Nurse Practitioner (Telehealth)- Complex Care

About Devoted Health

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

Employment Type: Full time

About the Gold Care Program

The Gold Care Program is a highly collaborative, multidisciplinary team of physicians, nurse practitioners, nurse case managers, social work case managers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members. We provide whole-person clinical, social and logistical support for patients with complex chronic conditions, frail elders, and patients at high risk of hospital admissions.

About the Nurse Practitioner Role

The Nurse Practitioner role on the Gold Care team is to reinforce and adjust the patient’s plan of care according to what matters most to the patient, their clinical picture, and in response to any barriers or obstacles they are facing. They manage the clinical trajectory of the patient including symptom management, chronic disease management, and adjustments to the clinical plan. The NP’s clinical decision making and bias-to-action ensures we continuously deliver on meeting patients’ needs as determined by both the interdisciplinary team and by the patient’s priorities.

Responsibilities and Impact

• Deliver exceptional care to a cohort of complex patients across multiple geographies, leveraging video telehealth visits and an interdisciplinary team.
• Guide and oversee the medical management of patients (utilizing the 5M framework) during their tenure with Gold Care.
• Work closely with other members of the patient's care team including their PCP, specialists, and other Devoted teams such as pharmacy, or specialty care.
• Collaborate with the patients’ support systems such as family members and caregivers in order to coordinate care for the patient and deliver a collaborative care plan.
• For patients in Gold Care, perform comprehensive assessment visits, provide post-acute transition support, comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs.
• In infrequent instances when appropriate and compliant with NP licensure, you may also provide telehealth visits to members outside of your panel to support other Devoted Medical service lines.
• As the program continues to grow, there may be an infrequent weekend on-call component to support our clinical nurses who triage calls from our members during the weekend.
• Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines.
• Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations.

Required Skills and Experience

• Master’s or Doctoral degree in Nursing; specialization in primary care, internal medicine or geriatric medicine preferred.
• An active and clear RN and APRN license in the state of AZ, CO, or TX is required at time of hire and must be maintained while employed at Devoted Medical.
• Willingness to obtain and maintain multiple state licenses.
• Three or more years working as an APRN with experience in primary care, house calls, internal medicine, family medicine, geriatrics, and/or palliative care.
• Proficiency in using telehealth technology and electronic health records (EHR).
• Team player, continuous improvement mentality and can-do attitude.
• Active BLS at time of hire and must maintain while employed.