Nurse Practitioner or Physician Assistant; Upland​/Rancho Cucamonga​/Ontario

** The Job
** The Advanced Practice Clinician will provide and coordinate primary care to SCAN members to achieve the Company’s mission to keep seniors healthy and independent.
** You Will
*** Provide care to an assigned panel of members (patients) in their place of residence, most commonly in senior living communities or skilled nursing facilities. This includes conducting physical/wellness exams and assessments; occasional urgent medical visits and telephonic triage to ensure timely, appropriate care and hospital avoidance if possible; administering vaccines; ordering and interpreting diagnostic tests; initiating goals of care conversations with patients and their loved ones;

and chronic disease management.
* Identify patient health care needs and develop a comprehensive plan of care for the patient, their family, and living-community staff.
* Collaborate with our case management team to ensure members have timely access to necessary and appropriate services.
* Independently manage visitation schedule in line with established practice protocols and adjust schedule based on members’ needs and acuity.
* Engage with Primary Care Physicians and other health care professionals in a collaborative relationship aimed at disease prevention, health promotion, and chronic disease management. Partner closely with Primary Care Physicians for clinical oversight and guidance.
* Connect with specialists, hospitals, ancillary care providers, and community-based organizations to ensure continuity of care and promote shared decision-making while advocating for members.
* Actively monitor and quickly address clinical quality gaps in care in partnership with other care providers.
* Document member visits and interactions in a timely manner according to established practice protocols.
* Serve as an ongoing direct resource for members and their families, as well as for their communities and support staff.
* Participate with Integrated Care Sales team in events to build member awareness and educate communities.
* Initiate and complete virtual health visits with members as needed to promote accurate triaging and reduce drive time.
* Participate in on-call program available to our members after hours and on weekends.
* Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
* Contribute to team efforts to meet quality healthcare goals by closing care gaps, attending high risk group discussions, and optimizing clinical workflows and protocols.
* This position is a patient-facing role.
* Employees may be eligible for differential pay.
* We seek Rebels who are curious about AI and its power to transform how we operate and serve our members.
* Actively support the achievement of SCAN’s Vision and Goals.
* Other duties as assigned.
** Your Qualifications
*** Master’s degree in Nurse Practitioner Certificate OR Master’s from an accredited PA program, Education in Adult/Geriatric medical care preferred.
* A comparable combination or education/experience and/or training will be considered equivalent to the education listed above.
* Current California Nurse Practitioner license OR California Physician Assistant Certification (PA-C) in good standing.
* Wound Care Certificate and Palliative Care Certificate a plus.
* Knowledge of the treatment of complex chronic diseases, such as dementia, diabetes, heart failure, and COPD.
* Ability to identify health care needs and refer and coordinate with other resources/programs appropriately.
* Knowledge of HCC and ICD-10 coding and documentation.
* Knowledge of wound care and management.
* Knowledge of CMS guidelines and Medicare Advantage Managed Care.
* Comfortable with initiating goals of care and end of life discussions.
* Strong…