Advanced Practice Provider: Flexible Complex Chronic Care PCMH

AbsoluteCARE Medical Center & Pharmacy; Philadelphia (Philadelphia County); In loco; USD 95.000 - 125.000; Tempo pieno

Descrizione del lavoro

AbsoluteCARE Medical Center & Pharmacy in Philadelphia seeks an Advanced Practice Provider (PA or NP) to join the Complex Care team in an outpatient setting. You will counsel patients, perform assessments, coordinate with specialists, and support end-of-life programs within a PCMH framework.

The role emphasizes chronic disease management, care transitions, and collaboration with social work, cases managers, nursing, pharmacy and other experts.

Competenze

• Licensed Advanced Practice Provider in the state of practice.
• 2 years of experience as an Advanced Practice Provider in Primary Care.
• DEA and ACLS certification. Proficiency with EMR systems, preferably eClinicalWorks.
• Experience managing patients with multiple chronic conditions and coordinating care.

Mansioni

• Manage and improve health for patients with multiple chronic medical conditions.
• Manage a panel of approximately 200 to 250 chronic care ambulatory patients.
• Collaborate with a team including social work, case management, behavioral health, pharmacy, and nutrition.
• Develop transitional care plans and track patients through discharge to home or higher levels of care.
• Coordinate with hospitals/ER/ skilled nursing facilities to ensure appropriate discharge and continuity of care.
• Treat acute exacerbations in outpatient settings with supervising physician oversight.
• Accept same-day/next-day urgent appointments and monitor patient progress to prevent readmissions.
• Track patient disease processes to reduce ER visits and hospital admissions.

Conoscenze

AP Provider

Chronic disease management

Interdisciplinary teamwork

EMR proficiency

Formazione

APN/PA license

Strumenti

DEA

ACLS

eClinicalWorks

Descrizione del lavoro

AbsoluteCARE Medical Center & Pharmacy in Philadelphia seeks an Advanced Practice Provider (PA or NP) to join the Complex Care team in an outpatient setting. You will counsel patients, perform assessments, coordinate with specialists, and support end-of-life programs within a PCMH framework.

The role emphasizes chronic disease management, care transitions, and collaboration with social work, cases managers, nursing, pharmacy and other experts.