Nurse Practitioner

HumanaNashville, TN
268d$115,200 - $158,400Onsite

About The Position

Be a part of our caring community and help us put health first. Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 300 centers across 15 states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care, we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in being happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.

Requirements

  • Minimum of two to five years directly applicable experience preferred.
  • Successful completion of a Nurse Practitioner program with Board Certification.
  • Active, unrestricted Nurse Practitioner license in state of practice location.
  • 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.
  • Appropriate certification to write prescriptions under the authority of a collaborating physician/medical director.

Nice To Haves

  • Active and unrestricted DEA license.
  • Medicare Provider Number/ Medicaid Provider Number.
  • Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment.
  • Knowledge of Medicare guidelines and coverage.
  • Bilingual is a plus.
  • Knowledge of HEDIS quality indicators.

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 lead with the care team through daily huddles.
  • 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 RMD 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.
  • Assures personal compliance with licensing, certification, and accrediting bodies.

Benefits

  • Guaranteed base salary + annual bonus.
  • Excellent benefit package - health insurance effective on your first day of employment.
  • CME Allowance/Time.
  • Occurrence Malpractice Insurance.
  • 401(k) with Employer Match.
  • Life Insurance/Disability.
  • Paid Time Off/Holidays.
  • Minimal call.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Insurance Carriers and Related Activities

Education Level

Master's degree

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