Job Description

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

 

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

Overview:

We are a value-based care provider focused on quality of care for the patients we serve. The Paneled Nurse Practitioner works in our team-based care environment. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our Nurse Practitioners to spend more time with patients.

Patient Care Responsibilities:

• Evaluates and treats center patients in accordance with standards of care.
• Follows level of medical care and quality for patients and monitors care using available data and chart reviews.
• Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.
• Acts as an active participant and leads the care team through daily huddles.
• Helps Associate Medical Director (AMD), Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
• Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
• Follows policy and protocol defined by Clinical Leadership.
• Meets with AMD about quality of care, review of outcome data, policy, procedure and records issues.
• Participates in potential growth opportunities for new or existing services within the Center.
• Participates in the local primary care “on-call” program of CenterWell Senior Primary Care.
• Ensures personal compliance with licensing, certification, and accrediting bodies.

In addition to the above responsibilities , this role requires the Paneled Nurse Practitioner to take on the role as Primary Care Provider for their assigned patient panel in coordination with the patient care team, subject to state laws regarding scope of practice and physician supervision/collaboration. This includes but is not limited to the following additional responsibilities:

• Clinical Responsibility and Continuing Care for your Patient Panel: accountable for comprehensive, long-term care, ongoing treatment plans and coordination with specialists and other care providers. Responsibility for results review (imaging, laboratory testing, specialty referral and review of and follow through of recommendations from specialists).
• Commitment to Long-term Patient Care: commit to managing the health of your patient panel over an extended period. This will require acute and chronic treatment plans and proactive management through prevention and education.
• Accountable for the clinical outcomes and total cost of care for assigned patient panel: demonstrates proactive and sustained engagement in improving health outcomes, optimizing resource utilization, and ensuring effective panel management.
• Focus on Quality and Improved Patient Care: responsible, internally, for completing/closing all quality metrics (HEDIS, STARS, EDAPS) for their panel of patients.
• Participate and Lead High Risk Rounds with Care Team: tailor care plan to patient needs and ensure appropriate utilization.

Use your skills to make an impact

 

Required Qualifications

• Minimum of two to five years directly applicable experience in primary care, geriatrics, complex care, long-term care or similar.
• Successful completion of a nurse practitioner program with board certification.
• Active, unrestricted nurse practitioner license in state of practice location.
• Active and unrestricted DEA license.
• Appropriate certification and credentials to write prescriptions in accordance with applicable state and federal regulations governing Nurse Practitioners.
• Excellent communication skills, written and verbal; demonstrate a high level of skill with interpersonal relationships and communications with all colleagues; fully engaged in the concept of “Integrated team-based care”.  
• Willingness and ability to learn/adapt to practice in a value-based care setting.  
• Superior patient/customer service.  
• Basic computer skills, including email and EMR.  
• This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.  

Preferred Qualifications

• Experience managing Medicare Advantage panels of patients with understanding of best practice in coordinated care environment in a value-based relationship environment.   
• Knowledge of Medicare guidelines and coverage.  
• Knowledge of HEDIS quality indicators.  
• Board certification in geriatric medicine is highly desirable.
• Bilingual (optional as needed)

Additional Information

Why CenterWell Senior Primary Care

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:

• Guaranteed base salary + quarterly bonus
• Monday - Friday 8am-5pm, no weekends or holidays
• Excellent benefit package –  health insurance effective on your first day of employment
• CME Allowance/Time
• Occurrence Malpractice Insurance
• 401(k) with Employer Match
• Life Insurance/Disability
• Paid Time Off/Holidays
• Very minimal call

Social Security Task

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

*This is an onsite position

#nursepractitionercareers

#LI-157966401_KT1

#LI-KT1

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.

 

$126,300 - $173,700 per year

 

This 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.

Job Tags

Full time, Temporary work, Apprenticeship, Local area, Monday to Friday, Flexible hours,

Similar Jobs