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Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed care organization with over 2 million members across multiple states, CCA serves individuals enrolled in Medicaid and Medicare in Massachusetts through the Senior Care Options and One Care programs and its care delivery enterprises. CCA is dedicated to delivering comprehensive, integrated, and person-centered care, powered by its unique model of uncommon care, which yields improved quality outcomes and lower costs of care. Job Summary:
Reporting to the Chief Medical Officer of instED, the Virtual Medical Control (VMC) Nurse Practitioner provides medical decision making, including all elements of diagnostics, treatment, and disposition, to patients seen by instED's Mobile Integrated Healthcare service. The VMC serves as the clinician of record, prescribes short-term treatments, documents the encounter in instED's medical record, and relays any essential follow-up needs to the care team via the instED Clinical Resource Center (CRC) team.
Essential Functions:
- Provide patient-centered, high-quality acute care in place to individuals with complex medical needs per clinical protocols
- Work closely with mobile integrated healthcare clinicians (paramedics and EMTs) and other instED team members
- Participate in scheduled operational or clinical meetings, based on schedule availability, to remain up to date on programmatic and company activities and implications for clinical practice
- Collaborate with other VMCs, and with CRC team members as needed, primarily around managing visit volumes and clinical questions
- Provide clinical and operational feedback to management team to improve care delivery
- Collaborate with referring Care Partners and Primary Care Providers
- Document visit within the EMR in a complete, accurate, and timely manner. Documentation should include relevant data, medical decision making, and follow-up needs
- Provide clinical care to patients via various telehealth technologies (telephonic, video, direct messaging)
- Perform any other job related duties as requested.
Education and Experience:
- Master of Science (M.S) Nursing required
- Doctoral Nursing preferred
- Five (5) years Working independently as a Nurse Practitioner in urgent care, emergency medicine, or hospital medicine required
- Experience caring for medically and socially complex patients required
- Experience working collaboratively with a variety of professionals required
- Experience providing non-face-to-face care, especially in telephone or virtual care required
- Experience working with EMS professionals (paramedics/EMTs) preferred
Competencies, Knowledge and Skills:
- Ability to virtually/remotely assess medically complex patients
- Ability to provide person-centered, medically and clinically appropriate care options to patients
- Willingness to learn best practice in delivering home-based care
- Comfort with remote care delivery model and technology
- Comfort with shared decision making and patient-centered consideration of risk
- Ability to virtually/remotely assess medically complex patients
- Ability to work in a team-based care delivery model
- Strong written and verbal communication skills
- Comfort with Health IT and EHR systems
- Adaptability to change in systems and workflows
- Innovative, team-player, and expert communicator
- Ability to speak/read/write English fluently
Licensure and Certification:
- Active Nurse Practitioner License or ability to obtain active licensure in states instED is operational required
- Active board certification in Family Practice, Acute Care or Adult-Gerontology required
- Current DEA registration required
- MA Health Enrollment required if licensed in Massachusetts required
- Current BLS Certification required
Working Conditions:
- General office environment; may be required to sit or stand for extended periods of time
- May be required to work additional hours and/or outside normal business hours as needed to meet deadlines.
- Ability to work day and evening shifts on weekdays, weekends and holidays
- Travel is not typically required
Compensation Range: $83,000.00 - $132,800.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Hourly Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.
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