Role Description
The Nurse Practitioner (NP) is responsible for providing high-quality, patient-centered, comprehensive primary care. Utilizing Upward Healthโs proprietary Facilitated Virtual Care platform, the NP delivers care that improves outcomes and reduces costs for patients with complex diagnoses and co-morbid, chronic conditions. This role primarily involves virtual patient care with periodic or as needed in-person care to support transitions of care, annual wellness visits, risk adjustments, primary care needs, and urgent visits. The NP collaborates closely with a multidisciplinary team to provide whole-person care to our patients in their homes.
Key Responsibilities
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Triage, diagnose, and treat patients in person or via our virtual care platform.
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Serve as a day-to-day clinical leader, providing decision support and directing the multidisciplinary team under the guidance of the Medical Director.
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Conduct primary care, urgent visits, and annual wellness exams, ensuring all appropriate screening tests and quality measures are addressed.
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Refer patients appropriately for behavioral health and specialty services.
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Coordinate care transitions to prevent hospital readmissions by collaborating with PCPs, hospitalists, and SNF providers.
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Participate in the on-call provider schedule to support the 24/7 patient hotline, requiring after-hours and weekend availability on a rotating and recurring basis.
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Foster a collaborative working environment with all members of the interdisciplinary team, contributing to daily huddles, team meetings, and patient discussions.
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Monitor and respond to remote patient data collected through monitoring devices.
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Perform other duties as assigned.
Qualifications
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Minimum of 5 yearsโ experience as a provider, with a minimum of 3 years in a primary care, or related, setting.
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Multi-state Advanced Nursing License or willingness to obtain.
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A valid driverโs license and auto liability insurance.
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Willingness and ability to travel as needed, though responsibilities are primarily performed virtually.
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Experience in urgent/emergent care settings is a plus.
Knowledge, Skills & Abilities
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Perform and document accurate and thorough risk assessments for the purpose of accurate documentation of condition(s).
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Expertise in managing complex, polychronic patients, with demonstrated ability to assess and treat high-acuity patients.
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Familiarity with caring for Medicare and Medicaid populations, with experience in both inpatient and outpatient or home care settings.
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Proficiency in motivational interviewing, trauma-informed care, and supporting vulnerable populations is preferred.
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Excellent written, computer, and oral communication skills, with the ability to communicate efficiently and proactively with the clinical team.
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Dedication to health equity and transforming care for patients in their homes.
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Strong organizational skills and ability to provide clinical leadership and coordination.
Key Competencies
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Clinical Leadership: Ability to provide decision support and leadership to the care team.
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Patient-Centered Care: Focused on delivering high-quality, compassionate care to improve patient outcomes.
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Collaboration: Works effectively within a multidisciplinary team to provide comprehensive care.
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Adaptability: Thrives in a dynamic, fast-paced environment with evolving protocols.
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Problem-Solving: Proactively identifies and addresses challenges in patient care and team coordination.
Benefits
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Upward Health is proud to be an equal opportunity employer.
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We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce.