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Advanced Practice Provider

2 months ago


Charleston, West Virginia, United States LiveWell Choice, LLC Full time
Job Summary

We are seeking a highly skilled Advanced Practice Provider to join our team at LiveWell Choice, LLC. As a key member of our clinical team, you will be responsible for providing high-quality, patient-centered care to our members in long-term care settings.

Key Responsibilities
  • Provide collaborative primary care and services to a panel of members, including treating in the most appropriate setting based on the member's goals of care.
  • Execute and deliver Longevity Health Model of Care activities, treating in the most appropriate setting, develops and implements advanced care planning, and embraces and executes treating in place model.
  • Facilitate and administer Health Plan clinical operations functions, including prior authorization, Part A and B services, Medication Reviews, HEDIS and STARs quality gap closure, promoting membership growth.
  • Serve as a trusted advisor to members, loved ones, and nursing home staff and member advocate, educates care teams on member needs and early identification of changes in condition, notifying NP and telehealth partners for member changes.
  • Deliver effective and frequent communication and coordination with members' PCPs, loved ones, and care team members on members' care needs, goals of care, treatment plans/changes.
  • Support overall market goals/targets and balances member caseloads demands with other team member support needs.
  • Promote Longevity Health with members, loved ones, and nursing facilities and other stakeholders.
  • Is able to function autonomously and is accountable for practice.
  • Establishes meaningful relationships and is able to effectively function in the nursing home environment.
  • Is member-centric and customer-service-oriented, establishing meaningful relationships that ensures effective and high-quality care for Longevity Health members.
Requirements
  • 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.
  • DEA 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.
  • Valid state driver's license with a good driving record and proof of automobile insurance required.
  • Auto liability insurance declaration page with minimum limits of $100,000/$300,000 for bodily injury and $100,000 for property damage with combined single limit of $300,000.
Preferred Qualifications
  • Minimum of 6 months experience as a Nurse Practitioner/Physician's Assistant AND has some experience with geriatric/hospice or palliative care population prior to becoming an NP/PA.
  • Experience working in the nursing home environment is strongly desired.
  • Computer/Technology proficiency required.
  • The ability to engage and communicate effectively with physicians, patients, family members - excellent people skills.
  • Self-directed but functions well in a team environment.
  • Excellent clinical skills – assessment, diagnosis, treatment, prescribing specifically for the chronically ill population.
  • Can function independently, demonstrated critical thinking skills, organization, and prioritization skills.