Primary Care Nurse Practitioner
1 week ago
Upward Health is a home-based medical group that specializes in primary care and behavioral health for individuals with complex needs. We provide technology-enabled, integrated, and coordinated care delivery services that improve outcomes and reduce costs for patients with severe behavioral health diagnoses and co-morbid, chronic physical conditions.
Key Responsibilities:- Provide high-quality patient care through primary care visits, transition of care visits, annual wellness visits, risk adjustment, and urgent visits via our telehealth platform.
- Under the guidance of the medical director, function as a day-to-day clinical leader, providing decision support, and directing the multidisciplinary team.
- Determine the need for non-urgent and urgent visits in the patient's home or virtually to avoid unnecessary ED visits and hospital admission.
- Ensure all appropriate screening tests and quality measures are addressed for each patient.
- Refer patients appropriately for behavioral health and other specialty services.
- Provide a positive patient experience with excellent bedside manner and delivery of consistently high-quality care.
- Coordinate with other providers across the continuum of care, including PCP, hospitalist, and SNF providers to smooth transitions and prevent readmissions.
- Foster a collaborative working environment with all members of the interdisciplinary team.
- Experience in providing primary care, urgent and emergent care for complex patients with multiple chronic conditions.
- Experience working in an inpatient and outpatient or home care settings.
- Experience working with both Medicare and Medicaid patients.
- Demonstrated ability to screen, monitor and treat high acuity patients in their homes safely and effectively.
- Dedication to principles of health equity and transforming care for patients wherever they call home.
- Ability to support and provide clinical leadership to and effective coordination with the multidisciplinary team.
- Excellent written, computer, and oral communication skills - ability to communicate with the clinical team efficiently and proactively.
- 60-65 Hourly Wage
- Multi-state Advanced Nursing License
- Valid driver's license and auto liability insurance
- Willingness to travel, when necessary, though responsibilities are mainly performed virtually
Upward Health is proud to be an equal opportunity/affirmative action employer. We are committed to attracting, retaining, and maximizing the performance of a diverse and inclusive workforce.
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