Nurse Practitioner – Advanced Practice Provider

• Deliver exceptional remote care via the telemedicine platform
• Deliver comprehensive, patient-centered care for adults with complex medical, emotional, and social needs
• Develop and implement individualized care plans with patients, families, and interdisciplinary team members
• Coordinate care across primary care, specialty providers, behavioral health, and community resources
• Facilitate transitions of care to prevent readmissions and ensure continuity
• Diagnose, assess, and treat acute and chronic medical conditions
• Provide chronic condition management, preventive care, and acute or palliative care
• Perform in-home visits, telehealth, and clinic-based care
• Educate patients on disease management, medication adherence, and preventive health
• Address behavioral health concerns and social determinants of health
• Engage in longitudinal care and population health initiatives
• Track and document patient outcomes and participate in quality improvement initiatives
• Use population health data to identify at-risk individuals and proactively manage care
• Use telemedicine technology for video consultations, EHR documentation, and patient interactions
• Collaborate with physicians, nurses, social workers, case managers, and field-based nurses
• Participate in an on-call rotation, including evenings, weekends, and holidays; respond to urgent issues, elevate incidents, document resolutions

• Minimum of 3 years of clinical experience with strong clinical skills, with a focus on complex care or population health
• Experience in primary care, preferably with geriatric and palliative care patients
• Proven ability to manage a patient panel and provide longitudinal care
• Comfortable collaborating with nurses and other team members in the care process
• Proficient in telemedicine technology, including EHR systems and videoconferencing platforms
• Active and unrestricted licensure as a Nurse Practitioner (NP), Physician Assistant (PA), or Medical Doctor (MD/DO) in the state of California is REQUIRED
• Board Certified or Board Eligible in Internal Medicine, Family Medicine, or Geriatrics is preferred
• Familiarity with telemedicine platforms and digital health tools
• Spanish language skills preferred but not required
• Must be able to physically perform essential duties including lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing

Demonstrates expertise in delivering patient-centered care through telemedicine, with a strong focus on managing complex medical conditions and coordinating care across various healthcare providers. Proficient in utilizing telemedicine technology and EHR systems to enhance patient outcomes and engage in quality improvement initiatives.

• Clinical Experience
• Telemedicine Technology Proficiency
• Patient Panel Management
• Nurse Practitioner Licensure
• Board Certification in Internal Medicine

• Complex Care Management
• Chronic Condition Management
• Preventive Care
• Acute Care
• Behavioral Health Assessment
• Patient Education
• Care Coordination
• Quality Improvement
• Population Health Management
• EHR Documentation

• Collaboration
• Communication
• Patient Engagement
• Problem-Solving
• Adaptability

• Active Nurse Practitioner Licensure
• Board Certification in Family Medicine
• Board Certification in Geriatrics

• Patient-Centered Care
• Longitudinal Care
• Geriatric Care
• Palliative Care
• Social Determinants of Health
• Interdisciplinary Team Collaboration
• Transitions of Care

• Telemedicine Platforms
• Videoconferencing Tools
• EHR Systems
• Digital Health Tools