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The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal patient panel outcomes. The Nurse Practitioner works on problems of diverse scope and complexity ranging from moderate to substantial.

The Nurse Practitioner, Paneled provides health promotion and maintenance through the diagnosis and treatment of acute illness and chronic conditions. Prescribes medication, examines patients, diagnoses illnesses, and provides treatment. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision. Uses independent judgment requiring analysis of variable factors and determining the best course of action. Serves primary care provider for their assigned patient panel in coordination with the patient care team, subject to state laws regarding scope of practice and physician supervision/collaboration

Use your skills to make an impact

Overview** **:

We are a value-based care provider focused on quality of care for the patients we serve. The Paneled Nurse Practitioner works in our team-based care environment. Our approach allows us to provide an unmatched experience for seniors. Our model is positioned to 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 Practitioners to spend more time with patients.

**Patient** **Care** **Responsibilities** :

+ Evaluatesandtreatscenterpatientsinaccordancewithstandardsofcare.

+ Followslevelofmedicalcareandqualityforpatientsandmonitorscare using available data and chart reviews.

+ Assistsinthecoordinationofpatientservices,includingbutnotlimitedto specialty referrals, hospital and SNF coordination, durable medical equipment and home health care.

+ Actsasanactiveparticipantandleadsthecareteamthroughdailyhuddles.

+ HelpsAssociateMedical Director (AMD), Physician and Center Administratorinsettingatoneofcooperationinpracticebydisplayinga professional and approachable demeanor.

+ Completesallmedicalrecorddocumentationinatimelymannerworking with a quality-basedcoder tooptimizecoding specificity.

+ FollowspolicyandprotocoldefinedbyClinicalLeadership.

+ MeetswithAMDaboutqualityofcare,reviewofoutcomedata,policy,procedureand records issues.

+ Participatesinpotentialgrowthopportunitiesforneworexistingservices within the Center.

+ Participatesinthelocalprimarycare“on-call”programofCenterWellSenior PrimaryCare.

+ Ensurespersonalcompliancewithlicensing,certification,andaccreditingbodies.

**In addition to the above responsibilities** , this role requires the Paneled Nurse Practitioner to take on the role as Primary Care Provider for their assigned patient panel in coordination with the patient care team, subject to state laws regarding scope of practice and physician supervision/collaboration. This includes but is not limited to the following additional responsibilities:

+ **Clinical Responsibility and Continuing Care for your** **P** **atient** **P** **anel** **:** accountableforcomprehensive, long-term care, ongoing treatment plans and coordination with specialists and other care providers.Responsibilityfor results review (imaging, laboratory testing, specialtyreferraland review of and follow through of recommendations from specialists).

+ **Commitment to Long-term Patient Care:** commit to managing the health ofyour patient panel over an extendedperiod. This will requireacute and chronic treatment plans and proactive managementthrough prevention and education.

+ **Accountab** **le** **for the clinical outcomes and total cost of care for assigned patient** **panel:** demonstratesproactive and sustained engagement in improving health outcomes,optimizingresourceutilization, and ensuring effective panel management.

+ **Focus on Quality and Improved Patient Care** **:** responsible, internally,forcompleting/closingall quality metrics (HEDIS, STARS, EDAPS)for their panel of patients.

+ **Participate and** **L** **ead** **H** **igh** **R** **isk** **Ro** **unds with** **C** **are** **T** **eam** **:** tailorcare plan to patient needs andensureappropriate utilization.

Required Qualifications

+ Minimum of two to five years directly applicable **experience in primary care, geriatrics, complex care, long-term care or similar** **.**

+ Successful completion of a nurse practitioner program with board certification.

+ Active, unrestricted nurse practitioner license in state of practice location.

+ Active and unrestricted DEA license.

+ Appropriatecertificationand credentialstowriteprescriptions **in accordance with** **applicable state and federal regulations governing Nurse Practitioners** **.**

+ Excellent communication skills, written and verbal;demonstratea high levelof skill with interpersonal relationships and communications with all colleagues; fully engaged in the concept of “Integrated team-based care”.

+ Willingness and ability to learn/adapt to practice in a value-based care setting.

+ Superior patient/customer service.

+ Basic computer skills, including email and EMR.

+ This role is considered patient facing and is a part of our Tuberculosis (TB) screening program. If selected for this role, you willbe requiredto be screened for TB.

Preferred Qualifications

+ Experience managing Medicare Advantagepanelsof patients with understanding ofbestpractice incoordinatedcare environment in a value-based relationship environment.

+ Knowledge of Medicare guidelines and coverage.

+ Knowledge of HEDIS quality indicators.

+ **Board certification in geriatric medicine is highly desirable.**

Scheduled Weekly Hours

40

Pay 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.

$126,300 - $173,700 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

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 Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva’s innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health – addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being.

About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s 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 30,000 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.

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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.

Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options https://www.partnersinprimarycare.com/accessibility-resources