About the position
ConcertoCare is seeking an Advanced Practice Provider - Nurse Practitioner or Physician Assistant to be a core member of a multi-disciplinary Field Team that delivers home- and community-based care to patients with complex needs. The ConcertoCare Advanced Practice Provider (Nurse Practitioner and Physician Assistant) delivers in-home clinical services to patients with the support of an integrated multidisciplinary care team. We offer a wraparound care model including a broad scope of clinical services and care coordination support that is complimentary to but does not replace primary care services for our patients. Our Advanced Practice Providers build meaningful relationships with patients and their caregivers, delivering proactive and timely care aligned with what matters most to our patients to improve their quality of life and to avoid unnecessary ER visits and hospitalizations. This is an ideal position for a clinician who seeks an opportunity for 'top of license' practice, enjoys a collaborative team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with complex needs who are inadequately served by traditional healthcare delivery systems.
Responsibilities
- Provision of compassionate, individualized, and holistic patient care including comprehensive care, urgent care, and chronic condition management focused on gaps in care, patient risk stratification, and integration with multidisciplinary team services.
- Collaboration with the multidisciplinary team to cooperatively deliver transitions of care support, social determinants of health interventions, behavioral health evaluation and management, and complex medication management as clinically appropriate.
- Delivery of exceptional clinical care both in-person and virtually, with in-person settings including private homes, congregate living facilities, and/or other home settings.
- Integration of clinical practices, data dashboards, and operational processes that support the achievement of company performance goals into daily clinical workflows.
- Promotion of and participation in patient engagement and experience initiatives.
- Maintenance of comprehensive medical records including timely and accurate completion of clinical documentation and coding for clinical encounters, up-to-date medication reconciliation, and accurate recording of patient care-related activities and communications.
- Active participation in care team huddles, operational huddles, organizational meetings, educational training, and clinical partnership meetings as requested.
- Collaboration with external providers and clinical partners including outreach to initiate relationship-building conversations and ongoing communication to coordinate care and to sustain key partnerships with PCPs and other clinical partners.
- Participation in after-hours on-call schedule and other clinical care cross-coverage as requested.
- Other market-specific duties as assigned.
Requirements
- Bilingual English/Spanish preferred.
- Nurse Practitioner or Physician Assistant with graduation from an accredited health professions school and active national board certification.
- Active licensure in the state of California. 103 NP licensure is a plus.
- Active DEA licensure and state-specific controlled substance registration, as applicable.
- A minimum of 3 years of experience is required, in-home/virtual experience is preferred.
- Advanced training in geriatrics and/or palliative medicine is preferred.
- Certification in basic life support (BLS) is required.
- Clinical experience caring for aging adults and adults with complex care needs is required.
- Clinical experience caring for patients in the home setting including private homes and/or congregate living facilities preferred.
- Previous experience with managed care and/or value-based healthcare delivery is preferred.
- Average to advanced computer and software skills are required.
- Ability and means to travel as needed promptly to locations that may have limited access to public transportation; proof of liability and property damage insurance on the vehicle used is required.
Benefits
- Yearly continuing education allowance
- Medical, Dental, Vision and 401k
- Competitive salary and bonus program
- 20 days of PTO
- 11 paid holidays yearly
