Nurse Practitioner

Brief Description

Job Summary:

An Advanced Practice Provider is a licensed and board-certified nurse practitioner or physician’s assistant specifically assigned to each Longevity Health Plan member for purposes of executing the Institutional Special Needs Plan Model of Care. The Advanced Practice Provider will be responsible for effectively medically managing a panel of Longevity Health Plan enrolled nursing home level of care/institutional members in partnership with the primary care team and delivering the Longevity Health Plan Model of Care.

The APP conducts a comprehensive assessment, develops and delivers the member’s individualized plan of care, attends nursing facility care team meetings, communicates frequently with the resident’s family or loved ones, and ensures the care team understands the member’s goals of care and needs. The APP focuses on treating in place, uses clinical practice guidelines to guide treatment decisions, and effectively documents the member’s health status, functional status, and diagnoses.

As part of the clinical team the APP is supported by the APP Clinical Manager, Market Director of Clinical Services, and a local medical director who provide education and guidance on best practices to effectively care for their members.

Provides collaborative primary care and services to a panel of Longevity Health Plan Services, including treating in the most appropriate setting based on the member’s goals of care. Executes and delivers Longevity Health Plan Model of Care activities, treating in the most appropriate setting, develops and implements advanced care planning, embraces and executes the treating-in-place model. Facilitates, administers Health Plan clinical operations functions—prior authorization, Part A and B services, medication reviews, HEDIS and STARs quality gap closure, promoting membership growth.

Serves as a trusted advisor to members, loved ones, and nursing home staff and member advocate, educates care teams on member needs and early identification of changes in condition, notifying APP and telehealth partners for member changes. Delivers effective and frequent communication and coordination with members’ PCPs, loved ones, and care team members on members’ care needs, goals of care, treatment plans/changes.

Supports overall market goals and targets and balances member caseload demands with other team member support needs. Promotes Longevity Health Plan with members, loved ones, and nursing facilities and other stakeholders. Is able to function autonomously and is accountable for practice. Establishes meaningful relationships and is able to effectively function in the nursing home environment. Is member-centric and customer-service oriented, establishing meaningful relationships that ensure effective and high-quality care for Longevity Health Plan members.

Performs other related duties as assigned.

There are no supervisory responsibilities for this position.

• State unrestricted licensed Advanced Practice Nurse, National Board certification (AANP, ANCC, or AACN) as an Adult, Family, Geriatric or Primary Care nurse practitioner.
• State unrestricted licensed Physician’s Assistant, NCCPA board certified.
• DEA license required.
• Must have an active national provider number (NPI) and an active Medicare provider number.
• Must be eligible to participate in the Medicare program as a provider and registered.
• Valid state driver’s license with a good driving record and proof of automobile insurance.
• Auto liability insurance declaration page with minimum limits of $100,000/$300,000 for bodily injury and $100,000 for property damage with a combined single limit of $300,000 (to be provided annually).

Master of Science in Nursing as a Nurse Practitioner from a nationally accredited program OR Master’s Degree from a nationally accredited program.

• 6+ months experience as a Nurse Practitioner or Physician Assistant.
• Experience working in the nursing home environment is strongly desired.
• Computer/technology proficiency required.
• The ability to engage and communicate effectively…