About The Position

Greater Good Health is a fast-growing organization delivering care to older adults in communities with limited access to healthcare. Its Nurse Practitioner-led model prioritizes quality over volume and focuses on outcomes, patient well-being, and value-based care. The organization operates senior-focused primary care clinics and provides integrated clinical solutions for health plans and provider groups. The Nurse Practitioner leads patient care at a primary care clinic, managing a panel of senior patients and working with the care team to provide holistic, high-touch, coordinated care. The role is supported by Medical Assistants/LPNs, a Front Office Coordinator, a Clinic Manager, a Medical Director, and other teammates. The position is based at Greater Good Health Billings Clinic and follows a Monday–Friday schedule from 7:30 a.m. to 4:00 p.m. Mountain Time.

Requirements

  • Active FNP or AGNP license in the state of Montana.
  • CPR/BLS certification.
  • Prescriptive authority from the Montana State Board of Nursing or Medical Examiners and a DEA license.
  • 3–5+ years of primary care practice and independent patient care experience.
  • Valid Montana driver's license.
  • Proficiency with Microsoft Word, Excel, and PowerPoint.

Nice To Haves

  • Adult Gerontology specialty board certification.
  • Experience with value-based panel management and care coordination.
  • Experience implementing and growing a new practice.
  • Electronic Health Record (EHR) experience.
  • Experience delivering educational sessions.

Responsibilities

  • Build a strong culture and foster community by welcoming and caring empathetically for patients and team members.
  • Listen and observe patients' needs, flex to support patients and the care team, and delegate to Medical Assistants/LPNs as appropriate.
  • Provide a full scope of primary care services, including wellness, acute care, and chronic condition management.
  • Take medical histories, examine patients, make diagnoses, and prescribe medication within state guidelines.
  • Perform Annual Wellness Visits and Health Risk Assessments, including accurate and specific clinical coding and documentation.
  • Conduct visits in clinic, by telehealth, and potentially through home visits as needed.
  • Manage a patient panel and coordinate high-touch, high-quality care with each patient's care team.
  • Order diagnostic tests, interpret results, and perform appropriate screenings, tests, and in-office procedures.
  • Educate patients about preventive measures, lifestyle management, and disease management.
  • Refer patients to other providers, specialists, testing facilities, agencies, hospitals, or ancillary providers; develop relationships with specialty consultants and monitor follow-up.
  • Monitor patients after hospitalization and conduct post-discharge follow-up visits.
  • Assist with telephonic triage and outreach as needed.
  • Provide after-hours coverage on a rotation with other Greater Good Health clinicians.
  • Perform prior authorizations and peer-to-peer reviews as needed.
  • Maintain accurate HCC coding and meet key quality and clinical outcome measures.
  • Complete accurate, complete, and timely charting in the Electronic Health Record.
  • Lead and participate in care team meetings about patient care and clinic operations.
  • Help onboard new Nurse Practitioners and precept Nurse Practitioner students, if applicable.
  • Participate in chart audits and training.
  • Collaborate across teams on ad hoc projects and business development initiatives.
  • Support Greater Good Health-led or co-sponsored clinic and community events by providing education.
  • Attend regular operational and educational staff meetings.
  • Communicate and collaborate with teammates to meet patient needs and support a smooth patient experience inside and outside the clinic.

Benefits

  • Competitive compensation package.
  • Medical, dental, and vision benefits.
  • Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs).
  • Paid holidays and vacation time.
  • Paid parental leave.
  • 401(k) program with company match.
  • Access to BetterHelp and monthly wellness reimbursement.
  • Basic Life and Accidental Death & Dismemberment (AD&D) coverage with premiums covered for full-time team members.
  • Voluntary supplemental life insurance at a discounted rate.
  • Voluntary short-term disability, critical illness, and accident insurance plans.
  • Reimbursement for required licenses and certifications, including DEA, license, board certification, and ALS/BLS.
  • Yearly professional reimbursement for continued learning and development.
  • Continuing education credits through the GGH Institute, approved by the AANP.
  • Collaborative Nurse Practitioner community with dedicated care coordinators and MD advisors.
  • Malpractice insurance coverage.
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