Provides primary and urgent health care via telephone and tele video modalities to patients
Develops and implements clinical plans of care for adult patients facing chronic and complex conditions
Gathers history and physical exam and diagnostics as needed, then develops treatment plans based on patient's goals of care
Identifies and closes gaps in care
Meets the patient’s and family’s physical and psychosocial needs with support from the company’s inter-disciplinary team
Educates patients and families about medication usage, side effects, illness progression, diet and nutrition, medical adherence and crisis anticipation
Maintains contact with other clinical team members and patients’ physicians to coordinate optimal care
Maintains patient medical records consistent with state regulations and company standards
Participates in continuing education as required by state and certifying body
Prescribes medication as permitted by state
Requirements
Requires an MS in Nursing
Requires an active national NP certification
Requires valid, current, active and unrestricted Family or Adult Nurse Practitioner (NP) license in the state of Massachusetts
Requires valid, current, active, RN license
Experience working with Electronic Medical Records (EMR) required
Requires 2+ years of experience in managing complex care cases
Bilingual or Multi-lingual skills required in the following languages: Spanish