Nurse Practitioner, Street Medicine; Redwood , CA

Position: Nurse Practitioner, Street Medicine (Redwood City, CA)
At Healthcare in Action, we serve patients experiencing homelessness through an innovative “street medicine” approach by contracting with Medicare and Medicaid health plans as well as hospitals and health systems.

Street medicine entails using a medically equipped van to deliver medical care directly to people experiencing homelessness in locations such as parking lots, encampments, and parks.

The Nurse Practitioner, Street Medicine will provide direct care to people experiencing homelessness. The NP will manage their health by providing direct care as an independent healthcare provider and through coordination of care with the Healthcare in Action team.  Assist in motivating behavioral changes in patients to improve health outcomes in members through education, peer support, and the relaying of shared experiences.

Care is delivered through a mobile van setting out in the community, or at the San Mateo Navigation Center in Redwood City, CA.
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* Responsibilities include:

*** Meet with patients, conduct physical exams and assessments including diagnostic exams; take medical histories; diagnose and document patient’s health conditions; conduct wellness exams, administer vaccinations and draw blood for lab tests (if necessary).  Produce care plan for patients.
* Perform Chronic Care Assessments for patients.
* Interpret and evaluate diagnostic tests to identify and assess individuals’ clinical problems and health care needs.
* Thoroughly document all chronic health conditions and consider appropriate follow up with local provider network.
* Organize and complete Chronic Care Assessments and chart audits for patients.
* Develop and organize individualized care plans in collaboration with patients, peer nav, and primary care physicians. Educate and advise on medical issues as needed. Consult with physicians and General Manager as needed. Ensure team physicians are aware of patient’s health conditions and progress.
* Provide health education to patients. Work with patients in the prevention of illness, promotion of health, and management of patient's adjustment to chronic health problems.
* Provide referrals both internally and externally to appropriate medical resources.
* Engage with providers and patients to create a trusting environment. Maintain a safe, efficient, and pleasant environment conducive to optimum patient wellbeing, in conformance with recognized standards. Function in a collaborative relationship with physicians and other health care professionals in the clinical management of patients. Maintain a good working relationship with other personnel, medical staff, and administration.
* Follow company policies and procedures:
* Document patient visit/interaction accurately and timely.
* Develop an understanding of Health Plan’s encounter data submission process and CMS requirements.  Participate in the grievance, audit and continuing education, quality assurance, and quality improvement programs.  Serve as an on-going resource to providers and case management teams. Serve on and participate in appropriate clinical committees, as assigned.
* Must be able to drive medically equipped vehicles when conducting outreach.
* Must have a valid, CA driver's license and clean driving record.
* Must have proof of insurance
** Qualifications and experience:
*** Graduate degree (Master of Science in Nursing or Doctor of Nursing Practice) from an accredited nursing school required.
* Current California Nurse Practitioner license in good standing.
* NPI* DEA license in good standing
* Current First Aid/CPR/AED certification.
* 2+ years of experience working as a Nurse Practitioner in a medical office, hospital, population health required.
* Demonstrated experience providing direct patient care in the field, strongly preferred.
* Experience in the military or international relief providing patient care in outdoor environments strongly preferred.
* Experience with substance abuse and mental health highly desired.
* Familiarity with insurance switches and navigating MediCAL.
* Understanding of ICD-10 Coding preferred.
* Excellent assessment skills required.
* Ability to problem-solve and to prioritize changing patient conditions…