Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating over 175 centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness.
At Conviva Care Solutions we want to help those in the communities we serve, including our associates, lead their best lives. We support our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their careers. Our culture is focused on teamwork and providing a positive and welcoming environment for all.
Responsibilities
Responsibilities:
The Nurse Practitioner (NP) works in our team-based care environment. We are avalue basedcare provider focused on quality of care for the patients we serve. Our care team consists of doctors, advanced practice professionals, Pharm D, Care Coach Nurse, MA, Behavioral health specialist,Quality basedCoder, Referral Coordinator and more. Our approach allows us to provide an unmatched experience for seniors. Our modelis positionedto provide higher quality care and better outcomes for seniors by providing a concierge experience, multidisciplinary services, coordinated care supported by analytics and tools, and deep community relationships. This robust support allows our Nurse Practitioner to see fewer patients and spend more time with them.
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 ofCenterWellSenior Primary Care.
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 + bi-annual 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
For this job, associates are required to be fully COVID vaccinated or undergo weekly COVID testing and wear a face covering while at work. The weekly testing will need to be done through an approved Humana vendor, and unvaccinated associates should follow all social distancing and masking protocols if they are required to come into a Humana facility or work outside of their home. We are ahealthcarecompany committed to putting health and safety first for our members, patients, associates, and the communities we serve.
If progressed to offer, you will be required to:
Provide proof of full vaccinationor commit totesting protocolsOR
Provide proof of applicable exemption including any required supporting documentation
Medical, religious,stateand remote-only work exemptions areavailable.
If you are an existing CenterWell or Humana associate, please apply through go/associatecareers using a Chrome or Edge browser.
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