Nurse Practitioner/Physician Assistant - Home Care

Department: Clinic Ops

Employment Type: Full Time

Location: 710 N. Euclid Street, Anaheim, CA 92801

Reporting To: Sharma Bishop

Compensation: $145,000 - $170,000 / year

Description

Astrana Health is seeking an NP/PA to join our New Genesis Residential Care Program (RCP), which is a home-based primary care program that provides health care services in the comfort of the patient’s home. The program provides primary medical care, social support, and help with nutrition and medications. The NP/PA will provide evidence based, in-home patient care to complex and high-risk patients with the primary goal of providing high quality patient care, reducing avoidable hospitalizations, and decreasing unnecessary emergency department utilization. A typical day would involve seeing an average of 5 patients throughout the Orange County area. 

As a member of the program care team, the NP/PA 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. You will address all aspects of care, both chronic and acute primary care complaints, and be able to determine medical urgency and triage as appropriate.

Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do

• Conducts face-to-face medical visits to patients in patient homes for routine visits, acute illness, health assessments and post-acute discharge for patients with complex medical conditions. (If telehealth flexibilities are extended, provider conducts video and telephonic visits for selected patients.) If needed as determined by leadership, they may be assigned to embedded clinic for period.
• 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.
• Performs medication review, prescribes medication or other forms of treatment per member’s needs and plan of care.
• Facilitate goals of care discussions with patients and facilitates the completion of advance directives documentation.
• Provides education on health conditions, medications, illness trajectory, and treatment options to patients, families, caregivers, and providers.
• Determines effectiveness of the plan of care and reassesses and modifies the plan of care as necessary to achieve medical and health goals.
• Must be comfortable performing in-home procedures, such as, not limited to wound care, IV/ IM medication, catheter insertion and removal.
• Perform timely and accurate documentation of patients’ medical information and all activity related to patient care in electronic medical record system.
• Appropriately assign 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 to provide comprehensive care or to make referrals, as necessary. Consults with supervising physician as appropriate.
• Participate in On-Call schedule which may include after-hours, weekend and holiday calls.
• Provides feedback for program development. Participates in collaborative multidisciplinary team meetings to optimize clinical integration, efficiency, and effectiveness of service delivery as required.
• Maintain patient confidentiality and uphold HIPAA regulations.
• Other job duties assigned by Astrana/ RCP leadership.

Qualifications

• Graduate of an accredited Master’s Degree in Nursing (MSN) program
• One plus (1+) years of post-graduate experience working as a Nurse Practitioner in an Adult, Family, Internal Medicine, Geriatric, Palliative or Hospice setting preferred
• Current, unrestricted RN/NP state license and current state driver's license
• DEA License and furnishing privileges with the state board
• Board Certified through the American Academy of Nurse Practitioners (AANP) or the American Nurses Credentialing Center (ANCC)
• Current BLS certification
• Advanced knowledge of and experience with symptom management preferred