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Advanced Practice Provider
2 months ago
We are seeking a highly skilled Advanced Practice Provider - Nurse Practitioner or Physician Assistant 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 nursing homes.
Job Summary:The Advanced Practice Provider will work collaboratively with our interdisciplinary team to deliver the Longevity Health Model of Care, focusing on treating in place and using clinical practice guidelines to guide treatment decisions. You will be responsible for conducting comprehensive assessments, developing and delivering individualized plans of care, and communicating effectively with members, families, and care teams.
Key Responsibilities:- Provide collaborative primary care and services to a panel of Longevity Health members, 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, developing and implementing advanced care planning, and embracing the 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, and promoting membership growth.
- Serve as a trusted advisor to members, loved ones, and nursing home staff, educating care teams on member needs and early identification of changes in condition, notifying APP 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.
- 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.
- Master of Science in Nursing as a Nurse Practitioner from an nationally accredited program OR Master's Degree from an nationally accredited program.
- 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 OR is a licensed and board-certified new graduate NP/PA supervised by an experienced NP/PA in the LHP New Graduate Fellowship program for 6 months and successfully completes all competencies for independent practice as an LHP APP.
- 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.
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.
