Advanced Practice Provider-Mobile Integrated Health Program

NPT Newport Hospital

Newport (RI)

On-site

USD 110,000 - 160,000

Full time

2 days ago
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Benefits offered by this job

None specified

Job summary

Brown University Health's Newport Hospital is seeking a Mobile Integrated Health Advanced Practice Provider to deliver home- and community-based care. The APP will work with physicians, nurses, care managers, social workers, paramedics, and community partners to improve outcomes and coordinate care for medically complex patients.

The responsibilities include comprehensive assessments, diagnosis and treatment within APP scope, care transitions, and telehealth-enabled monitoring.

Qualifications

  • Current Rhode Island NP license or PA certification.
  • NP: Master's or Doctoral degree in Nursing with Family Practice/AGNP/AGACNP certification.
  • PA: Graduation from accredited PA program with NCCPA certification.

Responsibilities

  • Perform comprehensive home and community health assessments.
  • Diagnose, treat, and manage acute and chronic conditions within APP scope.
  • Develop individualized treatment plans with patients and care teams.
  • Coordinate transitions of care and referrals to services.
  • Document in EMR and participate in quality initiatives.

Skills

Clinical assessment
Diagnostic reasoning
Care coordination
Telehealth
Independent practice
Communication skills

Education

Master's or Doctoral degree in Nursing (NP)
PA: NCCPA certification (if PA)

Tools

Electronic Medical Records (EMR)
Telehealth platforms

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.

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
  • Current registration as a Physician Assistant or Nurse Practitioner in the State of Rhode Island.
  • 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.
  • Current DEA registration and prescriptive authority as applicable.
  • Current Basic Life Support (BLS) certification. Advanced Cardiac Life Support (ACLS) certification preferred.
  • Valid driver's license and reliable transportation.
EXPERIENCE
  • Minimum of three (3) years of clinical experience as an Advanced Practice Provider required.
  • Experience in Hospital Medicine, Emergency Medicine, Internal Medicine, Family Medicine, Geriatrics, Critical Care, Palliative Care, Home-Based Primary Care, or Transitional Care preferred.
  • Experience providing care in home-based, community-based, mobile, virtual, or non-traditional care settings preferred.
  • Experience caring for medically complex, high-risk, or vulnerable patient populations strongly preferred.
  • Prior experience working within interdisciplinary care teams required.
KNOWLEDGE, SKILLS, AND ABILITIES
  • Commitment to delivering evidence-based, high-quality care to diverse patient populations.
  • Strong clinical assessment, diagnostic reasoning, and medical decision-making skills.
  • Ability to work independently in home and community environments while maintaining close collaboration with the care team.
  • Excellent verbal, written, and interpersonal communication skills.
  • Demonstrated ability to establish trusting relationships with patients, families, and caregivers.
  • Strong organizational and time management skills.
  • Ability to prioritize and manage multiple complex patient needs.
  • Skilled in identifying clinical deterioration and initiating appropriate escalation pathways.
  • Knowledge of population health, care transitions, chronic disease management, and social determinants of health.
  • Proficiency with electronic medical records, mobile technology platforms, and telehealth applications.
  • Knowledge of patient safety principles and quality improvement methodologies.
  • Ability to function effectively in a rapidly evolving healthcare environment.
  • Demonstrated commitment to professionalism, teamwork, and patient advocacy.
SUPERVISORY RESPONSIBILITY

None.

PAY RANGE

None specified.

EEO STATEMENT

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

LOCATION

Newport Hospital - 11 Friendship Street Newport, Rhode Island 02840

WORK TYPE

M-F 8am -5pm

WORK SHIFT

Day

DAILY HOURS

8 hours

DRIVING REQUIRED

Yes

EMPLOYER DESCRIPTION

As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first pediatric psychiatric hospital; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island.

INCLUSION AND DIVERSITY STATEMENT

Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families.

JOIN US

Join us and help build a healthier future for our patients - and for yourself.

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