Nurse Practitioner Case Manager

  • Freelance
  • Remote

Worldwide Placement Limited

The Advanced Practice Clinician, Care Partner (Mobile) 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 the authorization of appropriate durable medical equipment and services.
RESPONSIBILITIES:Facilitate, and/or deliver preventative care to members.
Drive to member’s homes to 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 from either an acute care facility or a skilled nursing facility;
Provide Intermittent Skilled Care as necessary (e.g., wound care,)
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.
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 the client’s Care Team.
Must-Haves2-3 years of hands on clinical experience, defined as: Substantial nursing experience prior to NP (5 or more years as an RN) in a high-touch clinical environment or home care 1-2 years of NP experience (preferably in primary care)
Experience with the Geri/adult population
Board certified NP or PA with license in state of MA, DEA, BLS, Controlled substance license
Nice-To-HavesHome Care
Primary Care
Bilingual in Spanish and English
2 positions available
Applicant must be a U.S. citizen or a current Green Card holder
Benefits: Medical, Dental, Vision & Life Insurances, retirement and others
Remote work: Up to 100% of the time
Travel: Up to 100% of the time