Care Home Matron

16 hours ago

Syracuse, United States Health eCareers Full time
h3>Job DescriptionGeneral Purpose: The individual in this position must actively uphold and exemplify Longevity Health’s commitment to improving the health and quality of life of nursing home residents by caring for their unique medical, social, and emotional needs.

The Advanced Practice Provider (APP) will be assigned to a specified geography and will be responsible for comprehensive medical assessment and documentation for all beneficiaries in the CareOne ACO, powered by Longevity Health. The APP works in partnership with contracted provider groups as an additional resource for eligible beneficiaries. The APP conducts comprehensive assessments at initial alignment, bi-annually, and as necessary with transitions in the beneficiary’s care. The APP also helps support provider groups with advanced care planning and care transitions in the participating nursing homes.

Schedule: Monday through Friday. No call, no weekends

Compensation: Salary goes up to $160K, depending on experience, plus $5K advance since a travel role. May also earn $500 per week for each week traveled more than one hour from home. br>
Key Tasks And Responsibilities

  • The APP will complete the initial and/or annual wellness visit (AWV) and/or complete medical visit (comprehensive) every 6 months and as needed with care transitions.
  • Collaborate with primary provider group on beneficiary medical management needs including, but not limited to:
  • Prevent avoidable hospitalizations
  • Develop and update goals of care/advanced care plan (ACP)
  • Manage care transitions; both acute and chronic
  • Medication reconciliation and readmission requirements per SNF needs
  • Specialty appointment recommendation approval
  • Part A /Part B management in SNF (3-day hospital stay may be waived depending on convener)
  • Acute exacerbations of chronic condition member visits within 72 hours (In facility, hospital or ED/observation)
  • Ensure appropriate health care utilization
  • Specialty services management-wounds, psych, labs/radiology, behavioral health
  • Palliative and hospice support
  • Advanced care planning/review monthly with every regulatory visit
  • Visit member at minimum per nursing home regulation and with any beneficiary change in condition *if PCP group not medically managing
  • Ensure appropriate focus on identifying patients who should be on a palliative or hospice plan of care on a regular basis ensure patient orders and advanced directives are in alignment with goals of care
  • Aid in value-based medicine provider group continued coaching and mentoring including:
  • Coaching through difficult cases
  • Mentoring on nursing home internal medicine, treating in place, palliative approach, hospice, and end of life management
  • ACO APP available for telephonic support during LH regular business hour
  • Serves as a trusted advisor to beneficiaries, loved ones and nursing home staff and provider groups, educates care teams on beneficiary needs and early identification of changes in condition, notifying provider group and telehealth partners for beneficiary changes.
  • Mentoring on nursing home internal medicine, treating in place, palliative, hospice, and end of life management.
  • ACO APP will be available for telephonic support during LH regular business hours.
  • Promotes Longevity Health with beneficiaries, loved ones and nursing facilities and other stakeholders.
  • Establishes meaningful relationships and can effectively function in the nursing home environment.
  • Is resident-centric and customer service oriented, establishing meaningful relationships that ensure effective and high-quality care for Longevity Health beneficiaries.
Credentials & Coverage

  • State unrestricted licensed Advanced Practice Nurse, National Board certification (AANP, ANCC or AACN) as an Adult, Family, Geriatric or Primary Care nurse practitioner required. Will allow acute care nurse practitioner with nursing home/geriatric or hospice palliative experience license required.
  • Must have an active national provider number (NPI) and an active Medicare provider number.
  • Must be eligible to participate in the Medicare program as a provider and registered.
Education And Training

  • Master of Science in Nursing as a Nurse Practitioner from a nationally accredited program OR Master’s Degree from a nationally accredited program.

Knowledge And Experience

  • Minimum of 6 months experience as a Nurse Practitioner AND has some experience with geriatric/hospice or palliative care population prior to becoming an NP OR is a licensed and board-certified new graduate NP supervised by an experienced NP in the Longevity Health New Graduate Fellowship program for 6 months and successfully completes all competencies for independent practice as a Longevity Health CareOne ACO APP.
  • Experience working in the nursing home environment is strongly desired.
  • Computer/Technology proficiency required.
Company Overview

Longevity Health is a clinical services company and national Institutional Special Needs Plan (ISNP) founded with the purpose of optimizing the quality of life for people in long-term care by focusing on their individualized health needs.

Launched in 2018, our ISNP was designed to address the significant unmet needs of nursing home residents by establishing collaborative, value-based partnerships with long-term care facilities.
Purpose: The individual holding this position is required to support and demonstrate their commitment to the Longevity Health & LiveWell Choice Statement of Purpose, which is: To optimize the quality of life of people in long-term care by focusing on their individualized health needs through collaborative value-based solutions.

Company Disclaimers

Longevity Health is an Equal Opportunity Employer.

Longevity Health offers a competitive compensation and benefits package which includes medical, dental, vision, short and long-term disability, life insurance, and 401(k).

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