Nurse Practitioner In-Home Assessments- (San Diego)

Nurse Practitioner

Adobe Population Health is hiring a part-time Nurse Practitioner (NP) to conduct in-home wellness assessments for both pediatric and adult members. This role focuses on improving health literacy and overall quality of life through comprehensive annual visits.

The NP will complete in-home annual wellness assessments (which may last up to one hour) and will evaluate medical history, current medications, health status, and social determinants of health.

This part-time position requires a minimum commitment of 20 hours per week. Availability can include the following:

• Weekdays: Monday through Friday, 8:00 a.m. 8:00 p.m.
• Weekends: Saturday and Sunday, 8:00 a.m. 5:00 p.m.

This position is pay-per-visit and will vary from $75-$125, depending on the type of visit. Travel reimbursement is also included at the IRS-approved rate of.70/mile.

Duties and Responsibilities include:

• Travel up to 90% throughout designated regions, which may be updated based on business needs.
• Conduct in-home assessments on identified patients, following established guidelines.
• Visit types may include:
• In-home Medicare and Medicaid Assessments.
• In-home Well-Child Visits (WCV), for children ranging from 6 months to 21 years of age.
• In-home Child and Adolescent Well-Care Visits (WCV).
• In-home Annual adult Wellness Visits (AWV).
• In-home Health Risk Assessments (IHRA).
• Telephonic Adult Annual Preventative (AAP) Assessments.
• Telehealth assessments, as needed.
• Understand the importance of preventative health evaluations focused on monitoring physical, developmental, behavioral, emotional health, and the assessment of social determinants of health (SDOH).
• Assess psychosocial and clinical needs of patients and families.
• Coordinate and communicate care plans with primary care and community providers.
• Support appropriate utilization of healthcare resources.
• Ensure timely and accurate documentation across the continuum of care.
• Formulate a list of current and past medical conditions using clinical knowledge, judgment, and current findings.
• Identify urgent and emergent situations for proper intervention.
• Educate members on topics related to health conditions and the continuation of care.
• Identify diagnoses to be used in care management and active medical management.
• Provide care coordination to alleviate identified needs related to behavioral, physical, and social issues.
• Focus on addressing issues that will decrease medical costs and increase the quality of life.
• Develop positive relationships with clients, caregivers, providers, and other team members.
• Managing physical health problems through the provision of education.
• Communicate gaps in care to the member's primary care physician if needed.
• Home safety evaluations.
• Identify internal and external referral needs when available.
• Compliant with all HIPAA regulations and maintain the security of protected health information (PHI).

Skills and Qualifications include:

• One (1) year of experience as an NP is preferred.
• Experience in the care of elderly population is preferred.
• Experience in the care of pediatric populations preferred.
• Experience in home health, physician's office, or public health is preferred.
• Computer skills required: (Microsoft Office Suite Software).
• Adapts to changes in policies, procedures, new techniques, & additional responsibilities.
• Knowledge of HIPAA regulations.
• Bilingual (English/Spanish) is preferred.
• Clean driving record.

Education, Licenses, & Certifications include:

• Master's Degree in Nursing is required.
• Current and unrestricted licensed Family Nurse Practitioner.
• Current and unrestricted Board Certification.
• Must maintain active certification in designated nurse practitioner specialty as required by certifying body and state regulations.
• Current CPR certification.
• Current BLS certification.
• Current and unrestricted California driver's license.
• Annual TB testing.

Character and Competencies include:

• Courage To have the courage to do the right thing at the right time.
• Ownership To take ownership of every issue you touch.
• Respect To respect yourself, co-workers, and for those whom you care.
• Excellence To be excellent in all that you do.
• Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
• Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethics; Upholds organizational values.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
• Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
• Interpersonal Skills - Focuses on solving conflict, not blaming; Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Remains open to others' ideas and tries new things.
• Judgement - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process; Makes timely decisions.
• Problem-Solving - Identifies and resolves problems in a timely manner; Gathers and analyzes information skillfully; Develops alternative solutions; Works well in group problem-solving situations; Uses reason even when dealing with emotional topics.
• Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments.
• Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Gives and welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Able to build morale and group commitments to goals and objectives; Supports everyone's efforts to succeed.

Physical Demands & Work Environment include:

• Frequently required to travel up to 90 minutes one-way for home visits.
• Occasionally required to stand.
• Occasionally required to walk.
• Continually required to sit.
• Occasionally required to climb, balance, bend, stoop, kneel or crawl.
• Occasionally required to be exposed to warm or cool spaces.
• Continually required to talk or hear.
• While performing the duties of this job, the noise level in the work environment is usually moderate.
• May occasionally lift and /or move more than 30 pounds.
• Must be able to physically perform the essential duties of the position which include lifting 30 lbs., transporting materials, stooping, kneeling, crouching, reaching, use of hands, balancing, walking, standing, talking, hearing, and typing.

Salary Range Disclaimer:

A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $75.00 to $125.00 on a pay per visit basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire,