Nurse Practitioner
Core
Provide in-home and telehealth care to medically complex Medicare Advantage members in Essex County, NJ, focusing on chronic disease management and preventing hospitalizations.
Role type
Nurse Practitioner (Home Care & Telehealth)
Builds
Individualized care plans and proactive care management for vulnerable senior populations
Domain
Healthcare / Home-based Primary Care / Medicare Advantage
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Clinical assessment, chronic disease management, medication review, care plan development, interdisciplinary collaboration, telehealth utilization, early intervention strategies
Preferred skills
Home health experience, geriatrics, value-based care models, managing high-risk patient populations, bilingual skills
Technologies
Clover Assistant, EMR platforms
Responsibilities
Conduct in-home and telehealth visits, perform comprehensive assessments and medication reviews, identify barriers to care (fall risks, food insecurity), collaborate with interdisciplinary teams, educate members and caregivers on disease management, monitor health status to prevent ED visits and hospitalizations
Seniority
Mid-Senior level, hands-on clinical provider