Advanced Practice Clinician, Integrated Care Delivery (Pima County)

SHPCA SCAN Health Plan; Arizona; Hybrid; USD 125,000 - 179,000; Full time

Benefits offered by this job

Base salary included: $125,400–$179,3

Quarterly bonus program

Wellness program

PTO

11 holidays + floating holiday

401(k) with employer match

Tuition reimbursement

Job summary

SCAN Health Plan is seeking an Advanced Practice Clinician to provide and coordinate primary care for seniors in Pima County. The role involves in-home visits, care coordination with physicians and care teams, and ongoing patient engagement.

You will perform exams, manage chronic diseases, administer vaccines, and participate in on-call coverage. Travel is extensive, with emphasis on quality and patient-centered care.

Qualifications

• Master’s degree in Nurse Practitioner or PA with Adult/Geriatric focus.
• Equivalent education, experience, or training may be acceptable.
• Current Arizona NP license or Arizona PA-C in good standing.
• Wound Care Certificate and Palliative Care Certificate a plus.
• Knowledge of CMS guidelines and Medicare Advantage Managed Care.
• Willing to travel 75%+ in the assigned area; valid driver’s license.

Responsibilities

• Provide care to an assigned panel in residents' homes (senior living communities or SNFs).
• Conduct exams, wellness checks, urgent visits and telephonic triage to avoid hospitalizations when possible.
• Administer vaccines, order/interpret tests, discuss goals of care.
• Develop comprehensive care plans with patients, families, and staff.
• Collaborate with case-management for timely access to services.
• Coordinate with PCPs and specialists to ensure continuity of care.
• Document visits timely in EMR and be a resource for members/families.
• Participate in Integrated Care Sales events to build awareness.
• Lead after-hours on-call coverage and maintain ongoing professional development.
• Close care gaps, discuss high-risk cases, and improve clinical workflows.

Skills

Interpersonal skills

EMR proficiency

Multilingual abilities

Education

NP/PA degree in Adult/Geriatric

Education equivalence acceptable

Tools

EMR

Job description

Job Description

Advanced Practice Clinician will provide and coordinate primary care to SCAN members to achieve the Company’s mission to keep seniors healthy and independent. The role covers a specific geography within Pima County. The position is filled on a rolling basis and is patient‑facing.

Responsibilities

• Provide care to an assigned panel of members in their place of residence, most commonly in senior living communities or skilled nursing facilities.
• Conduct physical/wellness exams and assessments, occasional urgent medical visits and telephonic triage to ensure timely, appropriate care and hospital avoidance if possible.
• Administer vaccines, order and interpret diagnostic tests, and initiate goals‑of‑care conversations with patients and their loved ones.
• Manage chronic disease and identify patient health‑care needs to develop a comprehensive plan of care for the patient, their family, and living‑community staff.
• Collaborate with case‑management team to ensure members have timely access to necessary services.
• Manage visitation schedule independently in line with established practice protocols and adjust schedule based on members’ needs and acuity.
• Engage with Primary Care Physicians and other healthcare professionals in a collaborative relationship aimed at disease prevention, health promotion, and chronic disease management.
• Partner closely with Primary Care Physicians for clinical oversight and guidance.
• Connect with specialists, hospitals, ancillary care providers, and community‑based organizations to ensure continuity of care and promote shared decision‑making while advocating for members.
• Actively monitor and quickly address clinical quality gaps in care in partnership with other care providers.
• Document member visits and interactions in a timely manner according to established practice protocols.
• Serve as an ongoing direct resource for members, their families, and community staff.
• Participate with Integrated Care Sales team in events to build member awareness and educate communities.
• Initiate and complete virtual health visits with members as needed to promote accurate triaging and reduce drive time.
• Participate in on‑call program available to our members after hours and on weekends.
• Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.
• Contribute to team efforts to meet quality healthcare goals by closing care gaps, attending high‑risk group discussions, and optimizing clinical workflows and protocols.
• Other duties as assigned.

Qualifications

• Master’s degree in Nurse Practitioner or Master’s from an accredited Physician Assistant program with education in Adult/Geriatric medical care preferred.
• Equivalent combination of education, experience, or training considered acceptable.
• Current Arizona Nurse Practitioner license or Arizona Physician Assistant Certification (PA‑C) in good standing.
• Wound Care Certificate and Palliative Care Certificate a plus.
• Knowledge of treatment for complex chronic diseases such as dementia, diabetes, heart failure, and COPD.
• Ability to identify health‑care needs and refer and coordinate with other resources/programs appropriately.
• Knowledge of HCC and ICD‑10 coding and documentation.
• Knowledge of wound care and management.
• Knowledge of CMS guidelines and Medicare Advantage Managed Care.
• Comfortable with initiating goals‑of‑care and end‑of‑life discussions.
• Strong interpersonal skills and change‑agent mindset needed to build relationships with healthcare team and patients.
• Knowledge of and ability to maintain HIPAA requirements.
• Adaptable and open to change and problem‑solving.
• Basic technological skills (Word, Excel, PowerPoint, Outlook, EMR) and openness to new technology.
• Physical ability to stoop, kneel, crouch, bend, reach, lift, pull, push, and carry up to 10lbs. regularly and up to 50lbs. occasionally.
• Multilingual or multicultural a plus.
• Travel 75%+ of the time in the assigned area. Must have a valid driver’s license, automobile insurance, and reliable transportation.

Benefits

• Base salary range: $125,400 to $179,300 annually.
• Quarterly bonus program.
• Robust wellness program.
• Generous paid‑time‑off (PTO).
• Eleven paid holidays per year, plus one additional floating holiday.
• Excellent 401(k) retirement saving plan with employer match and contribution.
• Robust employee recognition program.
• Tuition reimbursement.

Additional Employment Conditions

Tuberculosis Screening Policy: Your job offer will be contingent on providing proof of tuberculosis screening upon hire or proof of a negative screening within the last year.

EEO Statement

SCAN is proud to be an Equal Employment Opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or any other status protected by law. A background check is required.