Advanced Practice Provider-Mobile Integrated Health Program

Rhode Island Hospital; Newport; On-site; GBP 82,000 - 105,000; Full time

Job summary

Brown University Health is seeking an Mobile Integrated Health Advanced Practice Provider to serve as a key clinician in a community-based care model.

You will perform comprehensive home assessments, manage acute and chronic conditions, and coordinate care with an interdisciplinary team to keep patients safely at home.

Qualifications

• Current registration as a Nurse Practitioner or Physician Assistant.
• Master's or Doctoral degree in Nursing.
• Nurse Practitioner certification in Family Practice (FNP), Adult-Gerontology (AGNP), AGACNP, or other relevant specialty.
• Graduate of an accredited Physician Assistant program.
• Current NCCPA certification for PA.

Responsibilities

• Conduct comprehensive health assessments in patients' homes and community settings.
• Evaluate, diagnose, and treat acute and chronic medical conditions within APP scope.
• Perform urgent and episodic visits to support MIH program.
• Collaborate with physicians, nurses, social workers, and paramedics to coordinate care.
• Develop and implement individualized treatment plans with patients and caregivers.
• Prescribe medications and diagnostic testing per state regulations.
• Provide symptom and chronic disease management and patient education.
• Utilize telehealth platforms for ongoing patient monitoring and decision-making.
• Assist with transitions of care after hospitalization or ED visits.

Skills

Clinical assessment

Care coordination

Telehealth

Home visits

Education

Master's or Doctoral degree in Nursing

Nurse Practitioner (FNP/AGNP/AGACNP) certification

Physician Assistant degree and NCCPA certification

Job description

SUMMARY:

The Mobile Integrated Health (MIH) Advanced Practice Provider (APP) serves as a key clinical provider within an innovative, community-based care delivery model designed to improve coordination and outcomes for medically complex patients. The APP provides comprehensive assessment, treatment, care coordination, and transitional care services in patients' homes, residential settings, and other community locations, while collaborating closely with physicians, nurses, care managers, social workers, paramedics, and community partners.

The APP delivers high-quality, patient-centered care that supports hospital avoidance, reduces unnecessary emergency department utilization and readmissions, and promotes patients' ability to safely remain in their homes and communities. The APP utilizes evidence-based practice, advanced clinical decision-making, telehealth technology, and interdisciplinary collaboration to manage acute, chronic, and transitional care needs.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another.

Current registration as a Physician Assistant or Nurse Practitioner in the State of Rhode Island.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

Clinical Care:

• Conduct comprehensive health assessments in patients' homes and community settings, if needed.
• Evaluate, diagnose, and treat acute and chronic medical conditions within the APP scope of practice.
• Perform urgent and episodic visits to support Mobile Integrated Health program.
• Communicate with paramedics involved with clinical care in MIH program.
• Develop and implement individualized treatment plans in collaboration with patients, caregivers, and interdisciplinary team members.
• Prescribe medications, therapies, and diagnostic testing in accordance with state regulations and organizational policies.
• Provide symptom management, chronic disease management, preventive care, and patient education.
• Monitor patients enrolled in the Mobile Integrated Health Program.
• Utilize virtual care technologies and telehealth platforms to support ongoing patient monitoring and clinical decision-making.
• Identify patients who are admitted to the hospital or in the emergency department that would benefit from MIH and help in enrolling appropriate patients for the same

Care Coordination:

• Collaborate with physicians, nursing staff, social workers, pharmacists, behavioral health providers, paramedics, and care managers to ensure coordinated, holistic care.
• Participate in multidisciplinary case reviews and care planning discussions.
• Assist with transitions of care following hospitalization, emergency department visits, or skilled nursing facility stays.
• Coordinate referrals to specialty care, home health services, community resources, and supportive services.
• Address social determinants of health and barriers to care through collaboration with community partners and care coordination teams.
• Engage family members and caregivers as integral members of the care team.

Program Operations and Quality:

• Maintain accurate, timely, and complete documentation in the electronic medical record.
• Participate in quality improvement initiatives designed to improve patient outcomes, safety, and operational efficiency.
• Monitor program quality metrics, patient outcomes, and care management goals.
• Participate in clinical case reviews and interdisciplinary rounds.
• In conjunction with the Medical Director, assist in the development, implementation, and refinement of Mobile Integrated Health clinical workflows, protocols, and best practices.
• Support regulatory compliance and accreditation standards applicable to community-based and home-based healthcare programs.
• Participate in safety event reporting and quality investigations as required.

Professional Leadership:

• Serve as a clinical resource and mentor for team members.
• Promote a culture of collaboration, innovation, accountability, and patient-centered care.
• Participate in provider meetings, education programs, committee work, and organizational initiatives.
• Support program growth and innovation through active engagement in process improvement and strategic initiatives.
• Represent the Mobile Integrated Health Program in interactions with healthcare partners, community agencies, and stakeholders as appropriate.
• Performs other duties as assigned.

EDUCATION:

Nurse Practitioner (NP):

• Master's or Doctoral degree in Nursing from an accredited program.
• Current Nurse Practitioner certification in Family Practice (FNP), Adult-Gerontology (AGNP), Adult-Gerontology Acute Care (AGACNP), or other relevant specialty.

Physician Assistant (PA):

• Graduate of an accredited Physician Assistant program.
• Current NCCPA certification.

Licensure and Certification:

• Current unrestricted state licensure as a Nurse Practitioner or Physician Assistant.

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