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CareConnectMD, Inc.

Nurse Practitioner

corona, CA

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About this opportunity

CareConnectMD, Inc. lists this Nurse Practitioner opportunity in corona, California. Review the employer’s description below for duties, qualifications and application requirements.

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Corona, CA, US

Salary Range: $140,000.00 To $155,000.00 Annually

Key Duties and Responsibilities

Assess patients to identify needs for services and support such as: DME, medical supplies, acute medical services, behavioral health services, Home- and Community Based Services (HCBS), primary care, hospice care, and specialty care

Assist patients and their families/caregivers in identifying goals of care, family support system, environmental, cultural, and linguistic needs for the patient care plan

Complete appropriate assessment within appropriate timelines

Manage a complex caseload of patients

Provide primary care services in a collaborative environment for frail and elderly patients in a long-term care setting

Provide primary care with a focus on assessment, health management, education, advocacy, and prevention

Educate patients and families/caregivers about preventive care strategies, disease management, medication adherence, and lifestyle modifications to promote overall wellness

Communicate assessment outcomes with patients, families/caregivers, PCP, and key service providers

Ensure appropriate utilization and consistent application of benefits and services

Serve as member advocate and facilitator to resolve issues that may be perceived as barriers to care

Collaborate and communicate with other members of the Care Coordination team to improve the quality and efficiency of health care delivery

Round regularly on long-term care patients and as needed

Perform accurate, comprehensive, and timely medical documentation using approved EMR system(s)

Review and prescribe appropriate pharmacologic and non-pharmacologic treatment modalities

Administer and interpret diagnostic tests, screenings, and laboratory results

Participate in patient's IDT's

Respond timely to patient-related calls during regular work hours Monday through Friday

Participate in after-hours call for assigned patients (Monday through Friday, 7 AM - 7 PM) without additional compensation as part of job responsibilities

Participate in 1 - 2 weekend days for patient related calls from 7 AM - 7 PM

Participate in rotational evening after-hours call which may include weekends and holidays, (reimbursement as per company policy), from 7 PM - 7 AM.

Participate in QI program and Peer Review meetings

Lead discussions related to advanced care planning, to include completion of POLST form. Review annually and as needed with change in condition

Communicate regularly with patient and family/caregiver to provide updates on care, address questions or concerns, and provide guidance on healthcare decisions, ensuring patients are well-informed and empowered to actively participate in their care plans

Communicate regularly with facility staff to ensure alignment with plan of care and care goals

Communicate proactively with case manager and PCPs to keep them apprised of patient care issues

Provide appropriate CPT coding of each visit and timely submission of billing forms to office daily

Timely completion of all medical records in accordance with facility and other applicable policies. Documentation to be completed within 5 days of visit. Any incomplete documentation within the agreed upon timeframe will not be considered toward bonus count

Timely completion of 602 Form (Physicians Report) in accordance with state regulations

Actively participate and engage in regular team meetings, quality improvement initiatives, and ongoing education to optimize care delivery within ACO LEAD program

Perform other duties and responsibilities as assigned

Education and Experience

Master's degree from accredited Nursing school institution.

State certification as adult/geriatric nurse practitioner preferred.

At least three (3) years' experience in geriatrics. Long-term care and skilled nursing facilities experience preferred.

Essential Skills and Abilities

Strong background in geriatric and/or internal medicine

Knowledge of long-term care, community resources, and cost-effective alternatives regarding patient care delivery systems

Demonstrated ability to work independently, set priorities and handle multiple tasks with a high level of efficiency

Knowledge of clinical standards of care

Experience in manage care and fee-for-service care

Thrives in an unstructured, start-up environment

Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members

Self-starter who can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks

Excellent observational, verbal and written communication skills, problem solving skills, mathematical skills; nursing skills per competency checklist

Creative, flexible, well organized, resourceful, and detail-oriented

Excellent judgment in handling confidential and sensitive information

Establishing and maintaining cooperative working relationships with others

Ability to work across multiple locations

Occasionally require lifting or exert force up to 10 pounds.

Strong computer skills, including basic Microsoft suite and EMR systems

Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems desired

Licenses/Certifications

Must be Board certified and have a DEA.

State certification as adult/geriatric nurse practitioner.

Current CPR certification

Core Competencies

Drives results

To ensure the health and safety of our workforce while doing our part to protect those around us, CareConnectMD is requiring proof of full COVID vaccination for employees as a condition of employment, subject to legally recognized accommodations.

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Worksite address

corona, CA, 92878, US

Who can apply

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