Clinical Leader

6 days ago

Fort Myers, Florida, United States Central Florida Inpatient Medicine Full time
Job Summary

Central Florida Inpatient Medicine is seeking a highly skilled Clinical Leader - Home Visit APRN/PA to join our team. As a key member of our multidisciplinary team, you will play a vital role in providing clinical leadership and support to patients transitioning from acute to home care.

Key Responsibilities
  • Perform Preventative Visits: Conduct 6-8 preventative visits daily to optimize chronic conditions, assess home environment, educate patients and caregivers, and develop proactive care plans.
  • Timely New Care Visits: Perform new care visits and follow-up care as needed in the home, focusing on avoiding unnecessary ED transfers and hospital admissions.
  • Interim Provider: Assume responsibility as interim provider for patients without an existing PCP, driving care and continuity for patients.
  • Co-Management: Collaborate with existing PCPs to co-manage patients, serving as an extension of clinical care into the home.
  • Transition Coordination: Coordinate with physicians across the continuum of care, including PCP, hospitalist, and SNF providers, to smooth transitions and prevent readmissions.
  • Community-Based Coordination: Coordinate and offer medical direction to community-based organizations touching the lives of our patients, including housing and caregiver agencies, health plan contracted social work services, home health, adult day health centers, and behavioral health.
Qualifications and Education Requirements
  • Active FL Medical License: Possess an active FL medical license in good standing.
  • Clear Level 2 Screening: Have a clear Level 2 screening.
  • Post-Acute Experience: Have prior post-acute experience.
Work Environment

The majority of work tasks are performed indoors in a moderate and controlled temperature environment. You will be required to sit at a desk for up to 8 hours per day, with occasional walking and standing. Travel to and from meetings may be required, including air travel. You must be able to lift up to 15 lbs. on a regular and continuing basis and have the ability to perform grasping, writing, standing, sitting, walking, repetitive motions, bending, listening, and hearing ability and visual acuity.

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