House Calls Nurse Practitioner or Physician Assistant

Quick Facts

• Role: House Calls Nurse Practitioner or Physician Assistant (with a driver)

• Focus: In-home, patient-centered care for individuals with chronic and complex medical needs

Description

Provide comprehensive medical care to patients in their homes. The NP/PA independently evaluates patients, develops and manages individualized treatment plans, prescribes medications as appropriate, and collaborates with physicians and an interdisciplinary care team to improve outcomes.

You will coordinate follow-up, review lab and diagnostic results, document encounters in the EMR, and help support transitions of care.

Responsibilities

• Conduct comprehensive in-home assessments (medical history, physical exam, medication reconciliation, and review of current health concerns)

• Diagnose and manage acute and chronic conditions within scope of practice

• Develop individualized treatment and care plans

• Prescribe medications, treatments, and therapies; order diagnostic testing as clinically appropriate

• Monitor patients with chronic and complex conditions and coordinate follow-up care

• Recognize clinical changes and determine when escalation, specialist consult, emergency services, or hospitalization may be needed

• Coordinate care with physicians, nurses, care managers, social workers, specialists, and other professionals

• Educate patients and caregivers on diagnoses, medications, treatment plans, preventive care, disease management, and healthy lifestyle practices

• Review laboratory results and diagnostic studies and provide appropriate follow-up

• Maintain timely, accurate, and thorough documentation in the electronic medical record (EMR)

• Support transitions of care to help reduce preventable ED visits and hospitalizations

• Connect patients and families with healthcare and community resources

• Participate in quality improvement and population health initiatives related to the House Calls program

• Perform other assigned clinical duties within scope of practice

Requirements

• Master’s degree from an accredited Nurse Practitioner or Physician Assistant program

• Current and unrestricted New York State license as an NP or PA

• Current national board certification (NP national certification; PA NCCPA)

• Current DEA registration and New York controlled substance authorization as applicable

• BLS certification (ACLS preferred)

• Preferred experience: primary care/family medicine/internal medicine/emergency medicine/acute care/geriatrics/home-based care

• Strong clinical assessment, diagnostic, and decision-making skills

• Ability to work independently with effective collaboration across a multidisciplinary team

• Excellent communication, documentation, organizational, and patient education skills

• Preferred: experience using electronic medical record systems

• Ability and willingness to travel to patients’ homes across an assigned service area

• Flexibility for occasional evening or weekend coverage

• Plus: bilingual skills, particularly Spanish

Benefits

• 401(k)

• Dental insurance

• Health insurance

• Life insurance

• Paid time off

• Vision insurance