Job Offering

Job Description

Title:                House Calls Nurse Practitioner                                  

Reports To:      Palliative Program Director   

Department:   Palliative Care Program                     

Classification: Non-Exempt              

Summary of Position:

 Alegis Care, a division of Cigna, is the premier home-based healthcare solution for patients and families facing chronic, complex and life-threatening illnesses. We are an innovative, multi-specialty practice experiencing tremendous growth nationwide. We offer patients and families a complete population health model, focusing our practice in caring for patients across the continuum of complex and serious illness.

At Alegis Care our focus is comprehensive care at home to improve quality of life, increase understanding and management of serious illness, facilitate coordination between providers, and decrease unnecessary healthcare costs.   We are an interdisciplinary group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers.  We meet the patients where they are within the continuum of serious and complex illness; we provide the right level of care at the right point in time.  This includes health risk assessments, transitions of care, complex and chronic disease management, and palliative care. 

• Palliative Care: health plans look to us to provide community based palliative care in the patient’s homes. We provide physical, emotional and spiritual support for patients who are facing life-threatening illnesses, in order to provide relief from pain and other physical symptoms, psychosocial and spiritual care, and emotional support and improve quality of life.
• Complex Care : health plans look to us to conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort improve clinical outcomes. Our team collaborates with the patients’ primary care physicians (PCPs), and our visits serve as an adjunct to the care delivered by the PCP.

We are currently seeking nurse practitioners who are passionate about serious illness care to join our growing house calls the practice to provide both chronic disease management and palliative care as we further extend our operations serving a variety of Medicare Advantage, Medicaid, and Commercial clients.

Duties & Responsibilities:

• Perform home visits with patients enrolled in Alegis Care’s Advanced Care program (ACP) or Complex Care Program (CCP).
• Explore patients’ values and goals of care to ensure they are getting care and treatment that is in alignment with their goals.
• Facilitate advance care planning
• Coordinate with patient’s other providers including PCPs, specialists, and health plan case managers to ensure all are working together with the patients towards the same goals.
• Improve quality of life while addressing symptoms of serious illness in all domains, including physical, psycho-social, spiritual and cultural.
• Ensure patients are receiving optimal disease management to preserve organ function, thus helping to lengthen quantity of life
• Participate in an interdisciplinary (IDT) approach to care, MD, NP, RN and LPN, LCSW and chaplain support. This includes regular communication and coordination within the Alegis IDT.
• Working closely with members of our care team to ensure quality care is delivered in a timely manner. The care center will assist with scheduling and triaging of urgent issues.
• Sharing after hour telephone on-call coverage with other licensed providers on the team.
• Working with field and office medical assistants.
• Clinical documentation of acute and chronic healthcare issues, symptoms, and goals of care through patient encounter in EMR system
• Documentation must be appropriate and thorough, and completed in a timely manner
• Provider will ensure all appropriate consent forms are signed and dated
• Provider will have frequent interaction with patients, coders, schedulers, and supervising physician
• The provider will educate patients and/or patient’s family on chronic medical conditions, preventative care, and medication adherence compliance
• Provider will participate in weekly telephonic clinical meetings and occasional web-based compliance trainings; however, provider will occasionally be required to attend on-site training for which the provider will be reimbursed
• Provider will prescribe medications, order labs or diagnostic testing, and make sub-subspecialty referrals collaborating with the community PCP.
• The provider will be responsible to review patient records for past and present health issues
• The provider will need to collaborate with the supervising physician and other members of the health care team to ensure outstanding patient care is delivered
• The provider must be able to interpret laboratory data and diagnostic testing when available to assist in the diagnosis of medical conditions
• As part of the initial, and subsequently annual, assessments the provider must screen for ADL/IADL deficits, fall risk, depression, cognitive impairment, and nutritional health.
• Medication reconciliation is done at every visit with a focus on reducing polypharmacy.
• Performs other duties as assigned by the supervising physician

Knowledge, Skills & Abilities:

• Graduated from an Advanced Nurse Practitioner program in Adult, Geriatric, or Family Nurse Practitioner.
• Prior clinical experience in palliative care, end of life, hospice, oncology, ICU, geriatrics is preferred.
• Prior home-based care experience is preferred
• Prior clinical experience in geriatric, adult or family medicine is preferred
• Experience with electronic medical records is required. Also required is proficiency with various computer-based applications such as Microsoft Office.
• Strong background/interest in primary care and preventative medicine
• Must have a valid state driver’s license
• Highly motivated, self-directed professional with strong organizational skills and comfortable working independently on a daily basis
• Excellent clinical assessment and analytical skills
• Effective leadership and interpersonal skills; facilitate problem resolution and maintains a professional demeanor in difficult situations.
• Excellent verbal and written communication skills
• Demonstrated ability to identify, diagnose, treat and document acute and chronic disease in adults
• Demonstrated ability to recognize conditions, characteristics, and behaviors that place patients at risk.
• Proven ability to pursue feedback, continuing education and professional development

 

Competencies

• Problem Solving
• Team Work
• Dependability
• Attendance/Punctuality
• Initiative
• Judgment and decision making
• Superb medical knowledge of the information and techniques needed to diagnose and treat injuries, diseases, and deformities. This includes symptoms, treatment alternatives, drug properties and interactions, and preventive health care measures.
• Strong reading and oral comprehension - English language required. Fluency in other languages is a plus.
• Customer (clients and patients) Service

 

Certifications/Licenses: 

• NP candidates must be board certified by the ANCC or AANP and have current RN and NP licensure in the state of practice
• Specialty certification in Hospice and Palliative care desired (CHPN or ACHPN)
• Must have current BLS certification; ACLS preferred.
• Must have active/unrestricted license in the state of position opening
• New graduates will be considered
• Must be able to be credentialed by Medicare, Medicaid, and other Private Insurance Companies
• Possession of DEA registration or ability to obtain is required

Work Environment

• Visits done primarily in patient’s home
• Documentation typically completed at provider’s home at the end of workday
• 4 or 5 Day work week available; Fewer days per week available on as needed basis
• Salaried position
• No evenings or weekends required, but may be requested ; typical hours are from 8 am to 5 pm
• Telephonic after hour on-call duties required, shared with team.
• Great Work / Life Balance / Autonomy
• Flexible scheduling to see patients according to the provider’s preference so long as productivity ensured
• Schedulers will make every effort to have home visits located near the provider’s residence when possible
• Practice medicine under the general supervision of a collaborating physician who is licensed in the same state in accordance with the advance practice regulations.

 

Benefits/Rewards

• We offer excellent compensation, along with comprehensive malpractice insurance with tail coverage and full corporate benefits package, including 401K for regular employees
• All providers receive smartphone and laptop computer, along with a medical bag containing all necessary equipment/supplies to conduct in-home patient visits
• If you're seeking a role with a great work/life balance, and want to work with a friendly, supportive and professional team, THIS ROLE IS FOR YOU!
• CME allowance: 5 days and $1500 per year for Full-time employees
• Generous PTO, holiday pay
• Education reimbursement program for permanent employees
• Company fleet vehicle provided
• Training, orientation, and supplies provided

 

How to apply

• Interested candidates should reply to this posting w/ resume to arrange an initial phone conference
• Candidate interviews will include initial phone conference, along with face to face meetings with members of our senior management team
• To review our website please go to:
  
  alegiscare.com

Equal Opportunity Employer                                  

Alegis Care does not discriminate in employment opportunities on the basis of an individual's race, color, religion, sex, gender, sexual orientation, national or ethnic origin, marital status, veteran status, age, disability, or any other proscribed category set forth in federal or state law.

The aforementioned responsibilities/duties are not fully inclusive of the work performed by an employee assigned to this job description. Alegis Care management maintains the right to change the work assignments of this position as well as to approve exceptions so that a qualified employee can perform the required duties of this position.