Humana
Healthcare
NursePractitioner
Neural analysis suggests this role is
optimal for Mid candidates.
“Nurse Practitioner at Humana. Skills: Nurse practitioner license, Primary care experience, Board certification. Evaluate and treat center patients. Follow medical care standards”
What You'll Achieve.
Optimize coding specificity
Industry & Context.
Patient facing role, Tuberculosis (TB) screening program
What They're Looking For.
Must Have
Two years' experience in primary care, Successful completion of a nurse practitioner program with board certification, Active, unrestricted nurse practitioner license in state of practice location, Computer skills for using email and EMR, Appropriate certification to write prescriptions under the authority of a collaborating physician/medical director, TB screening program compliance
Nice to Have
Active and unrestricted DEA license, Medicare Provider Number/ Medicaid Provider Number, Experience managing Medicare Advantage panel of patients with understanding of Best Practice in coordinated care environment in a value-based relationship environment, Knowledge of Medicare guidelines and coverage, Knowledge of HEDIS quality indicators
What You'll Do.
Evaluate and treat center patients
Follow medical care standards
Monitor care using data
Assist in coordination of patient services
Act as participant and lead with care team
Complete medical record documentation
Meet with RMD about quality of care
Participate in potential growth opportunities
Participate in local primary care 'on-call' program
Assure personal compliance with licensing
How You'll Work.
Team & Collaboration
Acts as an active participant and lead with the care team through daily huddles.
Full Job Description
# **Become a part of our caring community** Humana's Primary Care Organization is one of the largest and fastest growing value-based care, senior-focused primary care providers in the country, operating multiple centers across eight states under two brands: CenterWell & Conviva. Operating as a payor-agnostic, wholly owned subsidiary of Humana, our centers put the unique needs of seniors at the center of everything we do. Our Clinics offer a team-based care model where our physicians lead a multi-disciplinary care team supporting patient's physical, emotional, and social wellness. The advanced practice provider provides health promotion and maintenance through the diagnosis and treatment of acute illness and chronic conditions. Prescribes medication, examines patients, diagnoses illnesses, and provides treatment. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action. **Patient Care** : * Evaluates and treats center patients in accordance with standards of care. * Follows level of medical care and quality for patients and monitors care using available data and chart reviews. * Assists in the coordination of patient services, including but not limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. * Acts as an active participant and lead with the care team through daily huddles. * Completes all medical record documentation in a timely manner working with a quality- based coder to optimize coding specificity. * Follows policy and protocol defined by clinical leadership. * Meets with RMD about quality of care, review of outcome data, policy, procedure and records issues. * Participates in potential growth opportunitie
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