Advanced Practice Provider (APP)

Blue Cross and Blue Shield of Kansas City; Shawnee (KS); Hybrid; USD 110,000 - 150,000; Full time

Benefits offered by this job

Annual incentive bonus

Professional development

Tuition reimbursement

Paid parental leave

Adoption assistance

Volunteer time off

Employee discount

Job summary

Spira Care, a Blue KC initiative, seeks an Advanced Practice Provider to deliver high-value primary care in Kansas City and surrounding communities. You will collaborate with physicians, behavioral health consultants, pharmacists, and care managers to provide evidence-based care with a focus on outcomes and health equity.

You will practice at the top of your license, participate in quality improvement, and collaborate across centers, leveraging virtual and in-person visits to meet patient needs

Qualifications

• Successful completion of an accredited APP training program.
• BLS certification from American Red Cross or American Heart Association.
• 1-2 years of experience in the primary care setting providing the full scope of services typically considered in scope for Family Medicine.
• Current Kansas and Missouri Licenses (or in process) at time of hire; DEA registration required on start.
• Maintain licensures and certifications throughout employment.
• Experience with billing, coding and documentation practices to meet Medicare requirements.
• Spira Care vaccination requirements must be met.

Responsibilities

• Provide advanced primary care within the scope of licensure.
• Provide patient care at least 90% of the time (virtual or in-person).
• Provide rotating on-call coverage.
• Engage with collaborating physicians per policy.
• Document clearly in EMR per risk management guidelines.
• Lead team-based care initiatives.
• Adhere to policies including environmental and infection control.

Skills

BLS certification

Primary care experience

KS/MO Licenses

DEA registration

Billing & coding

Vaccination requirements

Education

Accredited APP program

Job description

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some of our offerings include: Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute Annual incentive bonus plan based on company achievement of goals Time away from work including paid holidays, paid time off and volunteer time off Professional development courses, mentorship opportunities, and tuition reimbursement program Paid parental leave and adoption leave with adoption financial assistance Employee discount program

Job Description Summary:

The Spira Care Advanced Practice Provider (APP) provides advanced primary care in partnership with Blue Cross and Blue Shield of Kansas City (Blue KC) to deliver best-in-class primary care to individuals and populations in Kansas City and surrounding communities. At Spira Care, we value high-value care and whole-person care. Clinicians work at “top of license” and collaborate with physicians, APPs, behavioral health consultants, diabetes care specialists, clinical pharmacists, and nursing professionals supported by care managers and referral specialists to provide evidence based medical care, integrated behavioral health, and attention to unmet complex needs. We value quality, affordability, patient experience, care team well-being and health equity.

Job Description:

• Work with the healthcare team, exercising independent medical judgment within the scope of licensure to provide with advanced primary care consistent with best practices and Spira Care policy.
• Unless otherwise agreed to by leadership, provide patient care at least ninety percent of the time (patient care is provided virtually or in-person at primary care center AND sister care centers, when needed).
• Provide rotating on-call coverage for nights and weekends as assigned.
• Appropriate engagement with collaborating physician(s) in alignment with policy and/or best practices.
• Clear, complete, and timely clinical documentation in EMR per risk management and Spira Care policy.
• Participation in activities aligned to reducing wasteful spending in healthcare via judicious clinical decision-making.
• Leading team-based care initiatives (ex: team huddles).
• Adhere to departmental policies and procedures including environmental and infection control standards.
• Maintain patient confidentiality and comply with all federal and state health information privacy laws.
• Participate in developing clinical initiatives, interventions, and continuous quality improvement activities + partnering with team members from business and health plan functional units in so doing.
• Consultation with and adherence to Blue KC Medical Policies re: coverage and medical necessity + participation in key utilization management activities (ex: peer-to-peer consultations with health plan medical directors).
• Consultation with teams and team members in care centers to optimize patient outcomes: behavioral health consultants, clinical pharmacists, diabetes care specialists, care managers, health coaches, practice facilitators, and others.
• Execute and provide services consistent with a collaborative practice agreement or active practice request form and written agreement.

Minimum Qualifications

• Successful completion of an accredited APP (NP and PA) training program.
• BLS certification from American Red Cross or American Heart Association.
• 1-2 years of experience in the primary care setting providing the full scope of services typically considered in scope for Family Medicine.
• Current Kansas and Missouri License, or in process, at time of hire Bureau of Narcotics and Dangerous Drugs registration required in Missouri.
• Current Kansas and Missouri Drug Enforcement Agency (DEA) registration required upon hire or once clinical practice hours are completed.
• Maintain licensures and certifications throughout employment.
• Experience with billing, coding and documentation practices to meet Medicare requirements.
• Spira Care has specific vaccination requirements as a condition of employment.
• You must be able to comply with this condition of employment with or without reasonable accommodation based on a sincerely held religious belief or a disability.
• Meet all requirements to provide services under Spira Care’s provider agreement with Blue KC.

Preferred Qualifications

• 3+ years' primary care experience
• Experience with healthcare quality improvement initiatives.

Spira Care is an equal opportunity employer.

All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.

Spira Care is an advanced primary care practice, an innovative solution to simplifying healthcare designed by Blue Cross and Blue Shield of Kansas City in collaboration with community members.

Spira Care has nine Care Centers located throughout the Kansas City area, each of which house integrated Care Teams made up of medical providers, clinical support staff, and non-clinical patient-focused team members.

Spira Care, LLC will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully utilize electronic and online job application systems.

EOE/Veterans/Disability Affineative Action Employer E-Verify Participation Equal Employment Opportunity/Nondiscrimination/Affirmative Action Policies IER Right to Work FMLA Employee Polygraph Protection Act