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Position Summary:

Our Care Teams include a Physician, Nurse Practitioner, Care Coordinator, Medical Assistant, and support from a Nurse Care Manager. Nurse Practitioners are integral members of our Care Teams as they provide longitudinal care and build meaningful patient relationships; this creates trust and helps our patients understand and feel connected to their care plan.

Together this team is responsible for providing and coordinating care for an intimate panel of patients in our neighborhoods. As a key member of Sage Health care team, you will perform annual health assessments, complete post discharge visits and deliver cost-effective, quality care to assigned patients both in our centers and patients' homes.

Primary Responsibilities:

• Evaluate and treat center patients in accordance with standards of care
• Care coordination with other providers, specialists, and care facilities
• Perform comprehensive in-home assessments for identified patients of the practice and assisting the primary care team in better managing chronic diseases
• Complete physical examinations, medication reviews, vital checks, lab draws, wound care and depression screenings
• Communicate assessment findings that will be used to inform the PCP of potential gaps in care
• Will have support of Medical Assistants while seeing patients to allow more time for direct patient care
• Highly relationship oriented and ability to passionately serve the aging and elderly population
• Educate patients on topics such as disease process, medication, and compliance
• Comply with all HIPAA regulations and maintain security of protected health information

Qualifications:

• Must have or be eligible to have a current and unrestricted NP or PA license
• Experience with risk adjustments and/or home assessments
• Understands HCC (Hierarchical Condition Categories) documentation, ICD-10 (International Classification of Diseases-10) Coding, and Health Risk Assessments (HRAs)
• Embrace teamwork and the opportunity to collaborate with talented colleagues
• Certificate of completion from an accredited Nurse Practitioner Program or Physician Assistant Program
• Current DEA certificate required prior to start date
• BLS certification
• At least two-year experience practicing as an N.P. or P.A.
• Two years of experience in Primary Care or Adult/Geriatrics