Advanced Practice Provider: Complex Geriatric Care

Devoted Health Services; United States; Remote; USD 121,000 - 172,000; Full time

Benefits offered by this job

Health, dental, and vision plan

Generous paid time off

$100 monthly mobile/internet stipend

Stock options

Bonus eligibility for most roles

Job summary

Devoted Health Services seeks an Advanced Practice Provider (APP) for the Gold Care program. You will reinforce and adjust the patient plan of care, manage the clinical trajectory, and coordinate with the interdisciplinary team to meet patient priorities.

You will deliver care across geographies via telehealth, oversee medical management, and collaborate with PCPs, specialists, and family caregivers to implement a collaborative care plan.

Qualifications

• RN and APRN or PA license required at time of hire and maintained.
• Three or more years as an APP in primary care, house calls, geriatrics, or palliative care.
• Proficiency with telehealth technology and EHR systems.
• Active BLS at time of hire and maintained.

Responsibilities

• Deliver exceptional care to a cohort of complex patients via telehealth and interdisciplinary team.
• Guide and oversee medical management using the 5M framework during tenure with Gold Care.
• Collaborate with PCPs, specialists, and Devoted teams; coordinate with patients' support networks.
• Perform comprehensive assessments, post-acute transition support, medication reviews, and care plans.

Skills

RN license

APRN/PA license

3+ years APP experience

Telehealth proficiency

EHR proficiency

BLS certification

Job description

Job Description

A bit about this role:

The Gold Care Program is a highly collaborative, multidisciplinary team of physicians, advanced practice providers, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted's most complex members. We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions.

The Advanced Practice Provider (APP) role on the Gold Care team is to reinforce and adjust the patient's plan of care according to what matters most to the patient, their clinical picture, and in response to any barriers or obstacles they are facing. They manage the clinical trajectory of the patient including symptom management, chronic disease management, and adjustments to the clinical plan. The NP's clinical decision making and bias-to-action ensures we continuously deliver on meeting patients' needs as determined by both the interdisciplinary team and by the patient's priorities.

Your Responsibilities and Impact will include:

Deliver exceptional care to a cohort of complex patients across multiple geographies, leveraging video telehealth visits and an interdisciplinary team.

Guide and oversee the medical management of patients (utilizing the 5M framework) during their tenure with Gold Care.

Work closely with other members of the patient's care team including their PCP, specialists, and other Devoted teams such as pharmacy, or specialty care. You will also collaborate with the patients' support systems such as family members and caregivers in order to coordinate care for the patient and deliver a collaborative care plan.

For patients in Gold Care, perform comprehensive assessment visits, provide post-acute transition support, comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs.

In infrequent instances when appropriate and compliant with NP licensure, you may also provide telehealth visits to members outside of your panel to support other Devoted Medical service lines

As the program continues to grow, there may be an infrequent weekend on-call component to support our clinical nurses who triage calls from our members during the weekend.

Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines.

Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations.

Required skills and experience:

• An active and clear RN and APRN or Physician Assistant license in AL, AZ, CO, OH, and/or TX is required at time of hire and must be maintained while employed at Devoted Medical with a willingness to obtain and maintain multiple state licenses
• Three or more years working as an APP with experience in primary care, house calls, internal medicine, family medicine, geriatrics, and/or palliative care
• Proficiency in using telehealth technology and electronic health records (EHR)
• Active BLS at time of hire and must maintain while employed at Devoted Medical

Desired skills and experience:

• Virtual care experience is preferred with a strong desire to continue practicing clinical nursing and perform virtual visits - you believe in the mission of bringing care to where the patient lives
• Experience providing clinical care in collaboration with interdisciplinary teams is preferred
• Experience working with complex, frail, or vulnerable populations, including in Skilled Nursing Facility (SNF) setting
• Team player, continuous improvement mentality and can-do attitude
• Experience working in a fast-paced, high-energy organization
• Ability to adapt quickly and maintain flexibility with new workflows
• Proficiency in English and Spanish preferred for this position, but not required

Salary range: $121,000 - $171,720 annually

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Di