Nurse Practitioner - Provider

Job Description

Job Description

Join the Team Voted Best Place to Work!Why Work for Gary and Mary West PACE? Because you're looking for more than just a job - you want work/life balance and the opportunity to make a meaningful impact in the lives of North County seniors and their families.At Gary and Mary West PACE, we support your personal and professional well-being with:Generous pay and a comprehensive benefits package focused on your health and wellness.11 paid holidays, 16 days of PTO, and 5 days of sick time.A 5% employer match to our 403(b) retirement plan.We invest in our team with an annual education allowance and a commitment to professional growth, helping you expand your skills and advance your career.You'll thrive in a supportive, mission-driven culture where collaboration feels like family. As part of our multi-disciplinary team, your voice is heard, and your work is truly valued.Join us and do your best work-because here, your contribution matters.About PACEPhilanthropists Gary and Mary West founded West Health with the mission of enabling seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life, and independence. The Gary and Mary West PACE (Program of All-inclusive Care for the Elderly), affiliated with West Health ( is a non-profit that delivers medical, social, and behavioral services to the frail elderly to the North County of San Diego. This PACE center is entrepreneurial in nature and focuses on innovations and bringing new processes to the traditional PACE environment.We're looking for passionate healthcare providers who want to be part of a team dedicated to enable seniors to live in their communities as independently as possible by providing compassionate, comprehensive health and supportive care.One Team One MissionPosition Summary:Under supervision of the Medical Director and in collaboration with PACE Physicians, the Nurse Practitioner, Provider provides assessment, planning, primary care, and continuous medical coverage to PACE participants in an interdisciplinary team environment and in accordance with Gary and Mary West PACE (GMWP) standardsEssential Functions:Provide primary care and acute illness evaluation and treatment for participants in collaboration with PACE Physicians and Community-Based PACE Physicians both in the center and in participant's homes.In collaboration with a physician, perform in-person comprehensive assessments (initial, semi-annual and unscheduled) on participants and coordinate with the IDT to develop a comprehensive care plan for each participant.Collaborate with physician(s) and IDT in discharge planning from acute or long-term care settings.In consultation with the PACE Physician and/or Community-Based PACE Physician, refer participants to medical specialists as indicated.In collaboration with the PACE Physician and/or Community-Based PACE Physician, manage care of participants in the nursing home, making regular visits as dictated by GMWP standards and participant need.Be an active member of the IDT communicating participant changes, collaborating on care planning decisions and coordinating 24-hour care delivery.Work collaboratively with PACE Physicians, Community-Based PACE Physicians and other members of the IDT to ensure effective care coordination.Participate in rotating night and weekend calls.At the direction of the Medical Director, review outcomes and utilization data, including review of necessity of hospitalizations and use of specialists; establish best practices with the Medical Director, and collaborate with clinical staff, PACE Physicians, Community-Based PACE Physicians and IDT to make policy and procedural improvements to reduce unnecessary utilization and improve participant health.Protect privacy and maintain confidentiality of all company procedures and information about employees, participants and families.Follow GMWP policies and procedures and participate in any required QI activities, staff training and meetings.Maintain professional licensure and certifications.Act only within the scope of practice. Education and Certification:Graduate of an accredited school of nursing.RN State License and NP license.Certification as a Nurse Practitioner with prescriptive authority.Valid DEA.Current Basic Life Support (BLS) and (CPR) training.Current driver's license and proof of auto insurance.Skills and Experience:Minimum of 1 year work experience as a NP doing adult chronic disease management and functioning in PCP role with or without MD oversight. Specific work experience with the frail, elderly population is preferred. Current knowledge of chronic care/geriatric issues and best practices, experience with deprescribing and palliative care would be a bonusAbility to build strong working relationships with other providers and an interdisciplinary team (IDT)Creative and enthusiastic commitment to the "triple aim" – dedication to improving experience, health, and value for PACE participants Ability to process information accurately and timely, and able to learn new EMR and health tech and communication platforms quickly Excellent clinical, organizational, and communication skills in settings with frail, elderly participants, their families. Experience with having difficult goals of care and "What Matters" conversations would be preferred. Working knowledge of PACE regulations would be a bonus but not required.Medical Clearance:Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.Job offers are contingent upon a successful pre-employment drug screen, background check, and physical assessment.Gary and Mary West PACE provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, gender, gender identity, gender expression or sexual orientation or any other considerations made unlawful by applicable state or local laws.