In this role, you will conduct and in-home health assessments on a panel of enrolled Medicare Advantage members within the Santa Clara area. While the average visit is 45-60 minutes, the nature of the home visit will vary and visit frequency will on the member’s acuity level (i.e., weekly, bi-weekly, monthly, etc.).

Primary Responsibilities: (May include but not limited to)

• Conduct in-home assessments on health plan members. The In-Home Assessment includes:
• Past medical history
• Review of symptoms
• Physical examination
• Medication review
• Cognitive/Depression screenings
• Provide patient education, emphasizing importance of consistent monitoring of health needs, and recommending community resources
• Facilitate patient empowerment and quality of life by promoting educated, independent patient choice on all aspects of care
• Responsible for checking vitals, BMI, conducting a physical exam that includes urine dipstick, and foot exam (as appropriate)
• Identify diagnoses to be used in care management and active medical management in the furtherance of treatment
• Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment
• Communicate findings in your assessment that will be used to inform the PCP of potential gaps in care
• Educate members on topics such as disease process, medication, and compliance
• Comply with all HIPAA regulations and maintain security of protected health information (PHI)

Requirements:

• Must have active Nurse Practitioner state license
• Must have active Nurse Practitioner Board Certification
• Must have CPR Certification
• Must have ACLS Certification
• Must have valid state driver license and automobile insurance
• Knowledge of clinical standards of care
• Minimum of 1 year of experience

Preferred Qualifications:

• Experience in gerontology, adult care
• Home care or home visit experience
• Excellent administrative, organizational and verbal skills
• Effective communication skills with seniors
• Computer literate and able navigate the internet
• Ability to work independently
• Detail oriented
• Dependable and reliable

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
• The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.