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Field Based Nurse Practitioner or Physician Assistant

Care@Home Solutions, Inc.

Last Updated: 1/14/21

Job Description

Field Based Nurse Practitioner or Physician Assistant

Care@Home is designed to provide in-home patient care to our most complex patients living with multiple chronic conditions. The Field Based Nurse Practitioner or Physician Assistant will provide high quality, evidenced based in-home patient care to complex and high-risk patients with the primary goal and objectives of providing best-in-class patient care, reducing avoidable hospitalizations, and decreasing unnecessary emergency department utilization. As a member of the program care team, the Nurse Practitioner (NP), in collaboration with a supervising physician, will be responsible for delivering effective clinical services in the home and/or skilled nursing facility or long-term care facility depending on where the patient is in the continuum of care.

Job Responsibilities/Duties
  • Conducts face-to-face medical visits to patients for routine visits, acute illness, and post-acute discharge for patients with complex medical conditions.
  • Completes a comprehensive health assessment to identify all active and chronic conditions, as well as determine all physical, mental and social needs present at the time of the visit.
  • Orders appropriate lab tests and diagnostic procedures and interpret results to aid in health promotion and accurate diagnosis and treatment of illnesses.
  • Perform timely and accurate documentation of patients' medical information and all activity related to patient care in electronic medical record system.
  • Appropriately assigns the correct coding for acute and chronic conditions. Complete full and appropriate documentation to reflect the services provided in accordance with company policies and procedures.
  • Communicates, by phone, in person, in writing or electronically with PCPs and specialists in order to provide comprehensive care or to make referrals, as necessary. Consults with supervising physician as appropriate.
  • Participates in On-Call program which may include after-hours, weekend and holiday calls and visitations.
  • Provide feedback for program development. Participates in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of service delivery as required.

Minimum Education: Graduate of an accredited Masters Degree in Nursing (MSN) program.

Minimum Experience: Two or more (2+) years of post-graduate experience working as a Nurse Practitioner in an Adult, Family, Internal Medicine, Geriatric, Palliative or Hospice setting. One or more (1+) years of nursing experience in Mental Health, Behavioral Health, Psychiatry or similar.

Req. Certification/Licensure: Board Certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC) or American Academy Physician Assistant (AAPA).

Company Details

Care@Home Solutions, Inc.

Orange, California, United States

Care@Home was created after our organization saw an unmet need to bring care to where it is needed most – at home. Our team of health care experts have over 30 years of recognized leadership in healthcare delivery and found Care@Home to bring more value and best services to our members. Our goal is to provide you with the right care, at the right time and in the right place in your home.&nbs...