| Location | Sacramento, CA |
Primary Care Nurse Practitioner – PACE / Geriatric Care
Assignment Details
Provider Type: Nurse Practitioner (NP)
Specialty: Primary Care / Geriatric Medicine
Practice Setting: Community-Based Primary Care / PACE Program
Position Type: Full-Time
Patient Population: Seniors / Frail and Elderly Patients
Care Model: Value-Based, Interdisciplinary Primary Care
Compensation: 110K-140K USD with the possibility of sign on bonus.
Position Overview
Seeking a Primary Care Nurse Practitioner or Physician Assistant to provide comprehensive, community-based healthcare services to older adults through a Program of All-Inclusive Care for the Elderly (PACE).
The provider will work under the direction of the Medical Director and collaborate with physicians and an interdisciplinary team (IDT) to assess patients, develop individualized care plans, coordinate services, and educate patients and their families.
The program emphasizes holistic, patient-centered care, smaller patient caseloads, and long-term relationships that help seniors remain in their homes and communities.
Schedule
Full-Time Position
Community-Based Primary Care
In-Person Patient Assessments
Skilled Nursing Facility and Residential Visits as Needed
Rotating Night and Weekend Call Required
Regular Participation in Interdisciplinary Team Activities
Patient Population
Older Adult and Geriatric Patients
Frail and Elderly Populations
Medicare and Medicaid Participants
Seniors With Complex Medical and Social Needs
Patients With Multiple Chronic Medical Conditions
Patients Requiring Long-Term Care Coordination
Smaller Patient Caseload to Support Individualized Care
Clinical Responsibilities
Provide Continuous Medical Coverage to Program Participants
Perform Comprehensive Initial Patient Assessments
Conduct Semiannual Patient Assessments
Perform Unscheduled Assessments as Clinically Indicated
Evaluate and Manage Acute and Chronic Medical Conditions
Develop Individualized Patient Care Plans
Collaborate With Physicians and Interdisciplinary Team Members
Coordinate Comprehensive Medical and Supportive Services
Provide Patient and Family Education
Oversee and Maintain Effective Care Coordination
Coordinate Discharge Planning From Acute Care Facilities
Arrange Discharge Planning From Long-Term Care Settings
Provide Ongoing Care to Patients in Skilled Nursing Facilities
Conduct Residential Patient Visits Based on Clinical Needs
Monitor Patients With Complex Medical Conditions
Review Clinical Outcomes and Healthcare Utilization Data
Evaluate Hospitalization Trends and Specialist Utilization
Identify Opportunities to Improve Clinical Practices and Policies
Participate in Quality Improvement Initiatives
Collaborate With Therapists and Other Healthcare Professionals
Participate in Rotating Night and Weekend Call Coverage
Required Clinical Skills
Primary Care Medicine
Geriatric Patient Management
Comprehensive Patient Assessments
Chronic Disease Management
Complex Care Management
Individualized Care Planning
Interdisciplinary Team Collaboration
Patient and Family Education
Care Coordination
Discharge Planning
Skilled Nursing Facility Patient Management
Residential Patient Visits
Healthcare Utilization Review
Quality Improvement
Value-Based Healthcare Delivery
Clinical Practice Details
Program of All-Inclusive Care for the Elderly (PACE)
Community-Based Primary Care
Value-Based Healthcare Model
Interdisciplinary Team Approach
Smaller Patient Caseload
Long-Term Patient Relationships
Comprehensive Geriatric Care
Skilled Nursing Facility and Residential Visits
Rotating Night and Weekend Call Responsibilities
Collaborative Care Under the Direction of the Medical Director
Clinical Environment / Support
Interdisciplinary Healthcare Team
Primary Care Physicians
Medical Director Oversight
Therapists and Allied Healthcare Professionals
Community-Based Senior Care Services
Skilled Nursing Facility Care Coordination
Long-Term Care Support Services
Collaborative Patient Care Planning
Requirements
Graduation From an Accredited School of Nursing - Listed as Required
Certified Nurse Practitioner or Physician Assistant - Required
Prescriptive Authority - Required
Active State Registered Nurse (RN) License - Listed as Required
At Least 2 Years of Clinical Experience Working With Frail or Elderly Populations - Required
Current Knowledge of Chronic Care Management
Current Knowledge of Geriatric Healthcare Issues
Knowledge of Geriatric Care Best Practices
Experience Caring for Seniors With Complex Medical Needs - Preferred
Experience Caring for Medicare and Medicaid Populations - Preferred
Ability to Perform Comprehensive In-Person Patient Assessments
Experience Collaborating With Interdisciplinary Healthcare Teams
Ability to Develop and Manage Individualized Care Plans
Experience Coordinating Discharge Planning
Ability to Provide Care in Skilled Nursing Facilities and Residential Settings
Reliable Means of Transportation - Required
Willingness to Participate in Rotating Night and Weekend Call - Required
Commitment to Patient-Centered and Value-Based Care
Submission Requirements
Current Curriculum Vitae
Nurse Practitioner or Physician Assistant Certification
Active Applicable State Professional License
Prescriptive Authority Documentation
Registered Nurse License, if Applicable
Documentation of Accredited Professional Education
Minimum 2 Years of Experience With Frail or Elderly Populations
Primary Care Clinical Experience
Geriatric Medicine Experience
Chronic Disease Management Experience
Complex Care Management Experience, if Applicable
Medicare and Medicaid Patient Care Experience, if Applicable
Interdisciplinary Care Team Experience
Skilled Nursing Facility or Residential Care Experience
Care Coordination and Discharge Planning Experience
Confirmation of Reliable Transportation
Confirmation of Willingness to Perform Facility and Residential Visits
Confirmation of Availability for Rotating Night and Weekend Call
Credentialing
Nurse Practitioner or Physician Assistant Certification Required
Applicable State Professional License Required
Prescriptive Authority Required
Minimum 2 Years of Experience Working With Frail or Elderly Populations Required
Knowledge of Chronic Care and Geriatric Best Practices Required
Reliable Transportation Required
Participation in Rotating Night and Weekend Call Required
Vaccination Requirements
Proof of Vaccination or a Completed Vaccine Declination Form Required Before Employment
Compliance With Applicable Infection Control and Personal Protective Equipment (PPE) Standards Required
Compliance With Applicable Employee Vaccination Policies Required
Equal Employment Opportunity
The employer is committed to providing an inclusive and equitable workplace. Qualified applicants are considered without discrimination based on race, color, religion, sex, gender identity, sexual orientation, age, disability, veteran status, national origin, or other characteristics protected by applicable law.