Nurse Practitioner – Integrated Home Care Program

Santa Barbara Cottage Hospital; United States; Remote; USD 115,000 - 159,000; Full time

Job summary

Join Santa Barbara Cottage Hospital as a Nurse Practitioner in the Integrated Home Care Program, where you will provide exceptional patient care for frail and medically complex patients in their homes. This dynamic role focuses on delivering comprehensive, patient-centered care, conducting assessments, and developing treatment plans in collaboration with a multidisciplinary team. With a strong emphasis on enhancing patient outcomes and fostering quality of life, this position is perfect for clinicians passionate about working with seniors in a home setting.

Benefits

Comprehensive medical, dental, and vision benefits

401(k) retirement savings plan

Paid time off and holidays

Short-term and long-term disability

Life insurance and many other opportunities

Qualifications

• 5+ years of experience in Acute care, Geriatrics, Home Health.
• Exceptional communication and interpersonal skills.
• Ability to manage medications in a home setting.

Responsibilities

• Conduct comprehensive in-home evaluations and examinations.
• Develop and implement personalized treatment plans.
• Manage acute clinical issues in the home.

Skills

Patient Care

Communication

Team Collaboration

Education

Nurse Practitioner or Physician Assistant License

Tools

Electronic Medical Record (EMR) systems

Job description

Become a part of our caring community and help us put health first

The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial.

Program Overview: The Integrated Home Care Program is a dynamic and innovative initiative dedicated to transforming healthcare delivery for high-risk patients in the comfort of their own homes. We strive to significantly reduce avoidable hospitalizations and readmissions by providing comprehensive, patient-centered care to individuals with medical complexity and functional limitations. Our multidisciplinary team delivers proactive, coordinated care directly where our patients need it most.

Purpose of the Role: As an Advanced Practice Provider (APP) within our Integrated Home Care Program, you will play a pivotal role in enhancing the well-being of frail, medically complex, and often homebound patients. You will conduct comprehensive in-home assessments, develop individualized treatment plans in close collaboration with our dedicated care team, and leverage both in-person and telemedicine capabilities to deliver exceptional care. Your expertise will directly contribute to enhancing patient outcomes, reducing acute care utilization, and fostering a higher quality of life for our vulnerable patient population.

Key Responsibilities:

• Conduct comprehensive in-home evaluations and examinations: Perform thorough assessments of enrolled patients, focusing on their medical, functional, and psychosocial needs.
• Develop and implement personalized treatment plans: Collaborate and co-manage with primary care physicians and other members of the interdisciplinary team to create and execute effective treatment strategies tailored to each patient's unique circumstances. Co-management with the patient’s PCP.
• Educate and empower patients and families: Provide clear, concise education about their conditions, treatment options, medications, and the benefits of the Integrated Home Care Program, empowering them to actively participate in their care.
• Manage acute clinical issues in the home: Diagnose and treat urgent conditions, such as pneumonia, CHF/COPD exacerbations, UTIs, etc. Safely and effectively administer and monitor medication administration in the home setting, adhering to established protocols and ensuring patient safety.
• Maintain accurate and timely documentation: Thoroughly document all home visits, assessments, interventions, and communications within our Electronic Medical Record (EMR) system (Athena, Q4 2025).
• Participate actively in medical team meetings: Contribute to collaborative discussions, share insights, and participate in care planning during regularly scheduled team meetings on a rotating basis.
• Patient engagement: Based on coverage area, carry a caseload of ~45 patients in a given month, ~200 unique patients per year, completing 6-8 visits per day, establishing a weekly or every-other-week cadence of visits with patients in the caseload.
• Share after-hours call responsibilities: Provide timely and effective telemedicine consultations to patients and families as part of a rotating on-call schedule.

Use your skills to make an impact

Required qualifications:

• Nurse Practitioner or Physician Assistant with 5 + years of experience in Acute care, Geriatrics, Home Health, or a related field.
• Demonstrated passion for working with geriatric patients and their families in the home setting, with a strong commitment to providing compassionate and patient-centered care. Comfortable with end-of-life discussions when appropriate.
• Proven experience in ordering, managing, and monitoring medications in the home setting.
• Exceptional communication, interpersonal, and active listening skills, with the ability to build rapport and trust with patients, families, and colleagues.
• Ability to thrive in a collaborative, multidisciplinary team environment, contributing your expertise and working effectively with diverse professionals.
• Proficiency in using Electronic Medical Record (EMR) systems for accurate and efficient documentation.

Work Schedule:
* Regular business hours: Monday through Friday, 8:00 AM to 5:00 PM.
* After-hours call is shared equitably among the direct patient care team.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$115,200 - $158,400 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About us

About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being.About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.