Nurse Practitioner / Physician Assistant, Primary Care-Home Visit Model

Care Management/ECM Los Angeles, California California

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Description

The Nurse Practitioner or Physician Assistant will provide oversight to the Community Health Worker (CHW) team and evaluate and approve assessments completed by the CHW team. This role will provide holistic and quality care to members enrolled in managed care plans. This includes closing any identified open care gaps, Health Risk Social Needs gaps and re-engaging members with primary care services and support to improve member quality of life and decrease total cost of care. If you enjoy working in a collaborative environment and with all aspects of patient care, please share your past related experience along with your application. 
  
FLSA Status
Exempt
Salary Range
$135,000 - $200,000
Reports To
Senior Vice President & Principal
Direct Reports
(5) Community Health Workers, (1) Patient Care Navigator
Location
Los Angeles, Riverside, San Bernardino, Northern CA, Monterey, Merced (hybrid)
Travel
Up to 60%
Work Type
Regular
Schedule
Full-Time
 
Position Description:
 
  • Work effectively with individuals and families to assist them in solving physical, mental and social health problems.
  • Work in collaboration with physician practice leaders.
  • Work effectively as a leader of a health team.
  • Speak and write effectively including the preparation of clear and concise reports.
  • Recognize social problems which affect health.
  • Instruct in the prevention of disease, good health practices, and the health care of an ill or injured person.
  • Construct and interpret a medical history, perform a physical assessment, evaluate patient behavior, perform and interpret selected laboratory tests, identify problems and develop and implement treatment plans for patients.
  • Maintain effective working relationships with other departments and agencies and the community.
  • Consult effectively with physicians and allied health personnel to improve total care outcome for the patient.
  • Provide health promotion, prevention, and treatments to patients. 
  • Prescribe medications when needed to ensure patient health and well-being. 
  • Ensure complete and accurate documentation of patient information and treatments for patient charts and medical records.
  • Use comprehensive knowledge to assess patients by diagnosing diseases, disorders, or conditions.
  • Present professional guidance to other health professionals and working autonomously with other interdisciplinary health care professionals.
  • Initiate health care treatment for health care management, therapeutic interventions, and prescribing medication.
  • Effectively communicate with diverse populations, including physicians, employees, patients, and families. 
  • Lead team of MAs, CHW and Care Navigators. 
  • Work with providers to close quality care gaps for referred clients. 

Qualifications:
 
  • Licensed in the state of California as a Nurse Practitioner or licensed in the state of California as a Physician Assistant.
  • Holds National Board Certification.
  • Graduate from accredited Masters or Doctoral Program.
  • New graduate applicants welcome, preferred at least 1-3 years prior hands-on work experience in healthcare management and patient care with reflective salary for more experienced providers.
  • Strong experience in patient care assessment and working with providers.
  • Excellent verbal and written communication skills. 
  • Must have the ability to exercise sound judgment and discretion. 
  • Ability to maintain highly confidential information. 
  • Bilingual abilities required (including but not limited to Spanish, Chinese, Creole)
  • Willingness to travel throughout assigned county.  

Working knowledge of the following required:                       
  • Timely and accurate documentation of day-to-day activities in designated technology platform.
  • Adaptable to new technologies and software.
  • Proficiency in EMR system(s), Outlook and data entry experience preferred.
  • Basic PC skills (MS Word/Outlook/PPT/Excel).
  • Knowledge of Federal and State regulations for Medicare and Medicaid and other national and state funded programs.
  • Knowledge of community resources access.

Examples of Competencies:                    

  • Ability to use independent judgment and to manage and impart confidential information.
  • Ability to analyze and solve problems; requires details, data and facts that must be analyzed and challenged prior to making decisions.
  • Strong communication, listening interpersonal skills.
  • Ability to clearly communicate medical information to professional practitioners and/or the public.
  • Excellent organization, prioritization, follow up, analytical and time management skills with ability to handle multiple priorities and deadlines.
  • Good interpersonal skills, sense of urgency, being proactive and ownership for one’s work.
  • Dependable, with strong work ethic and extremely high degree personal integrity.
  • Ability to deal with multiple interruptions on a continual basis that must be met with a friendly exchange with others.
  • Ability to develop and implement new approaches to improve processes, procedures, or the general work environment.
  • Ability to review critical issues, effectively solve problems and create action plans.
 
Physical/Mental Demands and Work Environment                    
The physical demands described are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Examples of Work Environment                    
While performing the duties of this job, the employee is regularly required to walk, bend, sit, talk, lift, or hear. The employee is regularly required to stand, walk, and use hands and arms to operate general office equipment PC, telephone, file cabinets, copier, postage meter, fax machine and printer. The employee may occasionally lift and/or move between 10 and 25 pounds. Specific vision abilities required by this job include close vision and ability to adjust focus. The employee will need to travel to healthcare practices, patient homes or other community settings.
                     
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The noise level in the work environment is usually low to moderate.

Benefits: 
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/.
 
Additional annual earning potential through success of population quality initiatives.  
 
Potential sign-on bonus/relocation assistance.
 
Internal Category I CME availability with competitive CME yearly allotment.

About COPE Health Solutions:  
COPE Health Solutions is a national tech-enabled services firm powering success for health plans and for providers in risk arrangements. Our comprehensive NCQA certified population health management platform and highly experienced team brings deep expertise, experience, proven tools, and processes to improve financial performance and quality outcomes for all types of payers and providers. CHS de-risks the roadmap to advanced value-based payment and improves quality and financial performance for providers, health plans and self-insured employers. For more information, visit CopeHealthSolutions.com.

To Apply:
To apply for this position, or to view all available positions, visit us at https://copehealthsolutions.com/careers/open-positions/. 
 

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