Advanced Practice Provider- Spanish Speaking

Advanced Practice Provider - Spanish Speaking

1 day ago Be among the first 25 applicants

$/yr - $/yr

About Grace At Home
Grace at Home is an innovative health and care company on a mission to eliminate barriers and to improve care in high‑need, urban and rural communities. Grace at Home’s purpose is to everyday improve the health and well‑being of those who need care the most – in their homes and communities.

Overview
The Advance Practice Nurse Practitioner or Physician Assistant will provide Home‑Based Primary Care in patient homes or Assisted Living communities. They hold a panel of patients and are responsible for diagnosing, treating and managing their acute and chronic medical conditions with MD oversight. Integral to the primary care team, you will perform annual health assessments, complete post‑discharge visits, and deliver cost‑effective, quality care to assigned patients.

Working collaboratively across a multi‑disciplinary team, you will contribute to the development, implementation, and ongoing refinement of home health processes.

Duties And Responsibilities

Clinical

• Performing comprehensive in‑home assessments for identified patients of the practice and assisting the primary care team in better managing chronic diseases.
• Reviewing current symptoms and identifying diagnosis to be used in care management and active medical management of treatment.
• Completing physical examinations, medication reviews, vital checks, lab draws, wound care and depression screenings.
• Communicating assessment findings that will be used to inform the PCP of potential gaps in care.
• Provide short term and ongoing home‑based care for patients with complex chronic medical conditions.

Administrative

Coaching

• Answering team member questions, helping with team member concerns, and overseeing team member work for quality and guideline compliance.
• Assisting and supporting market Medical Director/Clinical Leadership in reviewing advance practice providers’ (APPs) charts for quality assurance and quality improvement purposes and provision of feedback to team members. This is in addition to chart review performed by the advance practice providers’ (APPs) supervising physician.
• Assisting and supporting market Medical Director/Clinical Leadership in providing virtual and in‑person consultation with team members during home visits.
• Assisting market Medical Director/Clinical Leadership in providing feedback to APPs regarding clinical performance and opportunities for improvement.
• Providing encouragement to team members, including communicating team goals and identifying areas for new training or skill checks.
• Actively updating team members on best practices and continuing expectations.
• Assisting market Medical Director/Clinical Leadership in promoting team member achievement of company and market performance goals.
• Program development and management.
• Assisting market Medical Director/Clinical Leadership with the planning, organization, direction, and evaluation of health care services provided by the provider team in support of the clinical model.
• Onboarding / training.
• Assisting Management and medical directors with planning and execution of new team member training as needed.
• Training new team members on clinical processes and programs within individual’s area of expertise.
• Providing new team members with additional coaching and mentorship during and following onboarding.
• Providing ongoing education to team members on clinical processes and programs within individual’s area of expertise.
• Utilization management.
• Supporting market Medical Director/Clinical Leadership in organization and execution of team case rounds (e.g. utilization management case rounds, wound care case rounds).

What will make you successful here?

• Ability to travel within the market to provide care to patients in their home based on the needs of the business/market.
• Highly relationship oriented and ability to passionately serve the aging and elderly population.
• Ability to evaluate and treat complex chronic conditions in the home setting.
• Positive attitude with a solution‑oriented approach and a comfort working within ambiguity.
• Ability to receive constructive feedback from other team…