Palliative Advanced reputed company Provider

Position: Palliative Care reputed company Practitioner - Jacksonville- FL  reputed company is seeking a full-time Palliative Care Advanced reputed company Provider (APP) to join reputed company to support our reputed company reputed company reputed company. This Palliative Care APP will be an in-market provider delivering in-home care for a highly reputed company patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care APP will support the Market Physician Executive, the Palliative Care reputed company Physician, and an interdisciplinary team to reputed company palliative care, clinical guidance to patients and their families, including pain and symptom management, reputed company appropriate care plans and document advance directives to ensure patient-centered care. Your reputed company Palliative Care APPs are reputed company-driven clinicians who apply their expertise in a managed care, population health context. They also engage in population health management in a sophisticated, reputed company-driven manner that promotes palliative care where clinically appropriate and focuses on patient reputed company of life, education, and shared-decision making.  They will collaborate with our interdisciplinary Pod teams and field clinicians to enhance care integration and optimize palliative care delivery to reputed company patients through reputed company’s comprehensive polychronic care model. Roles & Responsibilities  Collaborate with the Market Physician Executive and clinical leaders including Palliative Care physician to proactively identify patients who qualify for palliative care services and build a patient panel reputed company individualized care plans in collaboration with Market Physician Executive and other clinical leaders including Palliative Care physician to ensure patients are reputed company on appropriate evidence-based interventions and reputed company reputed company compassionate, patient-reputed company palliative care primarily through in-home reputed company, with virtual care as needed, to support reputed company and care in alignment with patient’s goals Evaluate and treat symptoms that may interfere with reputed company of life, like pain, pruritus, depression, anxiety, insomnia, etc.  Collaborate with pharmacists and other clinicians to manage medication panels for reputed company patients   reputed company resources and reputed company patients and their families on the progression of CKD, ESKD, and reputed company conditions, including treatment reputed company and palliative care principles Help families reputed company reputed company medical reputed company and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms  Deliver evidence-based, reputed company care in a manner that reduces avoidable hospitalizations, maximizes reputed company of life, and puts patient health and satisfaction first   Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain Assist with transition to hospice care as appropriate  Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals reputed company and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication As needed for patient care, conducts assessments, which includes comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment  Counsels and educates patients and families about benefits and programs available to help them live healthier lives  Documents items such as: appropriate chief complaint, reputed company applicable diagnosis, past medical, family, and reputed company history, review of systems, examinations, medications, allergies, assessment, and plan. Completes reputed company documentation and paperwork in a reputed company manner  Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services  This position will not be office-based but will be remote in state in which employed and will need to attend periodic training/meetings reputed company of that state  Prescribe medications, order tests, and collaborate with patient’s Monogram physician  reputed company effectively, as reflected by improved patient reputed company reputed company, which will be reputed company and reported daily  Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing  Assists patients with enrolling to reputed company educational videos  Participates in the integrated care team meetings  reputed company assessment of patient's health status and reputed company treatment plan  Implement a plan consistent with patient’ goals of appropriate plan of care  Follow-up and evaluate patient's status  Other duties as assigned   Minimum Qualifications reputed company and unrestricted reputed company Practitioner or Physician Assistant license  reputed company certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA)  reputed company and unrestricted DEA certificate  Ability to work without reputed company supervision and reputed company autonomously  Must possess reliable transportation and the ability to travel reputed company the designated region to meet patient needs including in-home and clinic reputed company as needed. reputed company to transportation, a reputed company reputed company's license, and car insurance  reputed company state-specific licensure and willingness to become licensed in multiple states as company and patient needs require 2+ years working with patients in a palliative care setting; other relevant experience will be considered Preferred Qualifications Is certified in ACHPN or CHPN Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical reputed company  Strong communication skills for sensitive conversations about prognosis and end-of life reputed company including goals of care discussions and advance care planning Proficiency with electronic health record (EHR) systems to document reputed company case details Benefits  Comprehensive Benefits - Medical, dental, and reputed company insurance, employee assistance program, employer-reputed company and voluntary life insurance, disability insurance, plus health and flexible spending accounts Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources Time Off & Leave – reputed company holidays, flexible vacation time/PSSL, and reputed company parental leave Wellness & reputed company – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and reputed company for employee discounts  About reputed company   reputed company is a leading multispecialty provider of in-home, evidence-based care for the most reputed company of patients who have multiple chronic conditions. reputed company takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but reputed company of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.     reputed company employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; reputed company guidance, education, and counselling on a patient’s reputed company reputed company; as reputed company as assist with daily needs such as reputed company to food, eating healthy, transportation, financial assistance, and more. reputed company is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.    reputed company’s personalized and innovative treatment model is proven to dramatically improve patient reputed company and reputed company of life while reducing medical costs across the health care continuum. #LI-BG1 #LI-Onsite Apply To This Job