Nurse Practitioner, Paneled

CenterWell • Corpus Christi, TX

40d

About The Position

Become a part of our caring community and help us put health first The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal patient panel outcomes. The Nurse Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial. The Nurse Practitioner, Paneled provides health promotion and maintenance through the diagnosis and treatment of acute illness and chronic conditions. Prescribes medication, examines patients, diagnoses illnesses, and provides treatment. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Serves primary care provider for their assigned patient panel in coordination with the patient care team, subject to state laws regarding scope of practice and physician supervision/collaboration Use your skills to make an impact Overview: We are a value-based care provider focused on quality of care for the patients we serve. The Paneled Nurse Practitioner works in our team-based care environment. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our Nurse Practitioners to spend more time with patients.

Requirements

• Minimum of two to five years directly applicable experience in primary care, geriatrics, complex care, long-term care or similar.
• Successful completion of a nurse practitioner program with board certification.
• Active, unrestricted nurse practitioner license in state of practice location.
• Active and unrestricted DEA license.
• Appropriate certification and credentials to write prescriptions in accordance with applicable state and federal regulations governing Nurse Practitioners.
• Excellent communication skills, written and verbal; demonstrate a high level of skill with interpersonal relationships and communications with all colleagues; fully engaged in the concept of “Integrated team-based care”.
• Willingness and ability to learn/adapt to practice in a value-based care setting.
• Superior patient/customer service.
• Basic computer skills, including email and EMR.
• This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.

Nice To Haves

• Experience managing Medicare Advantage panels of patients with understanding of best practice in coordinated care environment in a value-based relationship environment.
• Knowledge of Medicare guidelines and coverage.
• Knowledge of HEDIS quality indicators.
• Board certification in geriatric medicine is highly desirable.

Responsibilities

• Evaluates and treats center patients in accordance with standards of care.
• Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
• Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
• Acts as an active participant and leads the care team through daily huddles.
• Helps Associate Medical Director (AMD), Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
• Completes all medical record documentation in a timely manner working with a quality-based coder to optimize coding specificity.
• Follows policy and protocol defined by Clinical Leadership.
• Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues.
• Participates in potential growth opportunities for new or existing services within the Center.
• Participates in the local primary care “on-call” program of CenterWell Senior Primary Care.
• Ensures personal compliance with licensing, certification, and accrediting bodies.
• accountable for comprehensive, long-term care, ongoing treatment plans and coordination with specialists and other care providers.
• Responsibility for results review (imaging, laboratory testing, specialty referral and review of and follow through of recommendations from specialists).
• Commitment to Long-term Patient Care: commit to managing the health of your patient panel over an extended period. This will require acute and chronic treatment plans and proactive management through prevention and education.
• Accountable for the clinical outcomes and total cost of care for assigned patient panel: demonstrates proactive and sustained engagement in improving health outcomes, optimizing resource utilization, and ensuring effective panel management.
• Focus on Quality and Improved Patient Care: responsible, internally, for completing/closing all quality metrics (HEDIS, STARS, EDAPS) for their panel of patients.
• Participate and Lead High Risk Rounds with Care Team: tailor care plan to patient needs and ensure appropriate utilization.

Benefits

• Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed