APP - Nurse Practitioner or Physician Assistant

About the role

The Advanced Practice Provider – Nurse Practitioner or Physician Assistant at ConcertoCare is a core member of a multi-disciplinary Field Team that delivers home- and community-based care to patients with complex needs.

Responsibilities

• Provision of compassionate, individualized, and holistic patient care including comprehensive care, urgent care, and chronic condition management focused on gaps in care, patient risk stratification, and integration with multidisciplinary team services.
• Collaboration with the multidisciplinary team to cooperatively deliver transitions of care support, social determinants of health interventions, behavioral health evaluation and management, and complex medication management as clinically appropriate.
• Delivery of exceptional clinical care both in-person and virtually, with in-person settings including private homes, congregate living facilities, and/or other home settings.
• Maintenance of comprehensive medical records including timely and accurate completion of clinical documentation and coding for clinical encounters, up-to-date medication reconciliation, and accurate recording of patient care-related activities and communications.
• Promotion of and participation in patient engagement and experience initiatives.
• Maintenance of comprehensive medical records including timely and accurate completion of clinical documentation and coding for clinical encounters, up-to-date medication reconciliation, and accurate recording of patient care-related activities and communications.
• Participation in after-hours on-call schedule and other clinical care cross-coverage as requested.
• Other market-specific duties as assigned.

Qualifications

• Nurse Practitioner with graduation from an accredited health professions school and successful completion of an ANCC or AANP certification; or board-certified Physician Assistant.
• Active licensure in the state of California. 103 NP licensure is a plus.
• Active DEA licensure and state-specific controlled substance registration, as applicable.
• A minimum of 3 years of experience is required, in-home/virtual experience is preferred.
• Advanced training in geriatrics and/or palliative medicine is preferred.
• Certification in basic life support (BLS) is required.
• Clinical experience caring for aging adults and adults with complex care needs is required.
• Clinical experience caring for patients in the home setting including private homes and/or congregate living facilities preferred.
• Previous experience with managed care and/or value-based healthcare delivery is preferred.
• Average to advanced computer and software skills are required.
• Ability and means to travel as needed promptly to locations that may have limited access to public transportation; proof of liability and property damage insurance on the vehicle used is required.