Nurse Practitioner - In-Home Assessment/Telehealth Assessment (PRN Opportunity
U.S. Medical Management (USMM) is an affiliate of a leading Fortune 100 company. A national organization built on a continuum of care with premier healthcare providers, clinicians and patient-focused individuals working together. Our Mission Through Compassionate Patient-Centered Care in the Home; We will Provide Exceptional Outcomes across our Continuum of Services Visiting Physicians Association, Pinnacle Senior Care, Grace Hospice, Comfort Hospice, Home DME & our In-Home Health Assessments (IHA).
Our Values of Integrity, Respect, Teamwork & Excellence are leading us to a better tomorrow for patient care. Our Purposes Centered on We are Unified in our Work through our Continuum of Services We can Find Comfort that We are Making a Difference for our Patients & We make a Broader Positive Impact on Society, allows USMM to be poised for a phenomenal future.
We are seeking candidates who desire the experience of delivering quality & compassionate healthcare within proven care models with patients at the forefront of everything we do.
POSITION DESCRIPTION
As a Nurse Practitioner for IHA you will be responsible for performing Health Risk Assessments and possibly transitional care for patients discharged from hospitals to prevent readmissions.
ESSENTIAL DUTIES AND RESPONSIBILITIES
* Conducts comprehensive in-home health risk assessments to identify all active and chronic disease conditions as well as determine all physical, mental, and social needs present at the time of the visit.
* Educates and counsel patient and family on any conditions identified during assessment and screening procedures.
* Makes recommendations and communicate findings to Primary Care Physicians through documentation of outcomes.
* Performs follow up visits in transitional care
REQUIRED KNOWLEDGE, SKILLS, AND EXPERIENCE
* Current RN and NP licensure in the state of practice
* Current CPR certification
* Must be enrolled in both Medicare & Medicaid
* Minimum 1 year of clinical experience as a Nurse Practitioner in Hospice or Palliative setting
* Excellent communicator
Houston, TX
Founded 25 years ago,Visiting Physicians Association (VPA) is the nation’s leader in house call medicine. We specialize in caring for patients with complex health issues.
With our advanced medical technology, we are able to provide comprehensive care for every patient all within the comfort and privacy of their home. Our model ensures that patients medical needs are addressed in a timely manner.
We prioritize and are committed to best practices and high quality outcomes for our patients.
VPA is part of U.S. Medical Management (USMM). USMM is a family of companies that provides home-based medical services for elderly and other adult patients with complex health issues.
Our Experience
Expertise in geriatric care
Experience with Accountable Care Organizations (ACO) and value-based healthcare initiatives
Pioneer ACO (2012-2014)
CMS Independence at Home Program (2012 - current)
MSSP ACO (2015 to current)- 2016 Results
Experience with clinically integrated networks, population health management, and value-based initiatives
Fully implemented compliance, quality management and infection control programs
Patient specific proprietary clinical protocol software for chronic care management
Overview
Established in 1993
Largest physician house call practice in the U.S.
Over 200 full time Primary Care Providers (Physicians, NP's, PA's)
Physician-led model
Serve over 50,000 unique patients annually
Leader in government shared savings programs
Robust technology infrastructure
State of the art laboratory, mobile x-ray, ultrasound in the home
Member of the American Academy of Home Care Medicine (AAHCM)