Nurse Practitioner, Street Medicine; San Bernardino, CA

Position: Nurse Practitioner, Street Medicine (San Bernardino, 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.

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. Care is delivered directly on the street, encampment, or shelter.

The Nurse Practitioner supports members who are experiencing or are at risk of experiencing homelessness with managing their own health by providing direct care as an independent healthcare provider and through coordination of care with a partner homeless services agency. Provide clinical leadership in implementing, training, monitoring, and improving Quality Hierarchical Chronic Condition initiatives. 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 directly on the street, encampment, or shelter.
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* Responsibilities include:

** 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 SCAN’s local provider network.
* Organize and complete Chronic Care Assessments and chart audits for patients.

Organize and complete an individualized Care Plan for each patient.
* Develop care plans in collaboration with patients, peer nav, and primary care physicians. Educate and advise on medical issues as needed. Consult with physicians and Medical Director as needed. Ensure Primary Care 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:
* For the proper handling of lab specimens and biohazardous waste.
* Document patient visit/interaction accurately and timely.
* Report suspicious, unethical, or illegal conduct and cooperate with approved investigations and inspections.
* 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.

Maintain professional and technical knowledge by attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies.
* Monitor, train, and coach patients on how to live with chronic conditions to ensure health goals are met.
* Collaborate with SCAN, Healthcare in Action team, and Quality Improvement team to achieve corporate goals. Practice medicine within the scope of a California Nurse Practitioner license
* Provide clinical Leadership of…