Role Description
Reporting to the Clinical Manager, the Advanced Practice Practitioner (NP/PA) is responsible for conducting patient visits, ensuring effective collaboration, proper clinical management, documentation of visits, and high-quality patient care delivery to Grace at Home family members. This role involves direct patient care in-person and via telehealth to meet organizational goals, improve member outcomes, and provide exceptional patient care.
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Deliver comprehensive and follow-up care through in-home and virtual visits, including AWVs, Comprehensive Assessments, Follow-up visits, and TOCs (Transitions of Care) in accordance with Medicare, Medicaid, and commercial plan requirements.
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Practice value-based, home-centered care focused on quality, cost reduction, population health outcomes, and patient satisfaction.
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Provide ongoing management of acute and chronic conditions, collaborating with multidisciplinary teams to develop and implement individualized care plans.
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Participate in daily huddles and interdisciplinary team meetings to enhance patient care coordination.
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Prescribe medications, therapies, and lifestyle interventions within scope of practice.
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Communicate clearly and compassionately with Family Members, supporting prevention, chronic disease management, and health education.
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Provide on-call backup support to the nurse line in licensed states, requiring additional state licensure for cross-coverage.
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Maintain accurate documentation in the EMR and demonstrate proficiency with practice management systems.
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Ensure compliance with clinical ethics, HIPAA, and all applicable federal and state regulations.
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Participate in quality improvement initiatives, professional development, and other duties as assigned.
Qualifications
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Masterβs degree in nursing or related science field required.
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Active and unrestricted NP/PA license required in the state of hire.
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2+ years of direct patient care as a Nurse Practitioner strongly preferred.
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Community-based care experience preferred.
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Experience with Medicare/Medicaid is preferred.
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2+ years of clinical experience treating complex chronic conditions and high-needs patients, Medicare and LTSS experience preferred.
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Excellent verbal, written, presentation, and group facilitation skills.
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Strong critical analytic, thinking and communication skills.
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Excellent computer skills required particularly Microsoft applications including Word, Excel, PowerPoint, and Outlook.
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Good judgement, impeccable ethics, and a strong team player; desire to succeed and grow in a fast-paced organization.
Requirements
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Visits are conducted in patient homes as well as remotely via telehealth.
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Travel to patient home is required.
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In-office work is performed indoors in a traditional office setting with air conditioning, artificial light, and an open workspace.
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Regular use of the telephone and e-mail for communication is essential.
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Sitting for extended periods is common.
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Lifting of up to 10 lbs. occasionally may be required.
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Good manual dexterity for the use of common office equipment such as computer terminals, calculator, copiers, and FAX machines.
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Good reasoning ability is important.
Benefits
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Competitive Compensation: We offer competitive salaries to attract and retain the best talent.
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401(k) with Employer Match: Plan for your future with our 401(k) plan and a generous 4% employer match.
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Comprehensive Medical Plan: We proudly offer a comprehensive medical option with an employer contribution.
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Dental & Vision Coverage: Maintain your oral and eye health with our employer-paid dental and vision plans via MetLife.
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Employer-Paid Insurance: Life, Short-Term Disability (STD), and Long-Term Disability (LTD) insurance are provided at no cost to you.
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Generous Paid Time Off: Enjoy ample time off for rest and rejuvenation with generous PTO, holidays, and wellness time.
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Continuing Medical Education (CME) Allowance for APPs: Stay at the forefront of your field with our CME allowance.
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Commuter Benefits: Save on your commute with our commuter benefits program.
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Mileage Reimbursement: Get reimbursed for work-related travel expenses.