Advanced Practice Clinician

We are a healthcare organization dedicated to providing high-quality primary care to patients in rural communities. Our mission is to transform healthcare in rural America by delivering comprehensive and interdisciplinary primary care services.

We are seeking an Advanced Practice Clinician to join our team of healthcare professionals. As an Advanced Practice Clinician, you will play a critical role in serving patient needs, enabling patient outcomes, and creating a positive patient experience.

• Deliver comprehensive primary care services to a set panel of patients, including office visits and telehealth visits for routine and acute primary care issues.
• Work closely with physicians, community health workers, case managers, pharmacists, and others to deliver high-quality outcomes.
• Completion of comprehensive annual wellness visits and risk assessments.
• Phone triage and outreach as needed.
• Develop trust with patients and caregivers, engage them to educate on care plans and strategies for wellness and prevention.
• Proactively communicate across the care team and advocate for the patient, understanding patient needs, developing care plans, and delivering care to enable positive outcomes.
• Practice with a "continuous-improvement" mindset, following evidence-based guidelines and innovating on care models that solve real problems for our patients.
• Meet high benchmark for results on quality metrics and outcomes, including patient experience, STARS/HEDIS, and utilization.

• A minimum of two years' experience in a primary care specialty (internal medicine, geriatrics, family medicine).
• Experience with HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and HRA (Health Risk Assessments).
• Experience working with multiple software platforms, electronic health records, spreadsheet development, and navigation, data processing, organizational skills, and ability to manage multiple priorities appropriately.
• An active, non-probationary state medical license.
• Experience with the Medicare population, including in-home care as well as documentation and compliance requirements.
• Experience caring for "at-risk" panel of patients.
• Experience teaching and training others, in both formal and informal ways.
• High emotional intelligence and strong collaboration skills working with diverse groups.
• Skill with motivational interviewing, behavior change, health promotion, and coaching.

We are an equal opportunity employer and welcome applications from diverse candidates. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.