Nurse Practitioner / Physician Assistant - Annual Wellness Visits (San Bernardino) - Hybrid

Nurse Practitioner / Physician Assistant - Annual Wellness Visits (San Bernardino) - Hybrid

Department: Quality - Risk Adjustment Ops

Employment Type: Full Time

Location: 568 W. Garvey Ave, Monterey Park, CA 91754

Reporting To: Joshua Almodovar

Compensation: $140,000 - $150,000 / year

Description

We are looking for a Nurse Practitioner / Physician Assistant to join a team that is passionate about the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes by coordinating and delivering key clinical care. Through outreach and education, we inspire patients to take a preventive approach to maintaining their health and to be active in their management of chronic diseases. Together, we strive to achieve healthy living for all through all stages of life. In this hybrid role, you will conduct 5 to 6 Annual Wellness Visits (AWVs) per day across San Bernardino County, meeting patients where they are, primarily in their homes or local care facilities, or 10 to 11 AWVs per day via telemedicine. These visits serve as critical touchpoints to assess patients' current health status, identify and address risk factors, and support long-term wellness planning. You will review and update medical histories, evaluate health risks, and recommend appropriate preventive services. Through close collaboration with patients, you will play a key role in influencing health behaviors and driving improved outcomes over time.


Our Values:

• Put Patients First
• Empower Entrepreneurial Provider and Care Teams
• Operate with Integrity & Excellence
• Be Innovative
• Work As One Team

What You'll Do

• We are looking for a Nurse Practitioner / Physician Assistant to join a team that is passionate about the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes by coordinating and delivering key clinical care. Through outreach and education, we inspire patients to take a preventive approach to maintaining their health and to be active in their management of chronic diseases. Together, we strive to achieve healthy living for all through all stages of life. In this hybrid role, you will conduct 5 to 6 Annual Wellness Visits (AWVs) per day across San Bernardino County, meeting patients where they are, primarily in their homes or local care facilities, or 10 to 11 AWVs per day via telemedicine. These visits serve as critical touchpoints to assess patients' current health status, identify and address risk factors, and support long-term wellness planning. You will review and update medical histories, evaluate health risks, and recommend appropriate preventive services. Through close collaboration with patients, you will play a key role in influencing health behaviors and driving improved outcomes over time.

What You'll Do Conduct

• 5-6 Annual Wellness Home Visits per day within the San Bernardino County area
• Conduct 10-11 Annual Wellness Telehealth Visits per day across Astrana Health's covered markets
• Document chief complaint, previous medical, family, and social history, review of systems, examination, assessment, and appropriate plan of care
• Identify gaps in care during the evaluation that may require additional screening, diagnostics, and laboratory studies
• Recapture previous conditions while carefully capturing newly found conditions
• Create or update a Personalized Prevention
• Plan based on current health and risk factors to optimize the management of current conditions and prevent illnesses
• Provide patient education regarding preventive services and prescribed treatments, reinforce the importance of staying current on covered preventive services
• Make recommendations for member's follow-up with their primary care physician
• Communicate with AWV Care Coordination team to ensure patients receive necessary referrals to additional services
• Complete documentation/charting in an accurate and timely manner
• Comply with federal, state, and local legal and professional requirements by studying existing and new legislation, anticipating future legislation; enforcing adherence to requirements; advising management on outstanding actions
• Other duties as assigned

Qualifications

• Active Nurse Practitioner Licensure, Active Nurse Practitioner Furnishing License OR Active Physician Assistant Licensure Current Board Certification with (AANP, ANCC, NCCPA)
• Valid DEA and NPI

You'll be great for this role if you have:

• Minimum one year of direct patient care experience as a Nurse Practitioner OR Physician Assistant in Primary Care, Gerontology, or related field Experience in HEDIS and HCC as it pertains to AWV/Medicare/ACO population
• Experience with EHRs Fluency in Spanish (preferred)

Environmental Job Requirements and Working Conditions

• This is a full-time, hybrid position scheduled as four 10 hour shifts per week or five 8 hours shifts per week, serving patients throughout the San Bernardino County territory.
• The national target compensation target pay range for this role is between $140,000 - $150,000 annually. Actual compensation will be determined based on geogrpahic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at View email address on click.appcast.io to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.