Point32Health
Point32Health·2 months ago

Sr direct care practitioner - boston, bilingual preferred but not required

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Location

onsite, Boston, MA, United States

Salary

$121k – $182k/yr

Commitment

Full Time

Level

Senior (5+ years)

Required skills

Patient ManagementGeriatric CareClinical AssessmentPharmacologic PrinciplesEnd of Life CareRisk Adjustment CodingCare CoordinationMotivational InterviewingHealth CoachingElectronic Medical RecordsHIPAA ComplianceClinical JudgmentInterdisciplinary CollaborationPrimary CarePost-Acute CarePatient Advocacy

Job Description

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work.

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

Under the direction of a Senior Products Manager, the Sr Direct Care Nurse Practitioner, as an advanced practice nurse (APN) in the Post-Acute and Long-Term Care Program, provides both primary and post-acute care and direct patient management to Senior Products members in designated facilities where we have established collaborative physician relationships. The SNF (skilled nursing facility) rounder will provide primary health care management to a long-term and custodial population with a focus on best practice approaches for the geriatric population as well as follow an identified subset of members who require post-acute management following an acute period of illness. The APN should be familiar with primary and preventative care approaches of the older adult with additional comfort in pharmacologic and end of life principles specific to this population. This oversight also includes annual wellness visits in facilities for eligible members.

Key Responsibilities/Duties – what you will be doing (top five):

POST ACUTE CARE

  • Performs comprehensive clinical exam and assessment upon admission
  • Meets with facility staff and identifies the goal of the SNF stay
  • Formulates discharge plan through discussion with multidisciplinary team with a focus on attainable goals and identified barriers
  • Assess the patient at each visit to determine clinical status and progress towards goals
  • Collaborates and communicates with members of the care team to establish expected length of stay, goals of stay and level of care.

LONG TERM CARE

  • ANP will provide primary care to long term care population in designated facilities where applicable
  • Expected to see monthly as well as when there is a change in status with a focus on treat in place conditions
  • Serve as a resource of the families, members, and staff

CHA (COMPREHENSIVE HEALTH ASSESSMENTS)

  • Performs annual comprehensive exams on all eligible members assigned in applicable facilities and geographies
  • Knowledgeable with regards to risk adjustment coding and apply these concepts appropriately
  • Facilitating clarification of patient and family goals of care and advanced directives

Qualifications – what you need to perform the job

Certification and Licensure

  • Certified nurse practitioner through ANCC/AANP for adult, family, acute care, and/or geriatrics (GNP preferred)
  • Current Massachusetts State license
  • Current Drug Enforcement Administration (DEA) registration
  • Current Massachusetts Department of Public Health (DPH) Controlled Substance Registration (CSR)

Education

  • Required (minimum): Graduate degree from an accredited school of nursing and nurse practitioner program.

Experience

  • Required (minimum): 2 years of experience working with the frail or elderly population.

Salary Range

$121,308.30 - $181,962.46

Ready to join the team?

Apply now