Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.***Please note, the job posting represents a future opportunity and it is not an immediate need.***The Advanced Practice Clinician in the Jump Start Assessment (JSA) program is a physician-led and advanced practice clinician-driven program that is intended to care for and support Alignment Healthcare patients with complex and chronic care needs. Works within an interdisciplinary team environment that includes physicians, nurse practitioners, physician assistants, case managers, and other health care team members to ensure proper delivery of clinical and home-based patient care. Assessxe2x80x99, develops, and coordinates options and services promoting quality care in order to achieve optimal health care outcomes while also ensuring cost-effective care complying with Alignment policy and all state and federal regulations. Our members are typically aged 65 and over and home and virtual visits will be between 45 and 60 minutes depending on whether it is an annual or initial visit.Responsibilities:
1. Conduct in-home assessments (with some outpatient clinical work) on health plan members.
2. In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings.
3. Comfort with End-of-life care discussions imperative.
4. Laboratory specimen collection in the home setting when appropriate.
5. Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management.
6. Communicate findings of the patient assessment to inform the PCP of potential gaps in care.
7. Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs.
8. Emphasis on knowledge of appropriate community resources for referral.
9. Comply with all HIPAA regulations and maintain security of protected health information (PHI).Job Requirements:Experience:
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