Astrana Health, Inc.
Location
Monterey Park, California
Salary
$140,000 - $150,000 / YEAR
Conduct Annual Wellness Visits via home visits and telemedicine to assess patient health and identify risk factors. Document care plans, recapture medical conditions, and provide patient education to improve long-term health outcomes.
Requires active Nurse Practitioner or Physician Assistant licensure with board certification and valid DEA/NPI. Minimum one year of direct patient care experience in Primary Care, Gerontology, or a related field is required.
Description We are looking for a Spanish-speaking Nurse Practitioner / Physician Assistant to join a team that is passionate about the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes by coordinating and delivering key clinical care. Through outreach and education, we inspire patients to take a preventive approach to maintaining their health and to be active in their management of chronic diseases. Together, we strive to achieve healthy living for all through all stages of life.
In this hybrid role, you will conduct 5 to 6 Annual Wellness Visits (AWVs) per day across San Bernardino County, meeting patients where they are, primarily in their homes or local care facilities, or 10 to 11 AWVs per day via telemedicine. These visits serve as critical touchpoints to assess patients’ current health status, identify and address risk factors, and support long-term wellness planning. You will review and update medical histories, evaluate health risks, and recommend appropriate preventive services. Through close collaboration with patients, you will play a key role in influencing health behaviors and driving improved outcomes over time.
Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team
What You'll Do What You'll Do Conduct 5-6 Annual Wellness Home Visits per day within the San Bernardino County area Conduct 10-11 Annual Wellness Telehealth Visits per day across Astrana Health’s covered markets Document chief complaint, previous medical, family, and social history, review of systems, examination, assessment, and appropriate plan of care Identify gaps in care during the evaluation that may require additional screening, diagnostics, and laboratory studies Recapture previous conditions while carefully capturing newly found conditions Create or update a Personalized Prevention Plan based on current health and risk factors to optimize the management of current conditions and prevent illnesses Provide patient education regarding preventive services and prescribed treatments, reinforce the importance of staying current on covered preventive services Make recommendations for member's follow-up with their primary care physician Communicate with AWV Care Coordination team to ensure patients receive necessary referrals to additional services Complete documentation/charting in an accurate and timely manner Comply with federal, state, and local legal and professional requirements by studying existing and new legislation, anticipating future legislation; enforcing adherence to requirements; advising management on outstanding actions Other duties as assigned
Active Nurse Practitioner Licensure, Active Nurse Practitioner Furnishing License OR Active Physician Assistant Licensure Current Board Certification with (AANP, ANCC, NCCPA) Valid DEA and NPI Proficient in Spanish Active and unrestricted Driver's license and reliable transportation You’ll be great for this role if you have: Minimum one year of direct patient care experience as a Nurse Practitioner OR Physician Assistant in Primary Care, Gerontology, or related field Experience in HEDIS and HCC as it pertains to AWV/Medicare/ACO population Experience with EHRs Fluency in Spanish (preferred)
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
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