Millennium Physician Group is one of the largest comprehensive primary care practices in Florida, serving communities through a value-based care model focused on improving patient outcomes and enhancing the healthcare experience. As part of Mosaic Health, MPG is committed to delivering coordinated, patient-centered care while partnering with health plans, providers, and community organizations to improve the health of the populations it serves.
Job Description Summary
Charlotte County House Calls APRN: The House Calls Advanced Practice Provider (APP) is responsible, as part of the patient care team, for the overall patient care management process. An advocate for the patient, the APP will provide total care for the patients assigned in collaboration with the physician of record and patient care team. The APP will communicate and manage the patients' care across all care providers, family, and caregivers. The APP will ensure that timely, patient-centered, appropriate evidence-based medicine is provided and will address outstanding Quality Measures and HCCs as applicable to meet or exceed all quality goals. The APP will complete all documentation and billing in a timely manner, per protocol. Responsible for other duties as assigned.
How will you make an impact & Requirements
Charlotte County House Calls Full-time
Essential Duties and Responsibilities include the following. Other duties may be assigned. Is responsible for the total care of all assigned patients in collaboration with the House Calls Medical Director.
Is responsible for patient assessments and care planning, risk management plan development, addressing quality measures and HCCs, and providing both maintenance care and acute interventions within their scope of practice.
Provides services to meet patient needs and prevent unnecessary Emergency Department utilization when appropriate. In home services include but are not limited to: IV hydration/antibiotic therapy, lab draws, nebulizer treatments, wound care, and injections, and utilization of mobile diagnostics as indicated.
Participates in the on-call rotation providing after hours telephonic support to patients (approximately 6-10 shifts/year)
Ensures all pertinent and active medical conditions are documented in the electronic medical record in a timely manner, consistent with MPG policy, and in a compliant manner with CMS and other insurance carriers.
Exhibits strong clinical skills to improve patient care for an aging, adult population; as well as excellent interpersonal relationship skills in interpreting and communicating health care information to the patient and family.
Accountable for identifying patients needing additional assistance and making referrals to home health, social services, behavioral health, skilled nursing and other available community resources, when needed and appropriate.
Supervisory Responsibilities - This job has no direct supervisory responsibilities. Provider may indirectly oversee assigned Patient Care Specialist.
Competencies - To perform the job successfully, an individual should demonstrate the following competencies:
Analysis/Problem Assessment - Securing relevant information and identifying key issues and relationships from a base of information; relating and comparing data from different sources; identifying cause-effect relationships.
Compassion - The responsibility to put a patient's or person's interests first, including the duty not to harm, deliver proper care, and maintain confidentiality.
Compliance - Employee has satisfactory completed employers required compliance training. Employee is able to demonstrate an understanding of employers Code of Conduct.
Communication - Expressing ideas effectively in individual and group situations (including nonverbal communication); adjusting language or terminology to the characteristics and needs of the audience. Good listening skills.
Dependability - Meets commitments, deliverables, deadlines, work independently, accepts…