vynca - Nurse Practitioner
Requirements
• Current, unrestricted California RN and NP license, with the ability to obtain additional state licensure. Additional Oregon RN & NP licensure, highly preferred. • DEA licensure, or the ability to obtain • Graduate of an accredited nurse practitioner program • ANP, AGNP, or FNP Certification required • ACHPN certification or ability to obtain ACHPN certification required • 2+ years experience providing NP care to complex, seriously ill patients • Experience with, or interest in, outcomes-focused and value-based care, including working from data and scorecards • Strong communication skills for goals-of-care and hospice transition conversations • Ability to work in a remote environment, Monday-Friday 8:30am-5:00pm PST, with rotating evening/weekend on-call coverage
Responsibilities
• Remote care duties performed through HIPAA-compliant hardware and software: • Independently performs comprehensive and symptom management visits to address the individualized needs of the patient along with a plan of care oversight (as defined by state-specific law). • Assesses each patient’s symptoms, goals, and risks at every visit, acts on the findings with a clear plan of care, and follows up to confirm the patient’s condition and experience have improved. • Completes required assessments and documentation (e.g., ESAS, POLST, goals-of-care) in a timely manner and uses the results to adjust the plan of care. • Orders and interprets diagnostic and therapeutic tests relative to patient’s age-specific needs • Prescribes appropriate pharmacologic and non-pharmacologic treatment modalities • Interfaces with patients, families, caregivers, and clinical staff, to ensure a positive patient experience and strong clinical outcomes. • Partners with the RN, social worker, and other care team members through daily huddles and interdisciplinary team meetings to proactively identify at-risk patients and coordinate timely follow-up. • Works to reduce avoidable hospitalizations through proactive outreach, rapid response to changes in condition, and transition-of-care follow-up after hospital discharge. • Facilitates the patient’s transition within and between health care settings, e.g. admitting, transferring, and discharging patients. • Identifies patients who may benefit from hospice and leads compassionate, timely goals-of-care and hospice transition conversations. • Collaborates with multidisciplinary team members by making appropriate referrals. • Facilitates staff, patient, and family decision-making by providing educational tools. • Understands Medicare reimbursement and coding for all levels of service in addition to Medicaid and other regulatory requirements, and documents accurately to support appropriate billing. • Reviews individual and panel performance data regularly and acts on opportunities to improve quality, patient engagement, productivity, and outcomes. • Understands how clinical practice contributes to the organization’s financial sustainability, including revenue, care margin, and billable census. • Actively participates in any mandatory meetings of the organization. • Participates in after-hours on-call rotation. • Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved. • Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire. • Regularly requires sitting, standing, walking, talking, use of hands, listening, and observing. • Regularly requires working at a computer for an entire shift (with appropriate breaks). • Regularly requires use of laptop and video-conferencing technology. • Occasionally requires reaching, stooping, bending, kneeling, and lifting items weighing 25 pounds or less. • Occasional travel may be required to perform job duties, attend training, or company events.
Benefits
• Salary Range: $130-$160k annually. Pay for this position will be based on several factors, including, but not limited to: your prior experience and skills related to the position, geographic location, company needs, and current market demands. • Great humans deserve great benefits! At Vynca, full time employees are eligible for benefits such as: medical, dental, and vision insurance, income protection benefits, flexible PTO, company holidays, 401k, and access to other wellness benefits. • Continuing medical education reimbursement and company paid Malpractice, DEA, and Licensure.
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