CareMore Health
Location
Henderson, Nevada
Salary
$113,889 - $170,833 / YEAR
Provide high-quality, patient-centered clinical care and chronic disease management to medically complex patients within their homes. Collaborate with an interdisciplinary team to coordinate care transitions and reduce avoidable hospital admissions.
Must be a graduate of an accredited Nurse Practitioner program with a current state license, DEA registration, and BLS certification. Experience with Medicare Advantage or value-based care models is required, with a preference for 2+ years in home-based or geriatric care.
Summary The Nurse Practitioner (NP) – Care@Home at CareMore Health provides high-quality, patient-centered care to members in their homes and community-based settings. This role supports CareMore’s value-based care model by delivering proactive clinical management for medically complex patients, with a focus on improving outcomes, reducing avoidable utilization, and enhancing the member experience. The Care@Home NP works collaboratively with an integrated interdisciplinary team, including physicians, care managers, social workers, and other clinical partners, to support comprehensive care planning and coordinated transitions of care. How will you make an impact & Requirements Key Responsibilities In-Home Clinical Care & Patient Management Provide direct in-home care including comprehensive assessments, diagnosis, treatment planning, and ongoing management of acute and chronic conditions. Deliver preventive care services and health education to promote wellness, early detection, and self-management. Manage complex and chronically ill populations, including frail, elderly, and homebound members. Order and interpret diagnostic tests, prescribe medications as appropriate, and coordinate follow-up care based on clinical need. Identify changes in condition early and intervene promptly to prevent avoidable emergency department visits and hospital admissions. Transitions of Care & High-Risk Patient Support Support care transitions following hospital or skilled nursing facility discharges through timely follow-up visits and care coordination. Collaborate with CareMore physicians and care teams to develop and implement care plans for high-risk members and frequent utilizers. Coordinate specialty referrals, home health services, DME, community resources, and other supports aligned to patient needs. Team-Based Collaboration & Care Coordination Work closely with interdisciplinary teams including physicians, RNs, care managers, social workers, pharmacists, and other support staff. Participate in case conferences, care planning meetings, and team huddles to align on goals, barriers, and member progress. Provide clear, empathetic communication and education to members and caregivers to support adherence and engagement in care plans. Quality, Documentation & Compliance Maintain timely, accurate documentation in the EMR to support continuity of care, quality outcomes, and regulatory compliance. Ensure clinical documentation supports appropriate assessment of patient complexity and care needs. Maintain confidentiality of patient information in compliance with HIPAA and applicable federal/state regulations. Participate in quality improvement initiatives focused on clinical outcomes, patient satisfaction, and cost-effective care delivery. Patient Experience & Service Excellence Deliver an exceptional, respectful member experience in the home setting through compassionate care and strong communication. Respond to patient and caregiver concerns promptly and professionally, supporting service recovery when needed. Qualifications (Required) Graduate of an accredited Nurse Practitioner program (MSN or DNP) Current, unrestricted Nurse Practitioner license in the applicable state(s) Current DEA registration (as applicable and required) Active NPI number Valid driver’s license and ability to travel locally to patient homes and community settings Completion of required health screenings (TB must be within the last 12 months) Hep B vaccinations (all 3 doses, titer or signed declination) BLS certification Experience with Medicare Advantage, managed care, value-based care, or Population Health Models Preferred Qualifications 2+ years of experience in home-based care, geriatrics, primary care, internal medicine, or complex chronic disease management Strong comfort managing medically complex, frail, and/or homebound patient populations Experience supporting transitions of care and reducing avoidable ED utilization and hospitalizations Proficiency with EMR systems and mobile documentation workflows Bilingual proficiency (e.g., Spanish/English), based on market needs ACLS certification (if required by market/practice setting) Core Competencies Clinical Excellence: Strong assessment, diagnostic, and clinical decision-making skills in non-traditional settings Patient-Centered Care: Compassionate, respectful care with focus on outcomes and patient goals Independence & Accountability: Comfortable working autonomously in the field while staying aligned to clinical standards Collaboration & Teamwork: Works effectively across interdisciplinary teams and communicates proactively Adaptability: Able to manage changing schedules, travel, and shifting patient needs in a dynamic environment Communication: Clear communication with members, caregivers, and clinical partners Quality & Safety Focus: Strong attention to quality measures, safety, and appropriate utilization Professionalism & Integrity: Maintains confidentiality, compliance, and ethical standards Compensation: $113,889.00 to $170,833.00 Beware of fraudulent job postings: While Mosaic Health job advertisements may be found on many sites, our current openings page and its associated Workday account are the only places we accept applications for open roles. If you suspect a job post is fraudulent, please let us know at recruiting@apree.health. Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn More about Millennium Physician Group Learn More about CareMore Health Learn More about Castlight Health Learn More about Vera Whole Health
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