinations, diagnostic testing, goals-of-care conversations, and chronic disease management.
Identify members’ healthcare needs and develop comprehensive care plans with patients, families, and living-community staff.
Collaborate with case management to ensure members have timely access to appropriate services.
Independently manage visitation schedules in accordance with practice protocols and adjust schedules to members’ needs and acuity.
Collaborate with Primary Care Physicians and other healthcare professionals on disease prevention, health promotion, and chronic disease management.
Partner with Primary Care Physicians for clinical oversight and guidance.
Coordinate with specialists, hospitals, ancillary care providers, and community-based organizations to ensure continuity of care, promote shared decision-making, and advocate for members.
Monitor and promptly address clinical quality gaps in partnership with other care providers.
Document member visits and interactions promptly according to established practice protocols.
Serve as an ongoing direct resource for members, families, communities, and support staff.
Participate in events with the Integrated Care Sales team to build member awareness and educate communities.
Initiate and complete virtual health visits as needed to support accurate triage and reduce drive time.
Participate in the after-hours and weekend on-call program.
Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
Contribute to team healthcare quality goals by closing care gaps, attending high-risk group discussions, and optimizing clinical workflows and protocols.
Actively support SCAN’s Vision and Goals and perform other duties as assigned.