• Humana
  • Charleston, SC
  • Healthcare - Nursing
  • Full-Time
  • 5038 Mabeline Rd

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Description

The Nurse Practitioner (NP) or Physician Assistant (PA) working in coordination with the other members of the Care Team and under direction of the Regional Medical Director (RMD) shall deliver the highest quality healthcare in a population health environment. The NP/PA will carry a panel of patients and is subject to the standards of care adopted by the Physician Association and the Chief Medical Officer of Partners in Primary Care. As a member of the Care Team, the NP/PA interacts and consults with other team members as it pertains to center activities and best practices in patient care.

Responsibilities

Patient Care

  • Assures personal compliance with licensing, certification, and accrediting bodies.
  • 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.
  • Completes all medical record documentation appropriately after each patient encounter or prior to end of shift.
  • Calls patients to ensure their well-being as needed following center visits.
  • Follows policy and protocol defined by VP Medical, Medical Advisory Committee and Chief Medical Officer.
  • Meets with RMD about quality of care, policy, procedure and records issues and to develop best practice medical and process management protocols.
  • Meets with RMD to review outcome data, quality management metrics and other metrics, and assure proficiency in the policies, procedures and care protocols in accordance with PIPC population health model.
  • Participates in potential growth opportunities for new or existing services within the Center.
  • Participates in the local primary care on-call program of Partners in Primary Care and Physician Association.
  • 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.
  • EDUCATION/CREDENTIALS:

  • Bachelors of Science in Nursing (BSN) from an accredited program.
  • Masters of Science in Nursing (MSN) or Physician Assistant Program
  • Successful completion of a Nurse Practitioner/ Physician Assistant program
  • Active, unrestricted Registered Nurse and Nurse Practitioner/Physician Assistant license in the state indicated as the Location above.
  • Current certification or able to be certified in AHA or ARC Basic Life Support for medical provider.
  • Appropriate certification to write prescriptions under the authority of a medical director.
  • Computer proficiency with knowledge of MS Office products, specifically Word, Excel, and Outlook.
  • Experience with electronic health record documentation.
  • Certification in Adult Health, Family, Acute Care or Gerontology preferred.
  • Minimum of two years post-training clinical experience beneficial.
  • Experience in disease management and wellness programs a plus.
  • Previous Medicare/Medicaid Experience a plus.
  • Knowledge or experience with a patient centered medical home model.
  • JOB RELATED SKILLS/COMPETENCIES:

  • Excellent communication skills; written and verbal
  • Demonstrate a high level of skill with interpersonal relationships and communications.
  • Fosters a cooperative and harmonious working climate conducive to maximize employee morale and productivity.
  • Ability to put patients first and enjoys treating patients.
  • Superior patient/customer service and bed side manner skills.
  • Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value based relationship environment.
  • Displays a professional, approachable and selfless demeanor at all times both external and internal clients.
  • Agrees with, supports and commits to Partners in Primary Care s core practice standards and Policies and Procedures.
  • Ability to display high degree of inspiration for team members to retain focus of providing highest levels of customer satisfaction.
  • Working knowledge of medical office administration and procedures.
  • Basic computer skills, including email and EMR.
  • Knowledge of Medicare guidelines and coverage.
  • Knowledge of HEDIS quality indicators.
  • Maintain licensure and skills.
  • Maintain certification.
  • Scheduled Weekly Hours

    40
    Associated topics: anesthetist crna, assistant cna, associate, bilingual, clinical, english, np, physician assistant, prac, splst

    * The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.

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