Geriatric Advanced Practice Provider

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

Benefits offered by this job

Paid time off

Sick time

12 holidays

Job summary

Medical Home Network is seeking a Geriatric Advanced Practice Provider to deliver high-quality, patient-centered care to older adults across our Springfield and Decatur, IL partner health centers. You will lead preventive geriatric services, AWVs, and ACP discussions, while helping design and scale programs for vulnerable communities.

The role focuses on comprehensive care, collaborative planning with patients and families, and improving outcomes through integrated care teams in a value-based

Qualifications

• Active NP license (IL) and national certification.
• Geriatric care experience is required.
• Experience conducting AWVs and ACP discussions preferred.
• Strong communication skills and comfort with sensitive conversations.
• Experience in FQHCs or community health settings preferred.
• Experience building or scaling clinical programs and working in value-based care.

Responsibilities

• Provide comprehensive primary and preventive care to aging patients in MHN’s contracted centers.
• Perform assessments focusing on chronic disease, function, cognition, falls, and meds.
• Develop individualized care plans with patients, caregivers, and inter-disciplinary teams.
• Conduct Medicare AWVs with risk assessments, cognitive/depression screens, fall risk, medication reconciliation, and referrals.
• Lead ACP discussions and document advance directives and POLST/MOLST as appropriate.
• Collaborate with care teams to ensure ACP preferences are followed across settings.
• Contribute to design, implementation, and scaling of geriatric care programs and workflows.
• Partner with operations, clinical leadership, and quality teams to improve outcomes and patient experience.
• Work with physicians, nurses, care managers, social workers; educate patients and families; supervise Medical Assistants.

Skills

Active NP license (IL)

National NP certification

Geriatric care experience

AWVs & ACP discussions

Strong communication

FQHC/community health experience

Program development/scale

Primary care/population health

EHR documentation

Interdisciplinary teamwork

Spanish language a plus

Education

Master’s degree or higher in NP/PA

Current 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:

Medical Home Network is looking for a Geriatric Advanced Practice Provider to play 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 in Springfield and Decatur, IL.

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.
• This role will work onsite at our partner health center locations across Springfield and Decatur, IL

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 is a plus

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.