Primary Care Provider, Nurse Practitioner / Physician Assistant
Core
Provide continuous medical coverage and comprehensive in-person assessments for seniors with complex care needs, collaborating with an interdisciplinary team to develop care plans and coordinate services.
Role type
Primary Care Provider (Nurse Practitioner or Physician Assistant)
Builds
Participant care plans and care coordination for elderly populations
Domain
Healthcare / Geriatrics
Deliverable
physical/clinical work
Required skills
Prescriptive authority, chronic care management, geriatric care, care coordination, data review for policy improvement
Preferred skills
Experience with frail or elderly populations, experience with Medicare/Medicaid populations
Technologies
None stated
Responsibilities
Perform initial, semi-annual, and unscheduled in-person assessments; collaborate with physicians and IDT members to develop care plans; oversee care coordination and discharge planning; make regular visits to skilled nursing facilities and residences; review outcomes and utilization data
Seniority
Mid-level, hands-on IC