Duo Health
Advanced Practice Provider (NP/PA) Bilingual English/Spanish
Duo Health, San Juan, San Juan, us, 00902
Advanced Practice Provider (NP/PA) Bilingual English/Spanish
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Advanced Practice Provider (NP/PA) Bilingual English/Spanish
role at
Duo Health
Company Mission
Duo Health is a new type of medical group designed around the needs of patients with chronic kidney disease and their physicians. Our unique Health Mobilization™ platform partners multidisciplinary care teams with community nephrologists and activates all the other clinicians, facilities and community organizations necessary to treat the whole patient on their own terms. Our team is comprised of leaders in value-based health care, technology and behavioral science who share a vision for advancing health equity one relationship at a time.
Duo Health is dedicated to ensuring our staff reflects the diversity of our patient population and applicants whose work demonstrates a commitment to issues of diversity are encouraged to apply.
Job Description
The Advanced Practice Provider will act as part of a care team that directly interfaces with a panel of patients with CKD stages 3b, 4, 5, and ESRD in order to drive quality value‑based care. The NP will create close working relationships with the care team members to enhance the impact of each care team member in working with their patient panel.
Location:
In‑home care across the San Juan area. Nurse Practitioners operate as part of a care team and travel to patient residences or other locations to meet patients (not office‑based or clinic‑based).
Work hours:
Monday–Friday, 8:00 am–5:00 pm with paid after‑hours on call rotation.
Duties and Responsibilities
Assume responsibility for an assigned panel of patients in collaboration with the Duo Health care team; provide clinical care and support focused on patient‑level interventions
Complete history and physical exams, order laboratory and diagnostic tests as needed, and evaluate test results.
Educate patients about medication usage and side effects, and prescribe medications as permitted by regulatory authorities.
Identify and manage patients’ clinical conditions and psychosocial care.
Participate in regular care team huddles.
Perform structured assessments and develop and implement comprehensive care plans for the patient panel.
Educate patients and caregivers about clinical conditions and treatment plans.
Determine the need for consultation from medical, surgical, and/or behavioral health specialties.
Facilitate care across care settings, including emergency department, hospital, skilled nursing facility, home health agency, hospice, and/or community‑based organizations as appropriate.
Be available for after‑hours telephonic support as needed.
Document all encounters accurately and in a timely manner.
Assist in the development, implementation, and improvement of clinical protocols and guidelines of care to optimize patient engagement and experience, patient quality of life, chronic condition documentation, quality of care as determined by HEDIS and Duo Health measures, clinical outcomes that reduce unnecessary medical spend.
Maintain confidentiality in regards to all patient sensitive information.
Communicate effectively with other members of the Duo Health care team as well as partner clinicians related to patient needs, tests, and care.
Support other care team members to enhance care team member experience.
Support and participate in company efforts for continuous quality improvement.
Adhere to all company policies and procedures.
Requirements
Licensed Advanced Practice Nurse (APN), eligible to practice in Puerto Rico.
Bilingual English/Spanish. Ability to communicate effectively both orally and in writing.
Must meet Duo Health clinician credentialing criteria, including passing a background check.
Consistent access to a car, an active Driver's License and a verifiable good driving record with insurance. Must be able to travel to patient homes.
Must be self‑motivated and able to perform work in accordance with defined operating procedures.
Ability to develop and maintain inclusive and equitable relationships with patients, caregivers and staff.
Experience with significantly complex patients in hospital environments preferred.
Experience with chronic kidney disease or end stage kidney disease on dialysis preferred.
Experience working with community resources from diverse backgrounds.
Must be comfortable interacting with patients and care teams both telephonically and in‑person.
Seniority level
Entry level
Employment type
Full‑time
Job function
Health Care Provider
Industries
Medical Practices
#J-18808-Ljbffr
Advanced Practice Provider (NP/PA) Bilingual English/Spanish
role at
Duo Health
Company Mission
Duo Health is a new type of medical group designed around the needs of patients with chronic kidney disease and their physicians. Our unique Health Mobilization™ platform partners multidisciplinary care teams with community nephrologists and activates all the other clinicians, facilities and community organizations necessary to treat the whole patient on their own terms. Our team is comprised of leaders in value-based health care, technology and behavioral science who share a vision for advancing health equity one relationship at a time.
Duo Health is dedicated to ensuring our staff reflects the diversity of our patient population and applicants whose work demonstrates a commitment to issues of diversity are encouraged to apply.
Job Description
The Advanced Practice Provider will act as part of a care team that directly interfaces with a panel of patients with CKD stages 3b, 4, 5, and ESRD in order to drive quality value‑based care. The NP will create close working relationships with the care team members to enhance the impact of each care team member in working with their patient panel.
Location:
In‑home care across the San Juan area. Nurse Practitioners operate as part of a care team and travel to patient residences or other locations to meet patients (not office‑based or clinic‑based).
Work hours:
Monday–Friday, 8:00 am–5:00 pm with paid after‑hours on call rotation.
Duties and Responsibilities
Assume responsibility for an assigned panel of patients in collaboration with the Duo Health care team; provide clinical care and support focused on patient‑level interventions
Complete history and physical exams, order laboratory and diagnostic tests as needed, and evaluate test results.
Educate patients about medication usage and side effects, and prescribe medications as permitted by regulatory authorities.
Identify and manage patients’ clinical conditions and psychosocial care.
Participate in regular care team huddles.
Perform structured assessments and develop and implement comprehensive care plans for the patient panel.
Educate patients and caregivers about clinical conditions and treatment plans.
Determine the need for consultation from medical, surgical, and/or behavioral health specialties.
Facilitate care across care settings, including emergency department, hospital, skilled nursing facility, home health agency, hospice, and/or community‑based organizations as appropriate.
Be available for after‑hours telephonic support as needed.
Document all encounters accurately and in a timely manner.
Assist in the development, implementation, and improvement of clinical protocols and guidelines of care to optimize patient engagement and experience, patient quality of life, chronic condition documentation, quality of care as determined by HEDIS and Duo Health measures, clinical outcomes that reduce unnecessary medical spend.
Maintain confidentiality in regards to all patient sensitive information.
Communicate effectively with other members of the Duo Health care team as well as partner clinicians related to patient needs, tests, and care.
Support other care team members to enhance care team member experience.
Support and participate in company efforts for continuous quality improvement.
Adhere to all company policies and procedures.
Requirements
Licensed Advanced Practice Nurse (APN), eligible to practice in Puerto Rico.
Bilingual English/Spanish. Ability to communicate effectively both orally and in writing.
Must meet Duo Health clinician credentialing criteria, including passing a background check.
Consistent access to a car, an active Driver's License and a verifiable good driving record with insurance. Must be able to travel to patient homes.
Must be self‑motivated and able to perform work in accordance with defined operating procedures.
Ability to develop and maintain inclusive and equitable relationships with patients, caregivers and staff.
Experience with significantly complex patients in hospital environments preferred.
Experience with chronic kidney disease or end stage kidney disease on dialysis preferred.
Experience working with community resources from diverse backgrounds.
Must be comfortable interacting with patients and care teams both telephonically and in‑person.
Seniority level
Entry level
Employment type
Full‑time
Job function
Health Care Provider
Industries
Medical Practices
#J-18808-Ljbffr