Primary Care Nurse Practitioner

About my Place Health

my Place Health was founded in 2021 by mission-aligned healthcare leaders and organizations that are committed to drastically improving health outcomes, quality and experience for vulnerable older adults and frail seniors. We specialize in providing value-based, comprehensive care and coverage for older adults with significant needs so they can thrive in the homes they love and in the communities they cherish.

Our mission is simple: to enable older adults to live the independent lives they deserve. We pursue this mission through our my Place PACE (Program of All-Inclusive Care for the Elderly) model, which provides seamless primary care, integrated health plan coverage, personalized social engagement, and customized services delivered in the participant’s preferred place.

my Place Health is building a mission-driven team that shares our passion for redefining the way older adults experience care as they “age in place” in the community. This is a unique opportunity to take on one of our country’s most challenging healthcare problems and join a fast-growing, dynamic team as we prepare to scale our mission to serve more markets.

This is an opportunity for a mission-driven Nurse Practitioner who’s passionate about helping high-risk seniors and frail older adults live the independent lives they deserve. As a key member of our Interdisciplinary Team (IDT), you’ll provide direct medical care and lead a panel of participants—building trusted relationships and driving care plans that improve outcomes.

You’ll meet participants where they are—primarily in the center/clinic, with occasional home visits, virtual care, or other sites as needed. This role is Monday–Friday with regular hours, plus shared on-call rotation support. If you thrive in a collaborative, high-growth environment, you’ll feel right at home here.

• Be a core clinical voice on the IDT: Partner with the Interdisciplinary Team to complete key assessment sections, contribute to care planning, and support service determination requests.
• Own and grow your participant panel: Actively build relationships with participants and manage an ongoing panel with continuity, accountability, and heart.
• Practice thoughtful, safe prescribing: Initiate, evaluate, review, and update medication and treatment orders (including diagnostic studies) with required approval.
• Coordinate care in real time: Assess, initiate, and coordinate day-to-day care under supervision—keeping participants stable, supported, and progressing toward goals.
• Chart with excellence and timeliness: Document participant interactions, assessments, and next steps in the EMR within established center time frames.
• Connect participants to the right specialists: Make referrals, request consults, and ensure follow-through with approval—helping participants navigate complex systems with ease.
• Deliver comprehensive clinical care: Perform histories and physicals, provide participant education, and support informed decision-making at every step.
• Stay on top of labs and clinical results: Order, interpret, and follow up on lab tests and results—closing loops and acting quickly when needed.
• Use your hands-on skills where appropriate: Perform selected procedures within scope and support high-quality, efficient care delivery.
• Spot changes early and elevate appropriately: Recognize abnormalities, respond with clinical judgment, and elevate concerns to ensure participant safety.
• Collaborate across disciplines: Work closely with behavioral health, pharmacy, and other care partners to ensure wraparound, whole-person care.
• Meet participants where they are: Evaluate and treat participants in the center, at home, virtually, in SNFs, and other settings—delivering care across the continuum.
• Support meaningful goal‑of‑care conversations: Facilitate advance care planning discussions with participants and caregivers with empathy and clarity.
• Capture acuity accurately: Document chronic conditions through HCC capture to reflect true clinical complexity and support appropriate care planning.
• Pitch in when it matters most: Provide on-call coverage as needed,…