Job Title: Full Time Licensed Nurse Practitioner (Traveler) – Home Health Assessments
Exempt Status: Exempt
Division: Clinical Services
Reports to: Manager, Clinical Services
Episource, with over 3,000 employees worldwide, is a leading provider of risk adjustment services and solutions for health plans. Our services help Medicare Advantage, Commercial/Exchange, and Medicaid managed care plans improve and support accurate reimbursement in a post-Affordable Care Act market. In addition to our Prospective in-home health assessments performed by the team of Episource Providers our services include retrospective chart reviews, medical record retrieval, HEDIS/ACO quality reporting, and data analytics, allowing payers and providers to dramatically reduce costs and improve quality of care.
The Full-Time Episource Provider Traveler is a regional/national position to perform in-home health risk assessment (HRA) visits. The full time Episource Provider Traveler will report directly to the regional Supervisor and/or the Manager of Clinical Services and by performing HRA visits and supporting the Clinical Services Team operations will improve project outcomes, member satisfaction and quality of the in-home HRA visits.
Essential Duties & Responsibilities:
- Perform in-home health risk assessment (HRA) visits in the member’s home environment. HRA visits may also be performed in a clinic or office setting or at Health Fairs as needed.
- The full-time Episource Provider Traveler must give availability to the scheduling team for 25 HRA visits per week.
- Availability for HRA visits must be provided to the Scheduling team monthly and within 7 days of request.
- The full-time Episource Provider will be regularly scheduled to perform in-home HRA visits for members nationwide as needed to meet project goals.
- Travel greater than 50 miles from the full-time Episource Provider’s home address is eligible for travel reimbursement and/or hotel accommodations.
- Perform a comprehensive HRA visit which includes a thorough medical history, review of systems, physical exam, screenings and diagnostic tests.
- Identify and evaluate the disease processes and environmental risks of patients.
- Provide education to patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.
- Make case management referrals as appropriate to improve the patient’s quality of life and medical care.
- Complete and submit all HRA visit documentation on the Episource iPad within a specific timeframe. Adhering to the documentation submission timeframe is a requisite of the job.
- Demonstrate accountability for their own professional practice by participating in educational programs that increase clinical knowledge base and skill set.
- Respond clearly and in a timely fashion to all communications within the Episource network.
- The full-time Episource Provider Traveler will be trained and required to perform the following specialty diagnostic testing procedures including but not limited to: diabetic retinal exam (DRE), NC-Stat DPN Check (DPN), bone mineral density testing (DEXA), Spirometry, peripheral vascular evaluation (Quantaflo).
- The full-time Episource Provider Traveler will assist the Supervisor and Manager of Clinical Services by providing mentorship and coaching to providers upon request.
- May be assigned other duties at the discretion of the Supervisor or Manager of Clinical Services during periods of decreased membership and during any time that available HRA home visits are not filled/scheduled.
- Additional duties may include and are not limited to clinical QA and chart review.
- Required to obtain additional state licensure based on Episource needs.
- Requires an individual to maintain the ability to work in an environment with PHI / PII data.
- Must maintain compliance with all company policies and procedures.
Qualifications / Requirements:
- Nurse Practitioner
- Advanced Practice Registered Nurse (APRN) degree, Master’s degree in Nursing (MSN), or higher (DNP or PHD in Nursing)
- Physician’s Assistant
- Bachelor’s Degree or Master’s Degree for Physician Assistants from a NCCPA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors.
- PA License obtained after taking the Physician Assistant National Certifying Examination (PANCE).
- 3 or more years of experience in patient care or clinical work
- 1 or more years’ experience performing physical examinations, performing diagnostic tests and screenings, and developing treatment plans.
- Strong attention to detail
- Ability to work with all levels of the organization
- Ability to educate others on system applications and functions
- Ability to multi-task / work independently and be self-motivated to meet deadlines and achieve goals
- Strong computer skills; Microsoft office
- Proficient in the use of an Apple iPad
- Strong professional level of knowledge including clinical assessment skills in the adult population and chronic disease management.
- Reliable transportation is required.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job
- The employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds with assistance.
- Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
- The work will be done primarily in the field / in members’ homes.
- Travel will be required.
- Work may require occasional weekend and/or evening work.
- Work in a clinic or office environment to meet a client’s needs may be required.
Training / Certification Requirements:
- Current Licensure free of disciplinary actions
- AANP or AANC Certification
- CRNP License
- PA License
- NCCPA Certification
- Approved Specialties: FNP, ACNP, ANP, AGNP (not all-inclusive)
- Company compliance program modules
- Company safety regulations
EEO POLICY STATEMENT:
Episource, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Episource, LLC complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.
Episource, LLC expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Episource, LLC employees to perform their expected job duties is absolutely not tolerated.