Manage high-risk senior patients through a combination of outpatient clinic visits, in-home care, and telehealth. Focus on preventing acute care admissions and providing holistic medical and psychosocial support within an interdisciplinary team.
Requirements summary
Requires a current Oregon Nurse Practitioner license and at least 2 years of experience in primary, family, internal, gerontology, or palliative care. Must possess ANCC/AANP certification, active CPR/BLS, and a valid Oregon Driver's License.
professional certificatepostgraduate degreeCare PlanningPatient AssessmentEMR DocumentationPatient EducationGeriatric CareInterdisciplinary CollaborationChronic Care ManagementMedication ReconciliationHCC CodingRisk AdjustmentMedicare RegulationsAnnual Wellness Exams
Job description
Job Title
Nurse
Practitioner -
High
Risk
Patient
Job
Location: Medford, OR - must have OR license and live local to Medford
Company Description
Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not volume—meaning we prioritize quality over quantity, spend more time with our patients, and are accountable for their health and well-being.
Whether through our own senior-focused primary care clinics or our suite of integrated clinical solutions for health plans and provider groups, we are making value-based care more accessible and more effective. We help reduce avoidable healthcare costs, improve clinical outcomes, and create a best-in-class patient experience.
If you're passionate about transforming healthcare and delivering meaningful care to those who need it most, Greater Good Health offers a purpose-driven, collaborative, and supportive environment where your work can make a lasting impact. The Role: Ideal candidates are those who thrive working with a collaborative and compassionate community of caregivers. For this position, Nurse Practitioners will manage patients in an outpatient clinic setting as well as providing in-home clinical support for patients in the community. GGH Nurse Practitioners will be supporting clients with their patient panels and partnering with clinics as an embedded member of the care team with the goal of preventing unnecessary acute care admission, providing holistic patient care, optimizing the management of the patients’ medical conditions, and providing support for clinical and psychosocial factors that contribute to the cyclical utilization of healthcare.
What will you do as Nurse Practitioner at GGH?
Assess patients' clinical problems and healthcare needs and provide clinical care and consultation
Perform an annual wellness exam for senior Medicare patients in a designated clinic or at their place of residence. Obtain and record the patient's medical history and symptoms, including medicine reconciliation
HCC coding, verification, and risk adjustment
Coordinates continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the patient’s primary healthcare provider(s) and collaboration with other referral sources
Benefits
Dental Insurance
Life Insurance
Paid Time Off
Vision Insurance
Medical Insurance
Parental Leave
Wellness Resources
Malpractice Coverage
Continuing Education Credits
Voluntary Short Term Disability
Flexible Spending Accounts (FSA)
Health Savings Accounts (HSA)
Professional Development Reimbursement
AD&D Coverage
License Reimbursements
Critical Illness and Accident Plans
401K Program with Company Match
Perform various tests and screenings
Counseling patients with education around their discharge plan
Execute the discharge plan and use your critical thinking skills to build an effective care plan during a critical transition period after a hospital discharge
Supports patients and their families, and provides compassionate care
Contribute to an interdisciplinary team (IDT) model and attend regular IDT meetings to collaborate with other healthcare professionals (social workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out
Collaborate with care team to ensure completion of holistic patient care
Ability to travel within the Medford, OR area 5 days a week to provide care to patients in their home based on the needs of business/market
Expected patient volume completed per day in clinic: 8-10
Expected patient volume completed per day in-home: 5-6
Complete charts within 72 hours of patients’ visits; you will have access to EMR and/or portals to review charts and document notes
Cover for other Nurse Practitioners and Care Team Members when necessary
Maintains patients’ confidence by completing and safeguarding medical records, keeping patients’ information confidential, and abiding by all HIPAA rules and regulations
This position is a full time Nurse Practitioner opportunity (5 days a week, 8am-5pm schedule). This role can include in clinic, in-home visits or telehealth visits. Home visits will be scheduled within a 30 mile radius of your home region (Jackson County, OR).
What will make you successful at GGH?
Demonstrate the ability to execute thoroughly in a fast-paced work environment and continually build upon best-practices for efficiency
Ability to build rapport with the aging and elderly population through effective redirection skills
Detail-oriented and thrives in routine work
Open to feedback from the clinical and leadership team to strive for constant improvement with coding and processes
Comfort with technology systems, commitment to timely EMR documentation, and have a deep understanding of Medicare HCC coding and managed care
Flexible with work schedule and work setting as needed
Ability to travel within the 35 mile radius of Jackson County, OR 5 days a week to provide care to patients based on the needs of business/market
The ideal candidate is passionate about providing high-quality care and constantly striving for excellence.
You get out of bed every day to do this work because continual improvement and learning makes you happy.
You have experience providing care to the underserved population and are passionate about providing more access to comprehensive care.
You emphasize personal connection to provide effective patient education and use a comprehensive approach to care.
Most importantly, you share and embody the GGH values to every interaction ensuring that every patient is provided the opportunity to receive quality care.
Experience and qualifications
Current Oregon Nurse Practitioner license
2 + years of clinical experience as a NP in either Primary Care, Family Medicine, Internal Medicine, Gerontology or Palliative Care.
Acute care experience with high-risk patients is a plus
Home health experience (NP or RN) is a plus
Nurse Practitioner certification from either the ANCC / AANP
Working knowledge of chronic care management and various medication options
Current DEA licensure / Prescriptive Authority post-hire
Active CPR/BLS Certification
Current Oregon Driver’s License
Perks and Benefits
Competitive Compensation Package
We offer a competitive compensation package to recognize your valuable contributions and ensure your financial security.
Comprehensive
Medical,
Dental, and
Vision
Benefits: Take advantage of comprehensive healthcare coverage, including medical, dental, and vision benefits, to prioritize your health and well-being. Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) available.
Paid
Time
Off and
Parental
Leave: Enjoy paid holidays, vacation time, and paid parental leave to maintain a healthy work-life balance and spend quality time with your loved ones. 401K
Program with
Company
Match: Plan for your future with our 401K program, featuring a company match, to help you save for retirement.
Wellness
Resources: Access to BetterHelp and monthly wellness reimbursement
Comprehensive
Life and
AD&D
Coverage: Enjoy peace of mind with 100% premiums covered by GGH for Basic Life and Accidental Death & Dismemberment (AD&D) insurance for full-time team members. Additionally, voluntary supplemental life insurance is offered at a discounted rate.
Voluntary
Insurance
Plans: We offer voluntary short term disability, critical illness and accident plans for additional financial security during periods of illness or injury that prevent you from working for a set period of time
License
Reimbursements: We offer reimbursement for a number of licenses and certifications that we require as a condition of employment; DEA, License, Board Certification, and ALS/BLS.
Learning &
Development: Yearly professional reimbursement for continued learning and development
Continuing
Education
Credits: Take advantage of CE credits available through the GGH Institute, approved by the AANP, to expand your knowledge and skills in your field.
Collaborative and
Supportive
Community: Join our collaborative and supportive GGH Nurse Practitioner Community, with dedicated care coordinators and MD advisors, to foster professional growth and success.
Malpractice
Coverage: Rest easy knowing you're covered with malpractice insurance ensuring peace of mind as you provide
Don’t check off every box in the requirements listed above?
Please apply anyway!
Studies have shown that marginalized communities - such as women, LGBTQ+ and people of color - are less likely to apply to jobs unless they meet every single qualification.
GGH is dedicated to building an inclusive, diverse, equitable, and accessible workplace that fosters a sense of belonging – so if you’re excited about this role but your experience doesn’t align perfectly with every qualification in the job description, we encourage you to still consider applying.
You may be just the right candidate for this role or another one of our openings!
