Nurse Practitioner, Integrated Care Delivery (San Bernardino)

Company: SCAN Health Plan
Location: San Gabriel
Posted on: June 22, 2022

Job Description:

About SCANAs one of the nation's largest not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, and Nevada, SCAN Group has been a mission-driven organization dedicated to keeping seniors healthy and independent for over 40 years. SCAN employees are passionate about what they do, and understand that success is based on achieving the mission. Employees are afforded with the training and tools necessary to do their jobs and are rewarded for their efforts and recognized as experts in their fields. To learn more, visit thescangroup.org or follow us on social media:LinkedIn;Facebook; andTwitter.The JobThe Nurse Practitioner will provide and coordinate primary care to SCAN members to achieve the Company's mission to keep seniors healthy and independent.You WillProvide care to an assigned panel of members in their place of residence. This includes conducting physical/wellness exams and assessments; occasional urgent medical visits and telephonic triage to ensure timely, appropriate care and hospital avoidance if possible; administering vaccines; ordering and interpreting diagnostic tests; initiating goals of care conversations with members and their loved ones; and chronic disease management.Work closely with an SCAN Mobile Care Team in providing the best care to members.Identify patient health care needs and develop a comprehensive plan of care with the member, their family, and living-community staff. Adjust plan as needed.Collaborate with dedicated case management team to ensure members have access to necessary and appropriate services through an automatic and expedited approval process.Independently manage visitation schedule in line with established practice protocols and adjust schedule based on members' needs and acuity.Engage with Primary Care Physicians and other health care professionals in a collaborative relationship aimed at disease prevention, health promotion, and chronic disease management. Partner closely with Primary Care Physicians for clinical oversight and guidance.Connect with specialists, hospitals, ancillary care providers, and community-based organizations to ensure continuity of care and promote shared decision-making while advocating for members.Actively monitor and quickly address clinical quality gaps in care in partnership with other care providers.Document member visits and interactions in a timely manner according to established practice protocols.Serve as an ongoing direct resource for members and their families, as well as for their communities and support staff.Participate with Integrated Care Sales team in events to build member awareness and educate communities.Initiate and complete virtual health visits with members as needed to promote accurate triaging and reduce drive time.Participate in on-call program available to our members after hours and on weekends.Maintain professional and technical knowledge by attending educational workshops and reviewing professional publications.Contribute to team efforts to meet quality healthcare goals by closing care gaps, attending high risk group discussions, and optimizing clinical workflows and protocols.Travel 75+% of the time in the assigned area-Must have a valid driver's license, automobile insurance and reliable transportation.Your QualificationsMaster's DegreeEducation in Adult/Geriatric medical care preferredCurrent California Nurse Practitioner license in good standingWound Care Certificate and Palliative Care Certificate a plus2+ years of related experience as a nurse practitioner, preferably with home-based visits, geriatrics, chronic disease management, and hospice and/or palliative careExperience with virtual care/telehealth a plusKnowledge of the treatment of complex chronic diseases, such as dementia, diabetes, heart failure, and COPD.Ability to identify health care needs and refer and coordinate with other resources/programs appropriately.Knowledge of HCC and ICD-10 coding and documentation.Knowledge of wound care and management.Knowledge of CMS guidelines and Medicare Advantage Managed Care.Comfortable with initiating goals of care and end of life discussions.Strong interpersonal skills and change agent mindset needed to build relationships with healthcare team and patients.Knowledge of and ability to maintain HIPAA requirements.Adaptable and open to change and problem-solving.Knowledge of and/or ability to learn basic technological skills (Word, Excel, PowerPoint, Outlook, EMR) and open to new technology.Ability to stoop, kneel, and crouch required. Ability to bend, reach, lift, pull, push, and carry up to 10 lbs. regularly and up to 50 lbs. occasionally.Multilingual/Multicultural a plus.Travel 75+% of the time in the assigned area-Must have a valid driver's license, automobile insurance and reliable transportation.What's in it for you?A competitive compensation and benefits programAn annual employee bonus programRobust Wellness ProgramGenerous paid-time-off (PTO)Eleven paid holidays per year, plus 1 additional floating holidayExcellent 401K Retirement Plan with employer matchRobust employee recognition programTuition reimbursementAn opportunity to become part of a team that makes a difference to our members and our community every day!We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employee will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.#LI-JA1Equal Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Keywords: SCAN Health Plan, San Gabriel , Nurse Practitioner, Integrated Care Delivery (San Bernardino), Healthcare , San Gabriel, California