Nurse Practitioner or Physician Assistant in Bonita Springs, FL

Millennium Physician Group•Bonita Springs, FL

11d

About The Position

The Primary Care Advanced Practice Provider delivers comprehensive, patient-centered care to an adult population in collaboration with physicians and an interdisciplinary care team. The provider manages acute, chronic, and palliative care needs; conducts assessments; develops care plans; diagnoses and treats conditions; interprets diagnostic results; prescribes medications; and coordinates services to support patient outcomes. The role includes quality improvement activities such as closing care gaps, HCC documentation, chronic disease management, and preventive care. The provider also supports advanced care planning and symptom management within a value-based care model, with timely documentation, accurate billing, and effective communication essential to the position. The provider is responsible for the total care of assigned patients in collaboration with community-based providers and the patient care team. Duties include assessments and care planning, risk management, quality measures and HCCs, acute interventions, chronic care management, palliative services, and efforts to prevent unnecessary emergency department use when appropriate. The provider documents active medical conditions in the electronic medical record in accordance with company policy and applicable CMS and insurer requirements. The position provides clinical leadership to improve patient and organizational outcomes, identifies patients who may benefit from skilled nursing or therapy, and initiates appropriate qualification processes. The provider counsels patients on therapeutic regimens and health maintenance, makes referrals to home care, social services, behavioral health, and community resources when appropriate, and works with the Program Manager on oversight, workflow, education, and performance planning 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 a Family Nurse Practitioner (FNP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), Adult-Gerontology Acute Care Nurse Practitioner (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 using electronic health records, clinical decision support tools, population health platforms, and healthcare technology to support 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

Provide total care for 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 help prevent unnecessary Emergency Department utilization when appropriate.
Document pertinent and active medical conditions in the electronic medical record promptly and in compliance with company policy, CMS guidelines, and other insurance carrier requirements.
Apply clinical skills and the nursing process to improve patient care, organizational processes, and outcomes; initiate interdisciplinary projects to improve organizational performance.
Identify patients who may benefit from skilled nursing or therapy and initiate the process for qualifying value-based patients; follow CMS guidelines and ensure patients are admitted to a qualifying SNF.
Complete required documentation and coordinate with the healthcare team to support continuity of care and patient safety.
Instruct and counsel patients on compliance with prescribed therapeutic regimens and health maintenance.
Identify patients needing additional assistance and make referrals to home care, social services, behavioral health, and other appropriate community resources.
Collaborate with the Program Manager to oversee an assigned Medical Assistant and establish workflow, ongoing education and training, and employee improvement planning as needed.
Collaborate with physicians, specialists, home health and therapy providers, caregivers, and community resources to coordinate care.