Astrana Health, Inc.
Location
Monterey Park, California
Salary
$123,000 - $145,000 / YEAR
Conduct Annual Wellness Visits via home visits in Harris County and telehealth sessions to assess patient health and identify risk factors. Document care plans, identify gaps in care, and provide patient education to improve long-term health outcomes.
Requires an active Texas NP or PA license, national board certification, DEA registration, and at least one year of direct patient care experience in primary or geriatric care. A valid driver's license and reliable transportation are mandatory for field visits.
Description We are looking for a motivated Spanish and/or Tagalog speaking Nurse Practitioner / Physician Assistant to join a team that is passionate about improving the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes through proactive outreach, preventive care, and patient education. Together, we empower patients to take an active role in managing their health and chronic conditions while advancing healthier communities across all stages of life.
This is a unique opportunity to play an instrumental role in the expansion of our Annual Wellness Visit (AWV) program throughout the Houston market. As one of the first providers supporting this initiative in the region, you will help establish a strong foundation for patient engagement, preventive care delivery, and quality outcomes while partnering closely with clinical and operational leaders as the program grows.
In this hybrid role, you will conduct 5 to 6 Annual Wellness Visits (AWVs) per day across Harris 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 Conduct 5-6 Annual Wellness Home Visits per day within the Harris County, TX 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 and unrestricted Texas Nurse Practitioner (NP) or Physician Assistant (PA) license. Current national board certification (AANP, ANCC, or NCCPA, as applicable). Active DEA registration and NPI number. Valid Texas driver's license, reliable transportation, and ability to travel within the service area as needed. Minimum of one (1) year of direct patient care experience as a Nurse Practitioner or Physician Assistant in Primary Care, Geriatrics, Family Medicine, Internal Medicine, Home Visits or related setting. Experience using electronic health record (EHR) systems. Strong clinical assessment, documentation, and patient communication skills. You’ll be great for this role if you have: Experience with Medicare Advantage populations, Annual Wellness Visits (AWVs), and value-based care models. Knowledge of HEDIS, HCC coding, and quality measures. Experience working with ACO, IPA, managed care, or population health programs. Fluency in Tagalog and/or Spanish (preferred).
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request accommodation.
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.
Clinical Lab Scientist - Per Diem
Nurse Practitioner - Care at Home - San Gabriel Valley (Mandarin)
Physician Assistant/Nurse Practitioner - Stonecreek
Medical Assistant (Float) - Bilingual Spanish Required
Medical Assistant - Bilingual Spanish Required
Medical Assistant - Urgent Care (Bilingual Chinese)
Registered Dietitian
Discharge Coordinator FT Days 8am-4:30pm
Enhanced Mental Health Support Specialist
On-Call treatment foster care social worker
Labor & Delivery RN - Clinical 12 HR FT Nights 7pm-7:30pm
Physician - Hospital Medicine - Up to $150K Sign On Bonus!
Physician - Emergency Medicine - Up to $150K Sign On Bonus!
Physician - Hospital Medicine - Up to $150K Sign On Bonus!
Certified Nurse Aide CNA - PRN
DDS Residential Counselor - Valerie Drive
DDS Residential Counselor (30 Hours) -Valerie Drive
Surgery RN - Specialist 8 HR Evenings 3pm-11:30pm