ConcertoCare
Location
Saratoga Springs, New York
Salary
$140,000 - $150,000 / YEAR
The Advanced Practice Provider delivers in-home and virtual clinical services to patients with complex needs as part of a multidisciplinary care team. Responsibilities include chronic condition management, care coordination, and building meaningful relationships with patients to improve quality of life and reduce hospitalizations.
Candidates must be a board-certified Nurse Practitioner or Physician Assistant with active New York licensure and DEA registration. Clinical experience with aging adults and complex care needs is required, along with the ability to travel to patient homes.
The ConcertoCare Advanced Practice Provider (Nurse Practitioner and Physician Assistant) delivers in-home clinical services to patients with the support of an integrated multidisciplinary care team. We offer a wraparound care model including a broad scope of clinical services and care coordination support that is complimentary to but does not replace primary care services for our patients.
Our Advanced Practice Providers build meaningful relationships with patients and their caregivers, delivering proactive and timely care aligned with what matters most to our patients to improve their quality of life and to avoid unnecessary ER visits and hospitalizations. This is an ideal position for a clinician who seeks an opportunity for “top of license” practice, enjoys a collaborative team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with complex needs who are inadequately served by traditional healthcare delivery systems.
In this role, you will deliver in-home care through a blend of in-person visits and virtual visits with the support of nurses, community health workers, medical assistants, nurse case managers, social workers, and clinical pharmacists. This position also affords professional development via dedicated clinical education programming and real-time support from our on-staff world-class experts in geriatric medicine, palliative care, geriatric psychiatry, clinical pharmacy, care management, and social determinants of health and health equity.
Provision of compassionate, individualized, and holistic patient care including comprehensive care, urgent care, and chronic condition management focused on gaps in care, patient risk stratification, and integration with multidisciplinary team services. Collaboration with the multidisciplinary team to cooperatively deliver transitions of care support, social determinants of health interventions, behavioral health evaluation and management, and complex medication management as clinically appropriate. Delivery of exceptional clinical care both in-person and virtually, with in-person settings including private homes, congregate living facilities, and/or other home settings. Integration of clinical practices, data dashboards, and operational processes that support the achievement of company performance goals into daily clinical workflows. Promotion of and participation in patient engagement and experience initiatives. Maintenance of comprehensive medical records including timely and accurate completion of clinical documentation and coding for clinical encounters, up-to-date medication reconciliation, and accurate recording of patient care-related activities and communications. Active participation in care team huddles, operational huddles, organizational meetings, educational training, and clinical partnership meetings as requested. Collaboration with external providers and clinical partners including outreach to initiate relationship-building conversations and ongoing communication to coordinate care and to sustain key partnerships with PCPs and other clinical partners. Participation in after-hours on-call schedule and other clinical care cross-coverage as requested. Other market-specific duties as assigned.
We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. ConcertoCare is an Alcohol/Drug/Smoke-Free Workplace
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