Patient Care:
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.
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.
Acts as an active participant and lead with the care team through daily huddles.
Helps Regional Medical Director (RMD) Physician and Center Administrator in setting a tone of cooperation in practice by displaying a professional and approachable demeanor.
Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity.
Follows policy and protocol defined by Clinical Leadership.
Meets with RMD about quality of care review of outcome data policy procedure and records issues.
Participates in potential growth opportunities for new or existing services within the Center.
Participates in the local primary care on-call program ofConviva.
Assures personal compliance with licensing certification and accrediting bodies.
Required Qualifications:
Minimum of two to five years directly applicable experiencepreferred
Successful completion of a Nurse Practitioner program with Board Certification
Active unrestricted Nurse Practitioner license in state of practice location
Excellent communicationskills;written and verbal demonstrate a high level of skill with interpersonal relationships and communications with all colleagues; fully engaged in the concept of Integratedteam basedcare.
Willingness and ability to learn/adapt to practice in avalue basedcare setting.
Superior patient/customer service.
Basic computer skills including email and EMR.
Appropriate certification to write prescriptions under the authority of a collaborating physician/medicaldirector
This roleis consideredpatient facing and is a part ofour Tuberculosis (TB) screening program. If selected for this role youwill be required to be screenedfor TB.
Preferred Qualifications:
Active and unrestricted DEA license
Medicare Provider Number/Medicaid Provider Number
Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in avalue basedrelationship environment.
Knowledge of Medicare guidelines and coverage.
Bilingual is a plus
Knowledge of HEDIS quality indicators.
Additional Information:
Guaranteed base salary quarterly bonus
Excellent benefit package health insurance effective on your first day of employment
CME Allowance/Time
Occurrence Malpractice Insurance
401(k) with Employer Match
Life Insurance/Disability
Paid Time Off/Holidays
Minimal call
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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.
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.
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