Advanced Practice Registered Nurses / Physician Assistants
In this role, you will conduct in-home health assessments on a panel of enrolled Medicare Advantage members within the Santa Clara county. While the average visit is 45-60 minutes, the nature of the home visit will vary and visit frequency will based on the member’s acuity level (i.e., weekly, bi-weekly, monthly, etc.).
Primary Responsibilities: (May include but not limited to)
Conduct in-home assessments on health plan members. The In-Home Assessment includes:
Past medical history
Review of symptoms
Performs medication management activities for patient’s on multiple psychiatric med’s and chronic disease meds to identify any possible interactions.
Provide patient education, emphasizing importance of consistent monitoring of health needs, and recommending community resources
Facilitate patient empowerment and quality of life by promoting educated, independent patient choice on all aspects of care
Identify diagnoses to be used in care management and active medical management in the furtherance of treatment
Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment
Communicate findings in your assessment that will be used to inform the PCP of potential gaps in care
Educate members on topics such as disease process, medication, and compliance
Comply with all HIPAA regulations and maintain security of protected health information (PHI)
Must have active Nurse Practitioner state license
Behavioral Health training and/or Mental Health Nurse Practitioner board certified preferred but not required.
Must have active Nurse Practitioner Board Certification
Must have CPR Certification
Must have valid state driver license and automobile insurance
Knowledge of clinical standards of care
Minimum of 1 year of experience
Experience in gerontology, adult care
Home care or home visit experience
Excellent administrative, organizational and verbal skills
Effective communication skills with seniors
Computer literate and able navigate the internet
Ability to work independently
Dependable and reliable
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Alignment Healthcare is a population health management company dedicated to changing the way health care is delivered in the United States. We are a fast-growing, highly dynamic organization that isn’t content with the status quo. We are looking for dedicated, innovative individuals who thrive in a fast-paced environment to join our team and help us carry out our vision - that is, to lead a moveme...nt that transformationally improves health care.
Join us today and we will give you every opportunity to improve healthcare with us!