Geriatric Advanced Practice Provider

Medical-Home-Network-1; Chicago (IL); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Best Places to Work recognition

Paid time off (PTO)

12 paid holidays

Job summary

Medical Home Network is seeking a Geriatric Advanced Practice Provider to deliver high-quality, patient-centered geriatric care at partner health centers across the Chicago metro area. You will conduct AWVs, ACP discussions, and collaborate with care teams to design scalable programs focused on preventive and age-friendly care.

You will lead care management, document accurately, and train staff while expanding clinical programs in under-resourced communities.

Qualifications

• Current, unrestricted NP or PA license in Illinois.
• Master’s degree or higher from an accredited NP/PA program.
• Experience delivering geriatric primary and preventive care.
• Proven ability to conduct AWVs and ACP discussions.
• Experience building or scaling clinical programs is a plus.
• Experience in FQHC or community health settings preferred.
• Fluent in Spanish.

Responsibilities

• Provide comprehensive primary and preventive care to seniors enrolled with MHN’s partner centers.
• Perform assessments focusing on chronic disease, functional status, cognitive health, fall risk, and med management.
• Develop individualized care plans with patients, caregivers, and interdisciplinary teams.

Skills

Geriatrics care

AWVs experience

ACP discussions

Strong communication

Interdisciplinary teamwork

Value-based care

EHR documentation

Care management

Spanish fluency

Education

Master’s degree in NP/PA

IL NP/PA license

Job description

Are you ready to join a passionate community of people who are changing how health care is delivered? A place where you will find a career you love while truly making a difference building healthier communities. If this sounds like you, we would love to have you apply as Geriatric Advanced Practice Provider, with Medical Home Network!

Anticipated Start Date: January 2027

Since 2009, Medical Home Network (MHN) has partnered with Federally Qualified Health Centers (FQHCs) nationwide to transform care in the safety net, reduce health disparities, and build healthier communities. A mission-driven public benefit corporation, MHN helps FQHCs succeed in value-based care through technology, care model innovation, and strong partnerships. Our proven approach delivers leading health outcomes, lower costs, and elevated quality performance. We’re expanding our reach and impact to help more FQHCs enhance care for their patients. Modern Healthcare has named MHN one of the Best Places to Work in Healthcare for four years running (2021–2024). MHN was recently recognized as a Great Place to Work in 2025.

THE OPPORTUNITY:

Reporting to our Senior Medical Director the Geriatric Advanced Practice Provider plays a key role in delivering high-quality, patient-centered care to an ageing population. This person will help build, implement, and scale clinical programs focused on preventive care, wellness, care coordination, and age-friendly care models. The provider will deliver billable clinical services in collaboration with contracted health centers, including conducting Annual Wellness Visits (AWVs) and Advance Care Planning (ACP) discussions, while also contributing to program design, best practices, and continuous improvement.

This role offers a unique opportunity to advance preventive, geriatric-focused care for seniors in under-resourced communities. This position brings specialized geriatric expertise into community health centers that traditionally do not have dedicated geriatric services, enhancing both the level and quality of care delivered.

This role supports MHN’s broader care delivery initiatives by guiding care management efforts across the organization and ensuring patients receive comprehensive, compassionate care. This role will work onsite at our partner health center locations across the Chicago metro, including Chicago, Berwyn, Waukegan, Evanston, Oak Park, Melrose Park.

THE PERKS:

• Fun, challenging, and collaborative work environment with passionate colleagues that care deeply about healthcare delivery.
• Recognized as One of the Best Places to Work in Healthcare by Modern Healthcare.
• Great work life benefits- Paid time off, sick time, and 12 paid holidays.

WHAT YOU CAN LOOK FORWARD TO:

Clinical Care & Geriatric Focus

• Provide comprehensive primary and preventive care services toagingpatientsenrolled in MHN’s contracted health centers.
• Perform thorough assessments with a focus on chronic disease management, functional status, cognitive health, fall risk, and medication management.
• Develop individualized, patient-centered care plans in collaboration with patients, caregivers, and interdisciplinary teams.

Annual Wellness Visits (AWVs)

• Conduct Medicare Annual Wellness Visits, including:
• Health risk assessments
• Cognitive and depression screenings
• Fall risk and functional assessments
• Medication reconciliation
• Preventive care planning and referrals
• Ensureaccuratedocumentation and compliance with regulatory and payer requirements.
• Identifygaps in care andinitiateappropriate follow-upor care coordination.

Advance Care Planning (ACP)

• Lead compassionate, patient-centered Advance Care Planning discussions with patients and families.
• Assess patient goals, values, and preferences for future medical care.
• Facilitate completion and documentation of advance directives, POLST/MOLST forms, and related ACP documentation asappropriate.
• Collaborate with care teams to ensure ACP preferences are understood and honored across settings.

Program Development & Building

• Contribute to the design, implementation, and scaling of clinical programs focused on geriatric care, preventive services, and population health.
• Help define workflows, clinical protocols, and quality standards for AWVs, ACP, and related initiatives.
• Partner with operations, clinical leadership, and quality teams to improve efficiency, outcomes, partner with operations, clinical leadership, and quality teams to improve efficiency, outcomes, and patient experience.

Collaboration & Quality

• Work closely with physicians, nurses, care managers, social workers, and other interdisciplinary team members.
• Support quality improvement initiatives, documentation accuracy, and performance metrics related to value-based care.
• Educate patients, caregivers, and staff on preventive care, aging-related health topics, and care planning.
• Directly managing Medical Assistant(s)

WHAT YOU’LL NEED TO SUCCEED:

Required

• Active Nurse Practitioner license (IL)
• National NP certification (AANP or ANCC) or PA certification
• Experience in geriatric carerequired
• Demonstrated experience conducting AWVs and ACP discussions
• Strong communicationskills and comfort with sensitive conversations
• Experience working in FQHCs or similar community health settings is strongly preferred.
• Prior experience building or scaling clinical programs
• Experience with primary care or population health
• Background in value-based care, risk adjustment, or quality initiatives
• Familiarity with EHR documentation and Medicare compliance
• Experience working with interdisciplinary or care management teams
• Fluent Spanish speaker required

Required Education:

• Master’s degree or higher from an accredited Nurse Practitioner or Physician Assistant program
• Current, unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in the state of IL.

In 2026 MHN joined forces with Diverge Health to create one of the largest value-based care organizations serving under-resourced communities in the country.

To learn more, read the press release.

Medical Home Network is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.