Advanced Practice Provider NP/PA - Transitions of Care

Devoted Health , US

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$120,000 - $155,000 / year

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Job Description

Schedule:

This is a full-time, 5-day, 8-hour position (8:30 AM - 5:00 PM; CST/PST/MST preferred), including one weekend shift per month. Candidates must be willing and able to consistently work within Pacific Standard Time (PST), Mountain Standard Time (MST), or Central Standard Time (CST) hours.

A bit about this role:

This position represents an amazing opportunity for an Advanced Practice Provider (NP/PA) to help build Devoted Medical’s Transitions of Care (TOC) Program. The TOC program provides virtual care in the 30 day window after a patient is discharged from the acute setting (hospital or skilled nursing facility). The clinical team is highly interdisciplinary and composed of coordinators, guides, nurse case managers, nurse practitioners, and a medical director. The program’s goal is to prevent readmissions by providing exceptional, comprehensive wrap-around care in the post-discharge period.

The TOC APP will provide virtual clinical care for a wide range of diseases and across a wide spectrum of acuity. This position will require the ability to conduct a comprehensive post-discharge medical assessment, develop individualized care plans, and provide disease-specific clinical education regarding management and red flags. The TOC APP must also be comfortable diagnosing, managing, and monitoring decompensating patients with common readmission conditions such as heart failure, COPD, diabetes, hypertension, pneumonia, cellulitis, and urinary tract infections.

The role will require significant interdisciplinary collaboration with nurse case managers, clinical guides, and clinical coordinators, all aimed at providing the best post-discharge care for patients possible. The TOC APP will also help enhance the team culture of the program by fostering a safe environment for team communication and patient escalations.

Your Responsibilities and Impact will include:

Perform initial TOC visits. These visits include comprehensive post-discharge assessment of patients’ medical conditions, medications, functional status, and psychosocial needs. Additional requirements include completing a post-discharge medication reconciliation, placing appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), providing appropriate disease education, communicating contingency plans for worsening symptoms, and comprehensively assessing a patient’s medical conditions.
Perform acute symptom TOC / virtual urgent care visits. These are visits focused on addressing a patient’s acute need or new symptom. During these visits, NPs will be required to diagnose and manage the patient, and ensure they receive the appropriate level of care.
Participate in interdisciplinary TOC rounds. This is an interdisciplinary meeting to discuss patients who are at highest risk of readmission.
Work in an interdisciplinary fashion with RNs, LPNs, and clinical coordinators.
Assist with the clinical education of the overall team.
Enhance team culture by facilitating safe, open communication across team roles
Utilize our home grown electronic health information system for visits while also providing feedback on how to improve the interface.
Regularly participate in quality improvement projects and pilots.
As our healthcare environment and service needs continue to evolve, this role may expand to include additional responsibilities such as supporting new clinical/organizational programs/initiatives and integrating innovative virtual care practices.
We seek candidates who are adaptable, eager to learn, and comfortable working in a fast-paced, dynamic setting where change is constant. Flexibility in scope of practice and willingness to embrace new challenges are essential for success and professional growth in this role.

Required skills and experience:

At least 3 years of experience in hospital, post-hospital setting, or primary care setting, with clear understanding of common hospital discharge diagnoses, post-discharge needs, and the medical management required to avoid readmissions.
Ability to work full-time, five-8 hour days/week (Monday-Friday, 8:30 AM - 5:00 PM; CST/PST/MST preferred), including one weekend shift per month.
Strong team player, with a desire to work in an interdisciplinary team to provide the best care to patients.

Desired skills and experience:

Experience in internal medicine, urgent care, emergency room, hospital medicine, post-acute medicine, and/or geriatrics.
Experience performing visits over telehealth video platforms.
Experience in managing post-transitions patients and being able to identify the need for immediate interventions.
Experience in managing acute/chronic disease exacerbations including CHF exacerbations, diabetic emergencies, COPD exacerbations and hypertensive emergencies.

Licensure and Certification:

Role licensure and good standing is required in existing or future Devoted states. Able and willing to get licensed in required states within 90 days of hire.
RN and APRN licenses are active and in good standing or Physician Assistant licenses are active and in good standing.
Active BLS certification at time of hire and must maintain while employed at Devoted Medical.

Salary Range: $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K

Employer-sponsored health insurance and dental and vision plan with low or no premium

#LI-Remote

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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You enjoy a fast-paced, high-energy, organization. Agility and collaboration are key as we will change and improve quickly. You welcome learning and using new technologies that are being developed in parallel. You thrive on knowing your work can help make these technologies better for you and your patients. You learn from every experience and are not afraid to fail - that's how you're wired. Finally and most importantly, you have a passion for making healthcare better, solving complex problems, and supporting the delivery of healthcare that we would want for our own family members. Desired skills and experience: APRN with 5 or more years working in outpatient or inpatient cardiology clinical practice. Experience performing visits over telehealth video platforms. An understanding of managed care is a plus, including how to appropriately assess STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps. A strong desire to continue practicing clinical nursing and performing virtual visits - you believe in the mission of bringing care to where the patient lives. Extra interest in bilingual Spanish or Haitian Creole speakers or strong cultural competencies across a range of cultures. Multi-state licensure is required in addition to a willingness to obtain, and maintain additional licensure as requested. Licensure and Certification: An active and clear RN and APRN license in the state of Arizona as well as APRN certification is required at time of hire and must be maintained while employed at Devoted Medical. Cardiovascular Nurse Practitioner Certification is a plus. Active BLS is required at time of hire and must be maintained while employed at Devoted Medical. Salary Range: $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K Employer-sponsored health insurance and dental and vision plan with low or no premium #LI-REMOTE The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

Full-time

5 days ago

Specialty Care Nurse Practitioner - Cardiology (Heart Center)

Devoted Health Park Ridge, IL

$120,000 - $155,000 / year

Job Description A bit more about this role: This position represents an amazing opportunity for an experienced nurse practitioner (APRN) with a big heart and entrepreneurial spirit with extensive clinical experience offering care for cardiology patients. Your primary focus will be delivering world class virtual first cardiology care to our members in the Devoted Medical Heart Center. In this role you will be working in a next generation virtual heart clinic that dramatically expands access to care for America's most vulnerable seniors. The clinic focuses on providing highly accessible, high quality care for members with general cardiology conditions. As part of the clinic you will also provide dedicated clinical services during part of your clinical time to our heart failure clinic which is a highly tailored, specialty center focused on providing best in class heart failure management including optimizing guideline directed medical therapy, providing health coaching, and managing volume overload. You will be a key member of our interprofessional team. On a day-to-day basis you will work closely with heart failure RNs who are assigned as clinical guides for each patient in the heart failure clinic. You will also work closely with an interdisciplinary team including physicians, pharmacists, social workers and medical assistants. You will utilize and help improve our home-grown technology and electronic health information platform to carry out virtual visits. Responsibilities will include: Conduct focused and thorough assessments of patients with general cardiology and heart failure needs through virtual consultations including ordering diagnostics as needed, interpreting labs and imaging data, and developing a treatment plan in collaboration with the specialty care clinic team. We expect that 80-90% of your time will be performing virtual visits. Formulate accurate diagnoses and develop individualized treatment plans for patients with heart failure and general cardiology clinical conditions, including medication management, volume monitoring and management, and lifestyle modifications. Initiate, titrate, and manage guideline-directed medical therapies (GDMT) for a diverse group of members with heart failure. Provide proactive management of heart failure and comorbid conditions, and address potential barriers to optimal care to mitigate the risks of heart failure exacerbation and hospitalizations. Assess and intervene in weight fluctuations and acute volume overload management of patients who are enrolled in the clinic. Assess, diagnose, and manage the range of general cardiology conditions that are suitable for virtual care including stable coronary artery disease, hypertension, hyperlipidemia, stable atrial arrhythmias, peripheral arterial disease and chronic venous disease. You will be ordering in-home diagnostics including echocardiograms, EKGs, and Holters and working with community cardiology practices for other diagnostics including stress testing and advanced cardiac imaging. Collaborate closely with other members of the care team including PCPs, cardiologists and other Devoted team members including pharmacy, clinical nursing, social work, as well as interfacing with family members and caregivers to coordinate holistic care for the member, to ensure continuity of care and deliver a collaborative care plan. Serve as the clinical advisor and provide clinical escalation support for the speciality clinic staff and other teams during business hours. Utilize our home grown electronic health information system for visits while also providing feedback on how to improve the interface. Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines. Participate in quality improvement initiatives and ongoing professional development to stay current on best practices and advancements in cardiovascular care. Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations. Attributes to success: You are experienced working on an interprofessional team and enjoy team-based care. You have great clinical and non-clinical judgment. You are thorough and take the time to address the needs of your patients. You are deeply empathetic and humanistic, and want to go the last mile for your patients. You enjoy a fast-paced, high-energy, organization. Agility and collaboration are key as we will change and improve quickly. You welcome learning and using new technologies that are being developed in parallel. You thrive on knowing your work can help make these technologies better for you and your patients. You learn from every experience and are not afraid to fail - that's how you're wired. Finally and most importantly, you have a passion for making healthcare better, solving complex problems, and supporting the delivery of healthcare that we would want for our own family members. Desired skills and experience: APRN with 5 or more years working in outpatient or inpatient cardiology clinical practice. Experience performing visits over telehealth video platforms. An understanding of managed care is a plus, including how to appropriately assess STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps. A strong desire to continue practicing clinical nursing and performing virtual visits - you believe in the mission of bringing care to where the patient lives. Extra interest in bilingual Spanish or Haitian Creole speakers or strong cultural competencies across a range of cultures. Multi-state licensure is required in addition to a willingness to obtain, and maintain additional licensure as requested. Licensure and Certification: An active and clear RN and APRN license in the state of Illinois as well as APRN certification is required at time of hire and must be maintained while employed at Devoted Medical. Cardiovascular Nurse Practitioner Certification is a plus. Active BLS is required at time of hire and must be maintained while employed at Devoted Medical. Salary Range: $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K Employer-sponsored health insurance and dental and vision plan with low or no premium #LI-REMOTE The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: Employer sponsored health, dental and vision plan with low or no premium Generous paid time off $100 monthly mobile or internet stipend Stock options for all employees Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles Parental leave program 401K program And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.