Advanced Practice Provider Job at Highmark Health Options (Pittsburgh)

Job Description

This is a full-time community-based position requiring frequent travel within the assigned territory in Pittsburgh, PA. A significant portion of this role involves conducting comprehensive health risk assessments directly with members in their homes. This role is integral to the organization's comprehensive care delivery system. The incumbent delivers high-quality, patient-centered care through in-home, virtual, and telephonic comprehensive clinical assessments for members with chronic health conditions. This autonomous position provides holistic, community-based care, especially for geriatric and palliative populations. The role proactively manages symptoms, guides advance care planning, and supports members with chronic or life-limiting illnesses to ensure optimal quality of life and health outcomes. The role involves accurately identifying and documenting all active chronic medical conditions essential for risk adjustment.

Job Responsibility

Conduct comprehensive in-home, video, and telephonic clinical assessments, including detailed histories, physical examinations, and identification of all active diagnoses, symptoms, functional status, and social determinants of health
Order and interpret laboratory, radiological, and other diagnostic studies, then make medical diagnoses and institute appropriate therapy within applicable scope and standards of practice
Manage medications and treatments related to palliative care, alleviating pain and other distressing symptoms related to life-limiting illnesses
Provide emotional and psychological support, and educate patients and families about illness progression, treatment options, and aligning to goals of care
Facilitate advance care planning conversations and end-of-life discussions
Collaborate and coordinate care with other providers active on the patient's care team and participate in interdisciplinary team meetings to review and update patient care plans
Institute emergency measures or appropriate stabilization for acute patient situations
Utilize electronic medical record (EMR) systems for thorough and compliant clinical documentation, ensuring timely and accurate record of pertinent information to support comprehensive medical coding and risk adjustment methodologies
Identify and inform the attending physician of record of all significant changes to the patient's ongoing condition in a timely manner
Maintain mandatory professional continuing education and uphold professional practice consistent with organizational statements and medical staff compliance

Requirements

Graduate from an accredited PA program OR Graduate from a Nursing Approved Master’s or Post Master’s program
3 years of clinical experience as an NP or PA, preferably in primary care, geriatrics, palliative or hospice care, chronic disease management, home health, or a similar community-based setting
CPR Certification
Current Physician Assistant License OR Current State of PA RN licensure or Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC) + CRNP license and Prescriptive Authority in the State of PA
Valid driver's license and reliable transportation with appropriate insurance coverage to travel to patient homes across designated service areas

Nice to have

Board certification or clinical experience in a relevant specialty (e.g., Family Medicine, Internal Medicine, Geriatrics, Hospice or Palliative Care)
Previous experience conducting in-home assessments or house calls
Knowledge of CMS regulations and guidelines
Experience in population health management
DEA controlled substances license

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Advanced Practice Provider

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