Home Visit Nurse Practitioner

2+ years of home based complex care, in office complex care, Geriatric Primary Care, geriatrics or palliative care experience as a Registered Nurse or Nurse Practitioner AND 6+ months of NP experience
Currently licensed in the state of Georgia
Completed an accredited NP program with a national certification (ANCC, AANP) in Family, Geriatrics, or Adult
Unrestricted driver’s license and ability to drive to patient homes
The ability to build successful relationships with team members and communicate effectively both 1-on-1 and in groups
Can thrive in a fast-growing, mission driven organization focused on using data to improve patient outcomes

Independently manage a panel of approximately 150 case mix adjusted patients with multiple, complex conditions through a balance of home visits and telephone/video interventions
Complete thorough initial visits with patients, diving deep into medical, social and behavioral context
Work directly with the patient and through the multidisciplinary care team to impact ongoing care with particular emphasis on preventable hospitalizations and ensuring care aligned with patient goals
Collaborate and coordinate with the patient’s primary care team and specialists
Participate actively in team huddles to review care plans and assess patient goals of care and care plans
With support of the team, respond to patient and patient’s family telephone calls
Participate in the market after-hours call pool