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Nurse Practitioner - High Risk Program (OR License Required)

Greater Good Health
Oregon, USA
Full-time
Mid Level
Hybrid
Discovered 1 months ago

Full Job Posting

  • Assess patients' clinical problems and healthcare needs and provide clinical care and consultation
  • Perform an annual wellness exam for senior Medicare patients in a designated clinic or at their place of residence. Obtain and record the patient's medical history and symptoms, including medicine reconciliation
  • HCC coding, verification, and risk adjustment
  • Coordinates continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the patient’s primary healthcare provider(s) and collaboration with other referral sources
  • Perform various tests and screenings
  • Counseling patients with education around their discharge plan
  • Execute the discharge plan and use your critical thinking skills to build an effective care plan during a critical transition period after a hospital discharge
  • Supports patients and their families, and provides compassionate care
  • Contribute to an interdisciplinary team (IDT) model and attend regular IDT meetings to collaborate with other healthcare professionals (social workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out
  • Collaborate with care team to ensure completion of holistic patient care
  • Ability to travel within the Medford, OR area 5 days a week to provide care to patients in their home based on the needs of business/market
  • Expected patient volume completed per day in clinic: 8-10
  • Expected patient volume completed per day in-home: 5-6
  • Complete charts within 72 hours of patients’ visits; you will have access to EMR and/or portals to review charts and document notes
  • Cover for other Nurse Practitioners and Care Team Members when necessary
  • Maintains patients’ confidence by completing and safeguarding medical records, keeping patients’ information confidential, and abiding by all HIPAA rules and regulations
  • Demonstrate the ability to execute thoroughly in a fast-paced work environment and continually build upon best-practices for efficiency
  • Ability to build rapport with the aging and elderly population through effective redirection skills
  • Detail-oriented and thrives in routine work
  • Open to feedback from the clinical and leadership team to strive for constant improvement with coding and processes
  • Comfort with technology systems, commitment to timely EMR documentation, and have a deep understanding of Medicare HCC coding and managed care
  • Flexible with work schedule and work setting as needed
  • Ability to travel within the 35 mile radius of Jackson County, OR 5 days a week to provide care to patients based on the needs of business/market
  • Current Oregon Nurse Practitioner license
  • 2 + years of clinical experience as a NP in either Primary Care, Family Medicine, Internal Medicine, Gerontology or Palliative Care.
  • Acute care experience with high-risk patients is a plus
  • Home health experience (NP or RN) is a plus
  • Nurse Practitioner certification from either the ANCC / AANP
  • Working knowledge of chronic care management and various medication options
  • Current DEA licensure / Prescriptive Authority post-hire

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