Nurse Practitioner

POSITION DESCRIPTION

Company: P3 Health Partners

Role:
Nurse Practitioner – Senior Wellness Center

Location:

Salem or Roseburg, OR

At P3 Health Partners, we're revolutionizing healthcare delivery by focusing on what truly matters: better outcomes for patients and a better experience for providers. As a physician-led population health management company, we empower providers to thrive in value-based care models. Our innovative approach provides administrative services, care coordination, and data-driven insights that enable providers to deliver exceptional, coordinated care to Medicare Advantage patients.

Together, we're building a strong network of community providers dedicated to improving lives, lowering costs, and redefining what's possible in healthcare.

Joining P3 Health Partners means having the opportunity to shape the future of healthcare while advancing your career. This role offers the chance to drive meaningful change in the lives of patients and providers, be part of a high-growth organization with significant opportunities for advancement, and collaborate with a passionate, mission-driven team of healthcare leaders. You'll also benefit from a dynamic and flexible work environment where you can thrive.

If you're passionate about transforming healthcare and ready to make a meaningful impact, P3 Health Partners is the place for you. Join us in redefining the industry and delivering better care to those who need it most.

Are you a compassionate, mission-driven Nurse Practitioner looking to make a meaningful impact on the lives of complex medical patients? As a Nurse Practitioner at P3 Health Partners, you'll bring hope and healing to patients with complex medical needs. In this full-time role, you'll be a vital member of an interdisciplinary team, transforming lives and empowering primary care physicians to deliver exceptional care to those who need it most.

This role requires a multifaceted approach, encompassing all aspects of care delivery. Comprehensive geriatric assessments may be conducted in-office, via telemedicine, or through on-site visits at senior facilities, patient homes, dialysis centers, and other appropriate locations. Close collaboration with primary care physicians is a must to avoid fragmented care.

The scope of practice includes managing quality measures, performing accurate risk assessments, recommending adjustments to longitudinal care, providing care for non-life or limb threatening urgent concerns, facilitating advanced care planning, transition of care visits, longitudinal management of high-risk patients often in coordination with the primary care provider, and other key actions while collaborating with an interdisciplinary team to align care with patient health goals.

The above actions, combined with preventive and timely patient care, afford emergency department and hospital admission avoidance which is a known factor in decreasing complications while maintaining a higher quality of life in this subset of patients.

• Conduct comprehensive health assessments for P3 members in a variety of settings.
• Perform transition of care visits to ensure patient understanding of discharge instructions, remove barriers for recovery, and reduce avoidable hospital readmissions or emergency department visits.
• Perform comprehensive geriatric assessments using sound clinical judgment.
• Identify care gaps and communicate recommended interventions to the member’s primary care provider and care team.
• Triage and manage non-life or limb threatening conditions.
• Collaborate with interdisciplinary teams using data-driven clinical tools to support coordinated, value-based care.
• Identify key risk drivers for hospitalization.
• Provide support in advanced care directive completion, goals of care, and transitions to hospice.
• Collaborate with the Regional Clinical Medical Director or designee when assistance in clinical decision making is identified.
• Communicate opportunities to advance the clinical model.
• Educate P3 team members when necessary.
• Educate patients, their families, and caretakers on health maintenance, chronic disease…