Nurse Practitioner - Quality Management

POSITION SUMMARY:
 

The Home Visit Nurse Practitioner will conduct in-home health assessments on Value-based Patient Populations. The Home Visit Nurse Practitioner will complete visits on patients within a geographic area of responsibility. The nature of the home visit can vary and could include performing an annual health assessment, a post discharge visit, or visiting more complex members more than once per year.

PRIMARY RESPONSIBLITIES:

• Conduct in-home assessments on Value-based Patient Populations. Average visit is 45-60 minutes in length. Assessment is performed and completed electronically. Home Visit Assessment includes:
• Past medical history
• Review of systems
• Physical examination
• Medication review
• Depression screening
• Checking vitals, conducting a physical exam that includes monofilament test, urine dipstick, and foot exam (as appropriate)
• 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 patient's PCP of potential gaps in care and place correlating order to close these gaps in care
• Identify needs and opportunities to generate clinical referrals appropriately
• Identify urgent and emergent situations and intervene appropriately
• Educate members on topics such as disease process, medication, and compliance
• Compliance with all HIPAA regulations and maintain security of protected health information (PHI)

QUALIFICATIONS:

• NP license and national certification (ANCC or AANP, or the ability to obtain national certification and/or NP license in state of assignment) active, unencumbered licensure free any open/unresolved disciplinary actions including probation or restrictions against privilege to practice. May be requested to obtain additional licensure supported by business
• Family, Geriatrics, or Adult certification