Home Visit APRN/PA - Lee/Charlotte County

Spectrum Medical Partners; Punta Gorda (FL); On-site; USD 80,000 - 100,000; Full time

Job summary

Spectrum Medical Partners in Punta Gorda, Florida is seeking a Home Visit APRN or PA to serve as a clinical leader. You will provide patient care during transitions from acute facilities to home, ensuring continuity of care and optimizing chronic conditions.

The ideal candidate will perform preventive visits, coordinate with other medical staff, and manage care plans. An active Florida medical license in good standing is required for consideration.

Responsibilities

• Perform 6-8 preventive visits daily to optimize chronic conditions.
• Perform timely new care visits and follow-up care as needed.
• Assume responsibilities as interim provider if there's no existing PCP.
• Co-manage patients with the PCP and serve as an extension of care.
• Coordinate with other physicians to smooth transitions and prevent readmissions.
• Offer medical direction to community-based organizations.

Education

Active FL medical license in good standing

Job description

Job Summary

As a “Home Visit APRN or PA” you will function as a day-to-day clinical leader, providing support and care during patient transitions from acute to home: directing the multidisciplinary team.

Primary Functions

• Perform 6-8 preventive visits daily to optimize chronic conditions, assess home environment, educate patients and caregivers, and develop proactive care plans.
• Perform timely new care visits and follow up care as needed in the home, while our focus is to avoid unnecessary ED transfers and hospital admissions.
• In situations where there is no existing PCP for the patient, assume responsibility as interim provider and drive care and continuity for patients.
• In situations where there is an existing PCP for the patient, help to co‑manage the patient with the PCP and serve as an extension of clinical care into the home.
• Coordinate with other physicians across the continuum of care, including PCP, hospitalist, and SNF providers to smooth transitions and prevent readmissions.
• Coordinate and offer medical direction to community‑based organizations touching the lives of our patients, including housing and caregiver agencies, health plan contracted social work services, home health, adult day health centers, and behavioral health.

Education, Training, Experience

• Active FL medical license in good standing