Senior Care Physician

3 weeks ago

Boynton Beach, Florida, United States Conviva Full time
Job Description

Conviva is seeking a highly skilled Nurse Practitioner to join our team of healthcare professionals. As a key member of our primary care organization, you will play a vital role in delivering high-quality patient care and promoting health and wellness in our communities.

Key Responsibilities:

  • Evaluate and treat patients in accordance with standards of care.
  • Follow level of medical care and quality for patients and monitors care using available data and chart reviews.
  • Assist in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
  • Act as an active participant and lead with the care team through daily huddles.
  • Help 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.
  • Follow 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.

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.

Preferred Qualifications:

  • 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.

About Conviva:

Conviva Care Centers provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of Humana's Primary Care Organization, which includes CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About Humana:

Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer:

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements.

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