🔥 High-Paying ACO APP Opportunity – Brooklyn, Staten Island, Bronx & Westchester, NY 🏠🩺 SK
Job at a glance
Job description
Take your primary care career beyond the traditional office setting with an exclusive home-based ACO opportunity serving high-needs patients across Brooklyn, Staten Island, the Bronx, and Westchester. Join a mission-driven team focused on improving outcomes for complex, homebound patients through personalized, proactive, and value-based care.
This role offers clinical autonomy, meaningful patient relationships, interdisciplinary collaboration, and strong professional growth while allowing you to make a measurable impact on patients who need comprehensive care the most.
Job Responsibilities
• Evaluate, diagnose, and manage acute and chronic medical conditions with emphasis on preventive care.
• Develop individualized treatment plans and manage medications, labs, imaging, and follow-up care.
• Manage wounds, pressure ulcers, Foley/suprapubic catheters, and provide phlebotomy/IV access when needed.
• Collaborate with nurses, care managers, specialists, paramedicine, hospital-at-home, and other interdisciplinary teams.
• Help prevent avoidable hospitalizations through proactive disease management and care coordination.
• Participate in case conferences, patient panel reviews, quality initiatives, and ACO documentation.
• Provide rotating after-hours coverage for the ACO emergency hotline.
Qualifications
• Current and unrestricted New York State NP/PA license.
• National board certification.
• Active DEA registration.
• 3+ years of clinical experience required.
• Home-based primary care, geriatrics, complex chronic care, or value-based care experience strongly preferred.
• Experience with ACOs, Medicare programs, or risk-based healthcare models is a plus.
• Strong EMR/EHR skills and documentation abilities.
• Ability to work independently in patients' homes while collaborating effectively with a multidisciplinary team.
• Spanish bilingual skills strongly preferred.
Working Hours
• Primarily home-based patient care.
• Geographic coverage across Brooklyn/Staten Island or Bronx/Westchester.
• Regular onsite case conferences, typically every 3–4 weeks in the Bronx.
• Rotating after-hours ACO emergency hotline coverage.
Skills
• Chronic disease management
• Geriatric and complex-care management
• Value-based/ACO care
• Preventive medicine
• Care coordination
• Wound and catheter management
• Clinical documentation and coding
• Patient and caregiver education
• Independent clinical decision-making
• Multidisciplinary collaboration