Summary
Join Clover Care Services as a Nurse Practitioner and provide compassionate, reliable, and equitable home-based care to patients in Savannah, GA, or surrounding areas. Collaborate with an interdisciplinary team to develop and implement personalized care plans, utilizing telehealth when appropriate. Meet key performance metrics, focusing on keeping patients at home and achieving high quality scores. Actively participate in IDT meetings, contributing medical expertise and coordinating care with other providers. Maintain accurate and timely documentation using Clover's proprietary tools. Collaborate with the Medical Director and Practice Manager on quality improvement initiatives and participate in the on-call rotation.
Requirements
- You are based in Savannah, Georgia or neighboring cities
- You have a BSN from an accredited program AND a master's degree in advanced clinical practice nursing or a post Master’s certificate
- You have an active license to practice in the state of Georgia
- You have an active DEA registration
- You have a minimum of 3 years experience in Primary/Family Care, Internal Medicine, Geriatrics, or Hospice/Palliative Care
Responsibilities
- Be accountable for the care and outcomes of a cohort of patients to be managed directly, and in close collaboration with the Physician Team Lead
- Meet key metrics as determined by the practice, such as ensuring our patients are enabled to stay at home whenever possible
- Visit patients primarily in their homes, as well as through telehealth when appropriate
- Actively participate in Interdisciplinary Team (IDT) Meetings with an attitude of curiosity, and a willingness to teach and to learn
- Contribute medical expertise during IDT to structure care plans that reflect: Patients' prognoses and disease trajectory, inclusive of goals of care and advanced care planning
- Primary drivers of hospitalization/ED risk and interventions to mitigate these
- Achieve high performance on CMS and NCQA-determined STARS and HEDIS quality metrics, respectively
- Provide care that is consistent with medical evidence, including identified clinical protocols
- Proactively involve other providers on the patients’ care team, including PCPs, specialists, home health, hospice and home care organizations
- Determine the need for consultation from medical, surgical, rehabilitative, and/or psychiatric specialties, which may include deprescribing and simplification where clinically appropriate
- Determine the need for and facilitate care by an emergency department, hospital, skilled nursing facility, home health agency, hospice and/or community-based organization as appropriate and consistent with patients’ goals of care
- Provide medical administrative support, such as signing forms that may require signature
- Complete documentation of all clinical encounters in a timely and accurate manner in accordance with practice standards, including proprietary Clover tools such as Clover Assistant
- Collaborate with the practice Medical Director and Practice Manager in efforts of: Continuous quality and process improvement, including those related to the EHR and Clover Assistant
- Ongoing evolution of the care delivery and operational models
- Participate in the on call rotation as set by the Medical Director
- Establish a positive image for the practice in the medical community
- Behave in a way that espouses Clover values
- Take on projects and initiatives requested by the Physician Team Lead, Medical Director and/or the leadership team
Preferred Qualifications
- You have worked in a housecalls setting previously, fee-for-service and/or value based
- You enjoy working with patients of diverse social, ethnic, and cultural backgrounds
Benefits
- Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities
- Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions
- We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage
- We understand the importance of mental health in fostering productivity and maintaining work-life balance
- To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy
- Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location
- Developing internal talent is a priority for Clover
- We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone & internet stipend
- Remote-first culture, enabling collaboration with global teams
- Paid parental leave for all new parents
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