Virtual Nurse Practitioner - High Risk Care

About Senior Health:

One Medical Seniors is a network of primary care practices where we take the time to know our patients as true individuals, and proactively provide the care, support, and inspiration they need to live their best life. We created a high-impact relationship based care model that particularly benefits adults on Medicare and those who might need more attention. Our care model changes everything - the team, outcome-focused payment, customer service, and the technology that supports our care. Our practices offer smaller panel sizes, no billing or coding, and the opportunity to lead systemic change in health care delivery while working with a true team. One Medical Seniors wants to restore humanity to healthcare, for both patients and team members.

The opportunity

We are seeking a full-time Virtual Nurse Practitioner to join our One Medical at Home, high-risk home-based care team supporting our patients in the Colorado area. The Virtual Nurse Practitioner will care for geriatric, frail, and clinically complex patients through a team partnership with the High Risk Care Medical Director, Health Coaches, Care Management Nurses and Social Workers, Integrated Behavioral Health Specialists and practice-based PCPs to provide compassionate human-centric high value care.  

What you'll likely work on

• Live our mission of “restoring humanity to healthcare”, for patients and for yourself.
• Rediscover the "joy in practice" while working in a value-based care environment with a team to support you in delivering high quality patient care.
• Once through orientation, independently manage patients with multiple, complex conditions through a balance of tele-assist home visits (video visits with field care coordinators in the home) and telephone/video interventions.   
• Complete thorough initial visits with patients, diving deep into medical, social and behavioral context.
• Complete ongoing follow up visits with patients, focusing on geriatrics and chronic condition management.
• Complete post-discharge visits on recently admitted patients, including comprehensive medication reconciliation, Specialist coordination, and chronic condition management.
• Complete engagement and outreach visits on patients who have not been seen by their primary care provider this year or who have chronic condition opportunities.
• Work directly with the patient and through the multidisciplinary care team to impact ongoing care with particular emphasis on preventable hospitalizations and ensuring care aligned with patient goals. 
• Collaborate and coordinate with the patient's primary high risk care team and primary care team and specialists.
• Participate actively in team huddles to review care plans and assess patient goals of care and care plans.
• With support of the team, respond to patient and patient's family telephone calls.
• Participate in the market after-hours call pool. 

What you’ll need

• 5+ years of experience as a Nurse Practitioner with at least 2 years of home based, in office or virtual complex care, Geriatric Primary Care, geriatrics or palliative care experience.
• Currently licensed in Colorado and able/ willing to obtain licensure in the states if needed.
• Flexibility to work in MST time zone and others as assigned.
• Experience with home-based care preferred.
• Experience with value-based care principles and risk adjustment.
• The ability to build successful relationships with team members and communicate effectively both 1-on-1 and in groups.
• The ability to work with care coordinators to direct care in the home through tele-assist capabilities.
• Strong technology skills and ability to use telehealth platforms.
• Can thrive in a fast-growing, mission driven organization focused on using data to improve patient outcomes.

Benefits designed to aid your health and wellness:

Taking care of you today

• Paid sabbatical after 5 and 10 years
• Employee Assistance Program - Free confidential advice for team members who need help with stress, anxiety, financial planning, and legal issues
• Competitive Medical, Dental and Vision plans
• Free One Medical memberships for yourself, your friends and family
• PTO cash outs - Option to cash out up to 40 accrued hours per year
• CME & Licensure Reimbursement

Protecting your future for you and your family

• 401K match
• Credit towards emergency childcare
• Extra contributions toward maternity and paternity leave
• Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
• Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance

One Medical Seniors is an equal opportunity employer and encourages all applicants from every background and life experience.

This is a full-time, home based and virtual care role supporting the Colorado market.