Paneled Nurse Practitioner

Join to apply for the Paneled Nurse Practitioner role at Center Well Senior Primary Care

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Join to apply for the Paneled Nurse Practitioner role at Center Well Senior Primary Care

This range is provided by Center Well Senior Primary Care. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

$/yr - $/yr

Become a part of our caring community and help us put health first

The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal patient panel outcomes. The Nurse Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial.

We are a value-based care provider focused on quality of care for the patients we serve. The Paneled Nurse Practitioner works in our team-based care environment. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships.

This robust support allows our Nurse Practitioners to spend more time with patients.

• Evaluates and treats center patients in accordance with standards of care.
• Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
• Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
• Acts as an active participant and leads the care team through daily huddles.
• Helps Associate Medical Director (AMD), Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
• Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
• Follows policy and protocol defined by Clinical Leadership.
• Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues.
• Participates in potential growth opportunities for new or existing services within the Center.
• Participates in the local primary care “on-call” program of Center Well Senior Primary Care.
• Ensures personal compliance with licensing, certification, and accrediting bodies.

In addition to the above responsibilities, this role requires the Paneled Nurse Practitioner to take on the role as Primary Care Provider for their assigned patient panel in coordination with the patient care team, subject to state laws regarding scope of practice and physician supervision/collaboration. This includes but is not limited to the following additional responsibilities:

• Clinical Responsibility and Continuing Care for your Patient Panel: accountable for comprehensive, long-term care, ongoing treatment plans and coordination with specialists and other care providers. Responsibility for results review (imaging, laboratory testing, specialty referral and review of and follow through of recommendations from specialists).
• Commitment to Long-term Patient Care: commit to managing the health of your patient panel over an extended period. This will require acute and chronic treatment plans and proactive management through prevention and education.
• Accountable for the clinical outcomes and total cost of care for assigned patient panel: demonstrates proactive and sustained engagement in improving health outcomes, optimizing resource utilization, and ensuring effective panel management.
• Focus on Quality and Improved Patient Care: responsible, internally, for completing/closing all quality metrics (HEDIS, STARS, EDAPS) for their panel of patients.
• Participate and Lead High Risk Rounds with Care Team: tailor care plan to patient needs and ensure appropriate utilization.

• Minimum of two to five years directly applicable experience in primary care, geriatrics,…