Advanced Practice Provider - Pittsburgh, PA

Job Title

This is a full-time community-based position requiring frequent travel within the assigned territory in Pittsburgh, PA.

Job Description

This role is integral to the organization's comprehensive care delivery system. The incumbent delivers high-quality, patient-centered care through in-home, virtual, and telephonic comprehensive clinical assessments for members with chronic health conditions. This autonomous position provides holistic, community-based care, especially for geriatric and palliative populations. The role proactively manages symptoms, guides advance care planning, and supports members with chronic or life-limiting illnesses to ensure optimal quality of life and health outcomes. The role involves accurately identifying and documenting all active chronic medical conditions essential for risk adjustment.

Essential Responsibilities

• Conduct comprehensive in-home, video, and telephonic clinical assessments, including detailed histories, physical examinations, and identification of all active diagnoses, symptoms, functional status, and social determinants of health.
• Order and interpret laboratory, radiological, and other diagnostic studies, then make medical diagnoses and institute appropriate therapy within applicable scope and standards of practice.
• Manage medications and treatments related to palliative care, alleviating pain and other distressing symptoms related to life-limiting illnesses.
• Provide emotional and psychological support, and educate patients and families about illness progression, treatment options, and aligning to goals of care.
• Facilitate advance care planning conversations and end-of-life discussions.
• Collaborate and coordinate care with other providers active on the patient's care team and participate in interdisciplinary team meetings to review and update patient care plans.
• Institute emergency measures or appropriate stabilization for acute patient situations.
• Utilize electronic medical record (EMR) systems for thorough and compliant clinical documentation, ensuring timely and accurate record of pertinent information to support comprehensive medical coding and risk adjustment methodologies.
• Identify and inform the attending physician of record of all significant changes to the patient's ongoing condition in a timely manner.
• Maintain mandatory professional continuing education and uphold professional practice consistent with organizational statements and medical staff compliance.
• Other duties as assigned or requested.

Education

Required: Graduate from an accredited PA program OR Graduate from a Nursing Approved Master's or Post Master's program

Experience

Required: 3 years of clinical experience as an NP or PA, preferably in primary care, geriatrics, palliative or hospice care, chronic disease management, home health, or a similar community-based setting.

Licenses or Certifications

Required: CPR Certification, Current Physician Assistant License OR Current State of PA RN licensure or Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) + CRNP license and Prescriptive Authority in the State of PA, Valid driver's license and reliable transportation with appropriate insurance coverage to travel to patient homes across designated service areas.

Skills

• Exceptional communication, motivational interviewing and empathy skills for patient-centered care, sensitive health discussions, and effective education for diverse patient populations.
• Expertise in critical clinical assessment and the ability to identify and address patient care gaps, opportunities for health improvement and formulate care plans including advance care planning.
• Exceptional interpersonal and communication skills to build rapport and effectively collaborate with internal and external care teams.
• Demonstrated ability to work autonomously and manage an effective caseload in a community-based or home care setting.
• Excellent organizational and time management skills to efficiently conduct multiple visits daily and complete documentation.
• Strong problem-solving skills and the ability to adapt to unexpected situations in the field.
• Proficient with EMR systems, portable diagnostic equipment, mobile technology, and standard computer applications including Microsoft Office products.
• Commitment to continuous learning and professional development, particularly in palliative care, geriatrics, risk adjustment, and clinical guidelines.
• Strong knowledge of risk adjustment methodologies and coding principles, coupled with the ability to ensure documentation integrity for compliant medical coding.
• Ability to work effectively in a flexible, high-performing team environment.

Physical, Mental Demands and Working Conditions

Position Type: Office-based

Teaches / trains others regularly: Occasionally

Travel regularly from the office to various work sites or from site-to-site: Occasionally

Works primarily out-of-the office selling products/services (sales employees): Never

Physical work site required: Yes

Lifting: up to 10 pounds Constantly

Lifting: 10 to 25 pounds Rarely

Exposure to Blood, body fluids or tissue: Occasionally

Exposure to needles or sharps: Occasionally

Pay Range

Minimum: $102,700.00

Maximum: $164,600.00