Commonwealth Care Alliance Job Details: Primary Care Advanced Practice Clinician in Springfield, Massachusetts
Job Details: Primary Care Advanced Practice Clinician
- Vacancy NoVN2056
Posting TitlePrimary Care Advanced Practice Clinician
Primary Care Nurse Practitioner
Full Time (40 hours per week)
Commonwealth Community Care’s (CCC) Primary Care NP/PA provides comprehensive primary care delivery and care coordination to adults of all ages, specializing in those who have complex physical, developmental, intellectual, and behavioral health conditions, requiring extensive clinical support. Care is delivered in the office, home, inpatient facility, or community-based on the members’ individual needs. The Primary Care NP/PA works closely within and must be comfortable guiding an interdisciplinary care team involved in their members’ care. This role will provide ongoing chronic disease management, urgent visits, promote preventative care and wellness, and provide end of life/palliative care. The role also includes a compendium of care management/ care coordination functions encompassing the development and implementation of the member-centric individualized care plan along with authorization of appropriate durable medical equipment and services.
Perform comprehensive annual assessments.
On an annual basis, conduct an Annual Comprehensive Assessments on assigned panel members using CMS guidelines.
Facilitate, and/or deliver preventative care to members according to the guidelines deemed appropriate by CCA Clinical Leadership.
Provide regularly scheduled follow up visits for the management of chronic disease or end of life/palliative care.
Perform episodic urgent medical/ behavioral health visits to ensure that panel members are given timely and appropriate medical care in order to avoid emergency room or hospitalization.
In order to decrease the risk of readmission, perform post-discharge visits on panel members within 48-hours of discharge; perform detailed medication reconciliation, adjust medications as indicated, and ensure appropriate LTSS are in place.
Provide Intermittent Skilled Care as necessary (e.g., wound care,)
Ensure appropriate documentation of visits and activities within CCA’s central enrollee record and within the record of partners as indicated.
Develop a member-centric care plan which is inclusive of appropriate long-term support services and optimizes available resources to improve or maintain health and functional independence in the community.
Review care plan with the member and ensure that it is available to the member.
Utilizing Clinical Decision Support Tools, team meetings, and consultation with CCA specialists, authorize proposed equipment and/or services for the implementation of the individualized plan of care. Participate in utilization and case review as necessary.
Conduct annual/6 month MDS assessments and annual comprehensive assessments for panel members based on the program.
Act as a mentor to other team members to help promote/foster accountability, reliability, and independence among the other team members
Provide consultation and support to other members of CCA Care Team
Participate in Team Case Review
Participate in activities and education to maintain and advance competency
2-3 years of hands-on clinical experience, strongly preferred
1-2 years of NP or PA experience (preferably in primary care), strongly preferred
Board Certified Nurse Practitioner or Physician Assistant with licensure in good standing in the Commonwealth of Massachusetts, required.
Will be required to pass CCA’s credentialing process.
Current Mass Controlled Substances License required
Current DEA Controlled Substances License required
Current CPR or Basic Life Support (BLS) Certification, required
Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable).
Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.
CCA is committed to protecting the health of our workforce and our members, and we encourage flu vaccination in accordance with CDC recommendations. Individuals working in clinical care areas or in direct contact with members must provide documentation of flu vaccination, or wear a mask during flu season whenever engaged in member-facing activities.