Senior Healthcare Specialist
1 week ago
Company Overview: Longevity Health is a clinical services company founded to optimize the quality of life for people in long-term care by focusing on their individualized health needs.
We offer a competitive compensation and benefits package, including medical, dental, vision, short and long-term disability, life insurance, and 401(k). Our team is dedicated to delivering an elevated level of care to this vulnerable population.
Our Institutional Special Needs Plan (ISNP) was designed to address the significant unmet needs of nursing home residents by establishing collaborative, value-based partnerships with long-term care facilities. We have experienced rapid growth and expanded our ISNP offerings across several states.
Estimated Salary: $80,000 - $120,000 per year
About the Role:We are seeking a highly skilled Nurse Practitioner to join our team. As a Senior Healthcare Specialist, you will be responsible for providing primary care and services to a panel of members, conducting comprehensive assessments, and developing individualized care plans.
You will facilitate and administer Health Plan clinical operations functions, prioritize authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promote membership growth.
Key Responsibilities:
- Provides collaborative primary care and services to a panel of members
- Delivers ISNP Model of Care activities, develops and implements advanced care planning and embraces/executes a treat in plan model to avoid unnecessary hospitalizations
- Facilitates and administers Health Plan clinical operations functions-prior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, and promotes membership growth
- Serves as a trusted advisor to members, loved ones and nursing home staff and colleagues
- Delivers effective and frequent communication and coordination with members' PCPs, loved ones and interdisciplinary care team members on members' care needs, goals of care, treatment plans/changes
- Supports overall market goals/targets and balances member caseloads
- Promotes 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 ensure effective and high-quality care for Longevity Health members
- Performs other related duties as assigned
Requirements: 6+ months experience as a Nurse Practitioner, Master of Science in Nursing as a Nurse Practitioner from a nationally accredited program or Master's Degree from a nationally accredited program.
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