Nurse Practitioner or Physician Assistant (North Orange County)

SCAN Health Plan•Long Beach, CA

7d•Remote

About The Position

The Advanced Practice Clinician provides and coordinates primary care for SCAN members to help keep older adults healthy and independent. This patient-facing, field-based role serves an assigned panel of members in their residences, most often in senior living communities or skilled nursing facilities, in the North Orange County area. The position also supports virtual health visits and participates in an after-hours and weekend on-call program. The clinician conducts physical and wellness exams, assesses members’ needs, manages chronic conditions, orders and interprets diagnostic tests, administers vaccines, and may provide urgent visits and telephone triage. The role includes developing care plans with members, families, and community staff; initiating goals-of-care and end-of-life discussions; coordinating services with case management and other providers; and monitoring and addressing care gaps. The clinician documents visits, maintains clinical knowledge, contributes to quality and workflow efforts, and may participate in community events to educate members. Travel is more than 75% within the assigned area. Employees may be eligible for differential pay.

Requirements

Master’s degree and Nurse Practitioner certificate, or a master’s degree from an accredited Physician Assistant program; comparable combinations of education, experience, and/or training may be considered equivalent.
Current California Nurse Practitioner license or California Physician Assistant Certification (PA-C) in good standing.
Knowledge of treatment of complex chronic diseases, such as dementia, diabetes, heart failure, and COPD.
Ability to identify healthcare needs and appropriately refer and coordinate 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.
Knowledge of or ability to learn basic technology, including Word, Excel, PowerPoint, Outlook, and EMR, and openness to new technology.
Ability to stoop, kneel, and crouch; bend, reach, lift, pull, push, and carry up to 10 pounds regularly and up to 50 pounds occasionally.
Must travel more than 75% of the time in the assigned area and have a valid driver’s license, automobile insurance, and reliable transportation.
Provide proof of tuberculosis screening upon hire or proof of a negative screening within the prior year, subject to the stated accommodation process.
Successful completion of a background check.

Nice To Haves

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

Responsibilities

Provide and coordinate primary care for an assigned panel of members in their residences, commonly senior living communities or skilled nursing facilities.
Conduct physical and wellness exams and assessments; provide occasional urgent medical visits and telephonic triage; administer vaccines; order and interpret diagnostic tests; initiate goals-of-care conversations; and manage chronic diseases.
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 necessary and appropriate services.
Manage a visitation schedule independently in line with practice protocols and adjust it based on members’ needs and acuity.
Collaborate with Primary Care Physicians on disease prevention, health promotion, chronic disease management, clinical oversight, and guidance.
Coordinate with specialists, hospitals, ancillary providers, and community organizations to support continuity of care, shared decision-making, and member advocacy.
Monitor and promptly address clinical quality gaps in partnership with other care providers.
Document member visits and interactions promptly according to 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 available to members.
Maintain professional and technical knowledge through educational workshops and professional publications.
Contribute to quality healthcare 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.