Full Time Nurse Practitioner: Home Visit (hybrid in-home & remote) - Gilbert AZ

Google Chrome Microsoft Edge Apple Safari Mozilla Firefox Full Time Nurse Practitioner: Home Visit (hybrid in-home & remote) - Gilbert AZFull-timeCompany DescriptionAt 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!Job DescriptionA bit more about this role: Devoted Medical was founded on the belief that if we treat each patient like we would our loved ones, we can meaningfully improve healthcare experiences and outcomes for some of America’s most vulnerable patient populations. The Intensive Home Care (IHC) Program is at the heart of this goal:  we are a highly collaborative, multidisciplinary team of physicians, nurse practitioners, case managers, social workers, community health workers, and scheduling team, united by our mission to build a better care delivery system for Devoted’s most complex members.  Through a mixture of in-home and virtual interventions, 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. We succeed through building trust and relationships with our patients. We start by identifying our patients' values and priorities. We center our work around those values and priorities: we will help patients define goals around them, and pave a clinical pathway that aligns with them.  The IHC Nurse Practitioner is the true champion of our patients’ medical care, and plays a critical role in building trusting patient relationships and empowering patients to live healthy, dignified, independent lives.QualificationsResponsibilities will include:Conduct a hybrid of in-home and telehealth video visits for Devoted Health members within your patient panel and who are assigned to your geography. In infrequent instances when appropriate and compliant with NP licensure, you may also provide telehealth visits to members located in other geographies in order to support other Devoted Medical service lines. Perform comprehensive assessment visits (CAV), comprehensive diagnosis/disease review, medication review, and assessment for quality of care (Stars/Hedis) interventions as well as social and home health/DME needs as a tool to identify patients eligible for IHC enrollment.Develop and provide plans of care in collaboration with IHC team members to manage complex patient populations. Perform appropriate diagnostic tests and interventions. Meet patients’ needs through a variety of visit types depending on their need, including chronic care, urgent care, post hospital transition of care, and follow up visits, with collaboration and support from the IHC team. 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.  You will also 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.In certain geographies, there may be an infrequent weekend on-call component to support our clinical nurses who triage calls from our members during the weekend. A day at Devoted could include:Home-based chronic care:See patients in their homes 3-4 days per week, 5-7 visits per day dependent on patient needs.Provide virtual care (video or telephonic), 8-15 visits per day dependent on patient needs.Conduct visits in the Devoted-built Orinoco...