Primary Care Provider (NP/PA) - Community-Based Senior Care

About the role

We are seeking a dedicated Primary Care Provider to join our mission-driven culture and lead participant care coordination within a comprehensive, community-based senior care program. This role is essential for maintaining high-quality medical coverage and continuing education for our program participants, utilizing an innovative, whole-person medical approach driven by a collaborative interdisciplinary team.

Responsibilities

• Conduct in-person comprehensive medical assessments.
• Partner with the interdisciplinary team to design and implement individualized care plans.
• Manage discharge planning for participants transitioning from acute or long-term care settings.
• Oversee participant care within nursing facilities, providing regular clinical visits.
• Facilitate effective care coordination with community-based physicians and specialists.
• Analyze utilization data and hospitalization outcomes to improve clinical policy and best practices.
• Participate in a rotating schedule for night and weekend on-call coverage.