Field Based Nurse Practitioner - Evernorth - Philadelphia PA

About the position

The Field Based Family Nurse Practitioner position at Evernorth is a vital role within a premier home-based healthcare solution dedicated to patients and families facing chronic, complex, and life-threatening illnesses. This innovative, multi-specialty practice is experiencing significant growth nationwide and focuses on providing comprehensive care at home to improve the quality of life for patients. The practice emphasizes understanding and managing serious illnesses, facilitating coordination among healthcare providers, and reducing unnecessary healthcare costs. As part of an interdisciplinary team, the nurse practitioner will engage in health risk assessments, transitions of care, chronic disease management, and palliative care support, ensuring that patients receive the right level of care at the right time. In this role, the nurse practitioner will conduct in-home longitudinal care for medically complex patients, aiming to improve clinical outcomes and decrease healthcare utilization. The position requires a passion for serious illness care and management, as the nurse practitioner will provide both chronic disease management and palliative care support. The responsibilities include performing comprehensive evaluations during home visits, coordinating care with other healthcare providers, and ensuring quality care delivery. The nurse practitioner will also be responsible for clinical documentation, patient education, and collaboration with the healthcare team to deliver outstanding patient care. The ideal candidate will possess strong clinical assessment skills, effective communication abilities, and a commitment to professional development. This position offers the opportunity to make a meaningful impact on the lives of patients and their families while working in a supportive and dynamic environment.

Responsibilities
? Perform home visits with patients enrolled in chronic care risk program, conducting comprehensive evaluations and targeting risk factors for disease exacerbations and hospitalizations.
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? Coordinate with patients' other providers, including PCPs, specialists, and health plan case managers, to ensure collaborative care towards achieving health goals.
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? Share after-hour on-call coverage with other providers on the team.
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? Work closely with field and office RNs and medical assistants to ensure quality care delivery.
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? Document acute and chronic healthcare issues through patient encounters in the EMR system, ensuring thorough and timely documentation.
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? Educate patients and/or their families on chronic medical conditions, preventative care, and medication adherence compliance.
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? Participate in weekly telephonic clinical meetings and occasional web-based compliance trainings, with some on-site training required.
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? Prescribe medications, order labs or diagnostic testing, and make subspecialty referrals in collaboration with the community PCP.
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? Review patient records for past and present health issues, updating charts accordingly.
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? Collaborate with the supervising physician and other healthcare team members to ensure outstanding patient care is delivered.
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? Interpret laboratory data and diagnostic testing to assist in the diagnosis of medical conditions.
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? Screen for ADL/IADL deficits, fall risk, depression, cognitive impairment, and nutritional health during assessments.
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? Conduct medication reconciliation at every visit.
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? Perform other duties as assigned by the supervising physician and/or manager.

Requirements
? Graduated from an Advanced Nurse Practitioner program in Adult, Geriatric, or Family Nurse Practitioner.
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? Active, unrestricted NP license in the respective state.
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? Board certified by the ANCC or AANP in geriatrics, with current RN and NP licensure in the state of practice.
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? Current BLS certification; ACLS preferred.
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? Ability to be credentialed by Medicare, Medicaid, and other private insurance companies.
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? DEA license and State Controlled Substance License upon hire or within 6 months of hire.
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? Experience with electronic medical records and proficiency with Microsoft Office applications.
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? Prior clinical experience in geriatric, adult, or family medicine is preferred.
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? Strong background/interest in primary care and preventative medicine.
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? Valid state driver's license.
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? Highly motivated, self-directed professional with strong organizational skills and comfortable working independently.
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? Excellent clinical assessment and analytical skills.
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? Effective leadership and interpersonal skills, with the ability to facilitate problem resolution.
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? Excellent verbal and written communication skills.
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? Demonstrated ability to identify, diagnose, treat, and document acute and chronic disease in adults.
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? Proven ability to pursue feedback, continuing education, and professional development.

Nice-to-haves
? Experience in palliative care or chronic disease management.
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? Familiarity with telehealth practices and technologies.

Benefits
? Comprehensive health insurance coverage.
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? 401k retirement savings plan with employer matching.
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? Paid time off and holidays.
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? Continuing education support and professional development opportunities.
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? Flexible scheduling options for work-life balance.

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