Advance Practice Provider Clinical Coach
3 weeks ago
General Purpose:
The individual holding this position is required to support and demonstrate their commitment to the Longevity Health Statement of Purpose, which is: To improve the health and quality of life of nursing home residents by caring for their unique medical, social, and emotional needs.
The Advanced Practice Provider Clinical Coach is a Longevity Health Advanced Practice Provider (APP – Nurse Practitioner or Physician Assistant) who is responsible for ongoing coaching and mentoring of APPs, as well as other supportive duties to clinical leadership.
The APP Clinical Coach works with their assigned clinical manager(s) to ensure clinical quality, documentation and coding accuracy, and medical expense management initiatives are executed effectively.
The APP Clinical Coach will flex in their role to provide clinical care as needed.In collaboration with their Clinical Manager(s), reviews daily clinical performance metrics and plans for continual improvement.
Continues APP orientation as the APP transitions from virtual orientation to the market team. br>Provides ongoing coaching and mentoring to market APPs.
Assists in collecting hospitalization data to conduct hospitalization reviews, identify root causes, and provide coaching and feedback to facilities and APPs.
Builds and nourishes effective nursing facility relationships to foster Longevity Health Plan program success in the market.Escalates issues/concerns that may impact Longevity Health reputation, contract compliance, relationships or any state/regulatory laws/regulations or employment law.
Works closely with Clinical Manager(s) and Market Director determining how to improve provider quality and appropriateness of care to Longevity Health residents.
Performs Chart audits as per MOC guidelines for APPs and provides feedback to APPs, Clinical Manager(s), and Market Director of Clinical Services if further interventions are needed for performance improvement.Meets all APP job competencies and exhibits role model behaviors and clinical results.Effectively manages assigned members and ensures all Longevity Health Plan APP duties are performed by the expected timeframes.
Coaches team to address and meet MTM, HEDIS, STARs metrics and compliance.
Assists market APPs with membership growth and during periods of high acuity by rounding and completing required visits.
Coaches compliance with all federal and state regulatory requirements.
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 OR state unrestricted licensed Physician's Assistant NCCPA board certified with nursing home/geriatric or hospice/palliative experience.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 Adult, Geriatric, or Family Nurse Practitioner from an accredited college or university for Nurse Practitioner candidates required.
Master of Physician Assistant Studies or Master of Clinical Health Services from an accredited college or university for Physician Assistance candidates required.
One (1) year experience in a leadership role and one (1) year experience working in a Nursing Facility is strongly preferred.Meets all APP job competencies and exhibits role model behaviors and clinical results.Advanced care planning skills, palliative care knowledge.
Computer proficiency, including Microsoft Office software, ability to learn and successfully utilize electronic medical records and other clinical software. Ability to compile and analyze data to be used for management, differentiation, and marketing purposes.
Strong interpersonal skills are a must to effectively enhance relationships with the communities we serve, including the internal organization.
Able to work independently with minimal supervision getting results in a fast-paced environment.
Company Overview:
Founded in 2018, Longevity Health started as an Institutional Special Needs Plan (ISNP), a type of Medicare Advantage health plan that addresses significant unmet needs of long-term institutionalized members who reside in nursing homes.
Through rapid growth from 2018 to 2022, we expanded our market footprint and currently offer ISNP Medicare Advantage plans in Colorado, Florida, Illinois, Michigan, New Jersey, New York, and North Carolina.
In 2023, we expanded our service offerings to the broader health plan market.In addition to our existing markets where we are both the ISNP and the care management team, we are now partnering with National Carriers on their offered ISNP plans in Ohio, Pennsylvania, upstate New York, Georgia, South Carolina, and Texas, with implementations in progress for several other additional US states.
This allows us to utilize our core skills of supporting clinical post-acute needs of this vulnerable senior population Currently 13 markets and expanding rapidly.
Company Disclaimers:
Longevity Health is an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
It is the policy of Longevity Health to follow Federal and / or State regulations surrounding COVID vaccinations.While CMS guidelines have been relaxed, there are some LHP facilities which will still require staff be vaccinated in an effort to protect the health of the members / patients we serve.
If your assigned location(s) require all staff to be fully vaccinated, you are required to obtain and / or provide documentation related to your COVID vaccination.
To confirm whether your assigned location(s) require COVID vaccinations, please refer to the Facility Guide Job Aid located on Longevity Health Plan's intranet site.
The Company will engage in an interactive process with individuals who cannot be vaccinated for medical or sincerely held religious beliefs to determine if a reasonable accommodation can be made.
While an exemption/accommodation may be initially granted, if at any time during employment, it is determined that an exemption/accommodation that has been granted is no longer considered a reasonable accommodation, it can result in employment with the Company ending.
Longevity Health offers a competitive compensation and benefits package which includes medical, dental, vision, short and long-term disability, life insurance, and 401(k).Submission of false information during the application process may result in immediate termination of employment without notice.
Job Type:
Full-time
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