Nurse Practitioner

Conduct comprehensive annual wellness evaluations for traditional Medicare beneficiaries enrolled in the ACO REACH program, focusing on elderly and vulnerable individuals residing in disadvantaged areas. Collaborate with a multidisciplinary team to develop individualized care plans based on assessment findings, patient goals, and medical history. Perform thorough physical assessments, including reviewing medical histories, conducting physical examinations, and assessing mental health status. Administer and interpret diagnostic tests, screenings, and laboratory results to identify potential health issues or risks. Educate patients and their families about preventive care strategies, disease management, medication adherence, and lifestyle modifications to promote overall wellness. Address patients' concerns, answer questions, and provide guidance on healthcare decisions, ensuring patients are well-informed and empowered to actively participate in their care plans. Utilize the ACO REACH program's tools and resources to enhance care quality, coordination, and accessibility, while maintaining the integrity of traditional Medicare features and flexibilities. Collaborate with primary care physicians, specialists, social workers, and other healthcare professionals to ensure seamless communication and coordination of care for each patient. Document evaluations, assessments, interventions, and care plans accurately and comprehensively in the electronic health record system. Continuously stay informed about geriatric best practices, evidence-based guidelines, and relevant healthcare policies to provide the highest standard of care. Participate in regular team meetings, quality improvement initiatives, and ongoing education to optimize care delivery within the ACO REACH program. Education and Experience Master's degree with a minimum of one (1) year Nurse Practitioner experience (required) and a minimum of one (1) year hospice or palliative care experience (preferred). Must be Board Certified and have a DEA State certification as adult/geriatric nurse practitioner Current CPR certification Experience in geriatrics and skilled nursing facilities preferred Certification in a specialist area preferred; (e.g. Hospice and Palliative Nursing (CHPN), or Geriatrics) Excellent observation, verbal and written communication skill, problem solving skills, mathematical skills; nursing skills per competency checklist. Prolonged or considerable walking or standing. Able to lift, position and/or transfer patients. Able to lift supplies and equipment. Considerable reaching, stooping, bending, kneeling and/or crouching. Visual acuity and hearing to perform required nursing skills. Essential Skills and Abilities Thrives in an unstructured, start-up environment. Self-starter that can work independently and collaboratively, prioritize tasks and has initiative and excitement to take on unfamiliar tasks. Advanced knowledge of word processing, graphic presentation and computer software related to specific tasks Demonstrated excellent computer and word processing skills with special emphasis on calendaring, presentation, and spreadsheet capabilities Working knowledge of company policies, procedures, and operations Excellent composition, grammar, and business language skills Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members. Creative, flexible, well organized, resourceful, and detail-oriented Excellent judgment in handling confidential and sensitive information Ability to work independently, set priorities and handle multiple tasks with a high level of efficiency Establishing and maintaining cooperative working relationships with others Ability to work across locations and time zones Licenses/Certifications Must be Board certified and have a DEA State certification as adult/geriatric nurse practitioner #J-18808-Ljbffr CareConnectMD