Nurse Practitioner â Integrated Home Care Program
Nurse Practitioner â Integrated Home Care Program
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Job Description
Become a part of our caring community and help us put health first
The Nurse Practitioner applies advanced education and clinical competencies to achieve optimal patient outcomes. The Nurse Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial.Program Overview: The Integrated Home Care Program is a dynamic and innovative initiative dedicated to transforming healthcare delivery for high-risk patients in the comfort of their own homes. We strive to significantly reduce avoidable hospitalizations and readmissions by providing comprehensive patient-centered care to individuals with medical complexity and functional limitations. Our multidisciplinary team delivers proactive coordinated care directly where our patients need it most.
Purpose of the Role: As an Advanced Practice Provider (APP) within our Integrated Home Care Program you will play a pivotal role in enhancing the well-being of frail medically complex and often homebound patients. You will conduct comprehensive in-home assessments develop individualized treatment plans in close collaboration with our dedicated care team and leverage both in-person and telemedicine capabilities to deliver exceptional care. Your expertise will directly contribute to enhancing patient outcomes reducing acute care utilization and fostering a higher quality of life for our vulnerable patient population.
Key Responsibilities:
- Conduct comprehensive in-home evaluations and examinations: Perform thorough assessments of enrolled patients focusing on their medical functional and psychosocial needs.
- Develop and implement personalized treatment plans: Collaborate and co-manage with primary care physicians and other members of the interdisciplinary team to create and execute effective treatment strategies tailored to each patients unique circumstances. Co-management with the patients PCP.
- Educate and empower patients and families: Provide clear concise education about their conditions treatment options medications and the benefits of the Integrated Home Care Program empowering them to actively participate in their care.
- Manage acute clinical issues in the home: Diagnose and treat urgent conditions such as pneumonia CHF/COPD exacerbations UTIs etc. Safely and effectively administer and monitor medication administration in the home setting adhering to established protocols and ensuring patient safety.
- Maintain accurate and timely documentation: Thoroughly document all home visits assessments interventions and communications within our Electronic Medical Record (EMR) system (Athena Q4 2025).
- Participate actively in medical team meetings: Contribute to collaborative discussions share insights and participate in care planning during regularly scheduled team meetings on a rotating basis.
- Patient engagement: Based on coverage area carry a caseload of 45 patients in a given month 200 unique patients per year completing 6-8 visits per day establishing a weekly or every-other-week cadence of visits with patients in the caseload.
- Share after-hours call responsibilities: Provide timely and effective telemedicine consultations to patients and families as part of a rotating on-call schedule.
Use your skills to make an impact
Required qualifications:
- Nurse Practitioner or Physician Assistant with 5 years of experience in Acute care Geriatrics Home Health or a related field.
- Demonstrated passion for working with geriatric patients and their families in the home setting with a strong commitment to providing compassionate and patient-centered care. Comfortable with end-of-life discussions when appropriate.
- Proven experience in ordering managing and monitoring medications in the home setting.
- Exceptional communication interpersonal and active listening skills with the ability to build rapport and trust with patients families and colleagues.
- Ability to thrive in a collaborative multidisciplinary team environment contributing your expertise and working effectively with diverse professionals.
- Proficiency in using Electronic Medical Record (EMR) systems for accurate and efficient documentation.
Work Schedule:
* Regular business hours: Monday through Friday 8:00 AM to 5:00 PM.
* After-hours call is shared equitably among the direct patient care team.
Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills knowledge experience education certifications etc.Description of Benefits
Humana Inc. and its affiliated subsidiaries (collectively Humana) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits Humana provides medical dental and vision benefits 401(k) retirement savings plan time off (including paid time off company and personal holidays volunteer time off paid parental and caregiver leave) short-term and long-term disability life insurance and many other opportunities.
About us
About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive preventive care to seniors including wellness visits physical exams chronic condition management screenings minor injury treatment and more. Our unique care model focuses on personalized experiences taking time to listen learn and address the factors that impact patient well-being. Our integrated care teams which include physicians nurses behavioral health specialists and more spend up to 50 percent more time with patients providing compassionate personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patients well-being.About CenterWell a Humana company: CenterWell creates experiences that put patients at the center. As the nations largest provider of senior-focused primary care one of the largest providers of home health services and fourth largest pharmacy benefit manager CenterWell is focused on whole-person health by addressing the physical emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM) CenterWell offers stability industry-leading benefits and opportunities to grow yourself and your career. We proudly employ more than 30000 clinicians who are committed to putting health first for our teammates patients communities and company. By providing flexible scheduling options clinical certifications leadership development programs and career coaching we allow employees to invest in their personal and professional well-being all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race color religion sex sexual orientation gender identity national origin age marital status genetic information disability or protected veteran status. It is also the policy of Humana to take affirmative action in compliance with Section 503 of the Rehabilitation Act and VEVRAA to employ and to advance in employment individuals with disability or protected veteran status and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions including but not limited to recruitment hiring upgrading promotion transfer demotion layoff recall termination rates of pay or other forms of compensation and selection for training including apprenticeship at all levels of employment.
Employment Type
Full-Time
