JobTitle: Nurse Practitioner - High Risk PatientsJob Location: Onsite, Bellflower, CACompany Description: Greater Good Health is a fast-growing organization delivering care to older adults in access starved communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not volume-meaning we prioritize quality over quantity, spend more time with our patients, and are accountable for their health and well-being. Whether through our own senior-focused primary care clinics or our suite of integrated clinical solutions for health plans and provider groups, we are making value-based care more accessible and more effective. We help reduce avoidable healthcare costs, improve clinical outcomes, and create a best-in-class patient experience. If you're passionate about transforming healthcare and delivering meaningful care to those who need it most, Greater Good Health offers a purpose-driven, collaborative, and supportive environment where your work can make a lasting impact. The Role: The High Risk program is designed for patients with significant health needs and complex conditions to prevent acute care readmission and over-utilization of inpatient care. A GGH High Risk Nurse Practitioner will provide in-clinic and in-home clinical support for these patients as well as patients returning home from an acute inpatient admission. The goal is to prevent readmission, but also to provide support for clinical and psychosocial factors that contribute to the cyclical utilization of healthcare. What will you do as a High Risk Nurse Practitioner at GGH? Build a strong culture & foster community. Welcomes all and cares empathetically for patients and team members Listens and observes the needs of each patient to ensure they are supported throughout their visit to provide an excellent patient experience Flexes to fit the needs of the patient and care team as needed Delegates to Medical Assistants/LPN's to support delivery of procedures, telephonic support and patient instructions Fosters a culture of engagement and demonstrates Greater Good Health core values. Deliver exceptional clinical care to patients Provides full scope of primary care services including well acute, and chronic condition management Conduct patient visits in our client's clinics and in the comfort of the patients' own homes, where you can build a personal relationship with them during a critical transition period Manages patient panels and "quarterbacks" patient care with patient's team to deliver high-touch, high-quality care Orders diagnostic tests and interprets results Performs Annual Wellness Visits and Health Risk Assessments, which require a holistic view of health and a focus on thoughtful, accurate, and specific clinical coding and documentation Takes medical histories, examines patients, makes diagnoses, and prescribes medication to the extent allowable by state guidelines Performs appropriate screenings, tests, and in-office procedures Provides patients with education on preventive measures, lifestyle management, and disease management Supports patients and their families, and provides compassionate care Coordinating care with the PCPs and other referral sources Develops and manages relationships with specialty consultants; monitors follow up after patient's visit Contribute to an interdisciplinary team (IDT) model and attend regular IDT meetings to collaborate with other healthcare professionals (social workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out Performs prior authorizations and peer-to-peer reviews as needed Drive clinical quality and safety to ensure high-quality patient care Responsible for accurate HCC coding to ensure comprehensive capture of patient's health conditions Responsible for meeting key quality and clinical outcome measures Maintains patients' confidence by completing and safeguarding medical records, keeping patients' information confidential, and abiding by all HIPAA rules and regulations Promote continuous improvement and nurture growth Responsible for accurate, complete, timely charting in the Electronic Health Record (EHR) Leads and participates in care team meetings to discuss patient care and clinic operations Helps onboard new NPs to Greater Good Health and precept NP students, if applicable Participates in regular chart audits and trainings Cross-functional collaboration with all team members to complete ad-hoc projects Supports and participates in Greater Good Health-led or co-sponsored events by providing education at in-clinic and community events Collaborates with leadership on ad hoc projects or with business development initiatives Attends and participates in regular staff operational and educational meetings Promote and support a premier Patient and Teammate Experience Promotes high-quality patient care and outstanding patient experience as reflected in patient satisfaction scores Collaborates and expertly communicates with all team members so that patient needs are met throughout their visit and when they are outside the clinic to assure a smooth patient flow/experience Cover for other Nurse Practitioners and Care Team Members when necessary Maintains patients' confidence by completing and safeguarding medical records, keeping patients' information confidential, and abiding by all HIPAA rules and regulations This position is a full-time field-based Nurse Practitioner opportunity (5 days a week, 8am-5pm schedule). This role includes mostly in-clinic and in-home visits. Home visits will be scheduled within a 30-mile radius of your home region (Bellflower), including but not limited to the following cities: Los Angeles, Cerritos, Commerce, etc. This position will be required to flex across regions to provide coverage as needed to accommodate for scheduling changes. What will make you successful at GGH? Demonstrate the ability to execute thoroughly in a fast-paced work environment and continually build upon best-practices for efficiency Ability to build rapport with the aging and elderly population through effective redirection skills Meticulous with using technology systems and the commitment to timely EMR documentation of care plans and follow up Working knowledge of chronic care management and various medication options and care plans for high-risk patients Understanding the complexity of serving the geriatric, underserved population, including various psychosocial factors Open to feedback from the clinical and leadership team to strive for constant improvement with coding and processes Comfort with technology systems, commitment to timely EMR documentation, and have a deep understanding of Medicare HCC coding and managed care Flexible with work schedule and work setting as needed Ability to travel within the 30 mile radius from Bellflower, CA 5 days a week to provide care to patients based on the needs of business/market Highly relationship oriented; ability to gain trust and professional lead IDT meetings with PCP, case managers, and clinical support team members The ideal candidate is passionate about providing high-quality care and constantly striving for excellence. You get out of bed every day to do this work because continual improvement and learning makes you happy. You have experience providing care to the underserved population and are passionate about providing more access to comprehensive care. You emphasize personal connection to provide effective patient education and use a comprehensive approach to care, working. Most importantly, you share and embody the GGH values to every interaction ensuring that every patient is provided the opportunity to receive quality care. Experience and qualifications: Current California Nurse Practitioner license Nurse Practitioner certification from either the ANCC / AANP 3-5 years of clinical experience as a NP in either Primary Care, Family Medicine, Internal Medicine, Gerontology or Palliative Care Acute care experience with high-risk patients is a plus Home health experience (NP or RN) is a plus Working knowledge of chronic care management and various medication options Current DEA licensure / Prescriptive Authority post-hire Active CPR/BLS Certification Current California Driver's License Bilingual Spanish is a plus Perks and Benefits: Competitive Compensation Package: We offer a competitive compensation package to recognize your valuable contributions and ensure your financial security. Comprehensive Medical, Dental, and Vision Benefits: Take advantage of comprehensive healthcare coverage, including medical, dental, and vision benefits, to prioritize your health and well-being. Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) available. Paid Time Off and Parental Leave: Enjoy paid holidays, vacation time, and paid parental leave to maintain a healthy work-life balance and spend quality time with your loved ones. 401K Program with Company Match: Plan for your future with our 401K program, featuring a company match, to help you save for retirement. Wellness Resources: Access to BetterHelp and monthly wellness reimbursement Comprehensive Life and AD&D Coverage: Enjoy peace of mind with 100% premiums covered by GGH for Basic Life and Accidental Death & Dismemberment (AD&D) insurance for full-time team members. Additionally, voluntary supplemental life insurance is offered at a discounted rate. Voluntary Insurance Plans: We offer voluntary short term disability, critical illness and accident plans for additional financial security during periods of illness or injury that prevent you from working for a set period of time License Reimbursements: We offer reimbursement for a number of licenses and certifications that we require as a condition of employment; DEA, License, Board Certification, and ALS/BLS. Learning & Development: Yearly professional reimbursement for continued learning and development Continuing Education Credits: Take advantage of CE credits available through the GGH Institute, approved by the AANP, to expand your knowledge and skills in your field. Collaborative and Supportive Community: Join our collaborative and supportive GGH Nurse Practitioner Community, with dedicated care coordinators and MD advisors, to foster professional growth and success. Malpractice Coverage: Rest easy knowing you're covered with malpractice insurance ensuring peace of mind as you provide Don't check off every box in the requirements listed above? Please apply anyway! Studies have shown that marginalized communities - such as women, LGBTQ+ and people of color - are less likely to apply to jobs unless they meet every single qualification. GGH is dedicated to building an inclusive, diverse, equitable, and accessible workplace that fosters a sense of belonging - so if you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, we encourage you to still consider applying. You may be just the right candidate for this role or another one of our openings! Pay Range: $145,000 - $165,000 per year
Greater Good Health