About the position
Become a part of our caring community and help us put health first. Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. The advanced practice provider provides health promotion and maintenance through the diagnosis and treatment of acute illness and chronic conditions. Prescribes medication, examines patients, diagnoses illnesses, and provides treatment. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, using independent judgment requiring analysis of variable factors and determining the best course of action. Patient Care: Evaluates and treats center patients in accordance with standards of care. Follows level of medical care and quality for patients and monitors care using available data and chart reviews. Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. Acts as an active participant and lead with the care team through daily huddles. Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor. Completes all medical record documentation in a timely manner working with a quality-based coder to optimize coding specificity. Follows policy and protocol defined by Clinical Leadership. Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. Participates in potential growth opportunities for new or existing services within the Center. Participates in the local primary care “on-call” program of Conviva Senior Primary Care. Assures personal compliance with licensing, certification, and accrediting bodies.
Responsibilities
- Evaluates and treats center patients in accordance with standards of care.
- Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
- Assists in the coordination of patient services, including specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
- Acts as an active participant and lead with the care team through daily huddles.
- Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
- Completes all medical record documentation in a timely manner working with a quality-based coder to optimize coding specificity.
- Follows policy and protocol defined by Clinical Leadership.
- Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues.
- Participates in potential growth opportunities for new or existing services within the Center.
- Participates in the local primary care 'on-call' program of Conviva Senior Primary Care.
Requirements
- Minimum of two to five years directly applicable experience.
- Successful completion of a nurse practitioner program with board certification.
- Active, unrestricted nurse practitioner license in state of practice location.
- Excellent communication skills, written and verbal; demonstrate a high level of skill with interpersonal relationships and communications with all colleagues; fully engaged in the concept of 'Integrated team-based care'.
- Willingness and ability to learn/adapt to practice in a value-based care setting.
- Superior patient/customer service.
- Basic computer skills, including email and EMR.
- Appropriate certification to write prescriptions under the authority of a collaborating physician/medical director.
Nice-to-haves
- Active and unrestricted DEA license.
- Medicare Provider Number/ Medicaid Provider Number.
- Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment.
- Knowledge of Medicare guidelines and coverage.
- Knowledge of HEDIS quality indicators.
Benefits
- 401(k)
- 401(k) matching
- Caregiver leave
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- CME Allowance/Time
- Occurrence Malpractice Insurance
- Relocation and sign-on bonus options
- Paid Time Off/Holidays
