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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in primary care coordination for seniors, including chronic disease management, wellness assessments, and effective communication with patients and healthcare teams. Proficient in utilizing EMR systems and adhering to CMS guidelines and HIPAA requirements.
Highest-signal resume keywords
California Nurse Practitioner LicenseChronic Disease ManagementGoals-of-Care ConversationsHCC and ICD-10 CodingWound Care Knowledge
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Physical and Wellness ExamsDiagnostic Test InterpretationVaccine AdministrationCare Plan DevelopmentTelephonic TriageClinical Quality MonitoringEMR ProficiencyChronic Disease TreatmentPatient Healthcare Needs IdentificationDocumentation According to Protocols
Soft Skills
Strong Interpersonal SkillsAdaptabilityProblem-SolvingChange Agent MindsetRelationship Building
Tools & Technologies
WordExcelPowerPointOutlookEMR Systems
Certifications & Qualifications
Nurse Practitioner CertificatePhysician Assistant Certification (PA-C)Wound Care CertificatePalliative Care Certificate
Industry Keywords
Medicare Advantage Managed CareCMS GuidelinesHIPAA ComplianceSenior CareChronic Disease Management
About the role
Key responsibilities & impact- Provide and coordinate primary care to SCAN members to help keep seniors healthy and independent
- Provide care to assigned patients in their residences, commonly senior living communities or skilled nursing facilities
- Conduct physical and wellness exams and assessments
- Perform occasional urgent medical visits and telephonic triage
- Administer vaccines
- Order and interpret diagnostic tests
- Initiate goals-of-care conversations with patients and loved ones
- Manage chronic diseases
- Identify patient healthcare needs and develop comprehensive care plans
- Collaborate with case management to provide timely access to necessary services
- Independently manage visitation schedules according to practice protocols and member acuity
- Collaborate with primary care physicians and other healthcare professionals on prevention, health promotion, and chronic disease management
- Coordinate with specialists, hospitals, ancillary providers, and community organizations to ensure continuity of care
- Monitor and address clinical quality gaps
- Document member visits and interactions according to practice protocols
- Serve as a direct resource for members, families, communities, and support staff
- Participate in Integrated Care Sales team events to build awareness and educate communities
- Initiate and complete virtual health visits as needed for triage and reduced drive time
- Participate in the after-hours and weekend on-call program
- Maintain professional and technical knowledge through workshops and professional publications
- Contribute to quality goals by closing care gaps, attending high-risk group discussions, and optimizing clinical workflows and protocols
- Support SCAN’s Vision and Goals
- Perform other duties as assigned
Requirements
What you’ll need- Master’s degree in Nurse Practitioner Certificate OR Master’s from an accredited PA program
- A comparable combination or education/experience and/or training will be considered equivalent to the education listed above
- Current California Nurse Practitioner license OR California Physician Assistant Certification (PA-C) in good standing
- Education in Adult/Geriatric medical care preferred
- Wound Care Certificate and Palliative Care Certificate a plus
- Knowledge of the treatment of complex chronic diseases, such as dementia, diabetes, heart failure, and COPD
- Ability to identify health care needs and refer and coordinate with other resources/programs appropriately
- Knowledge of HCC and ICD-10 coding and documentation
- Knowledge of wound care and management
- Knowledge of CMS guidelines and Medicare Advantage Managed Care
- Comfort with initiating goals of care and end of life discussions
- Strong interpersonal skills and change agent mindset needed to build relationships with healthcare team and patients
- Knowledge of and ability to maintain HIPAA requirements
- Adaptable and open to change and problem-solving
- Knowledge of and/or ability to learn basic technological skills (Word, Excel, PowerPoint, Outlook, EMR) and open to new technology
- Ability to stoop, kneel, and crouch required
- Ability to bend, reach, lift, pull, push, and carry up to 10 lbs. regularly and up to 50 lbs. occasionally
- Travel 75+% of the time in the assigned area
- Must have a valid driver’s license, automobile insurance, and reliable transportation
- Tuberculosis screening upon hire or proof of a negative screening within the last year
- Background check required
Benefits
Comp & perks- Quarterly bonus program
- Robust Wellness Program
- Generous paid-time-off (PTO)
- Eleven paid holidays per year, plus 1 additional floating holiday
- Excellent 401(k) Retirement Saving Plan with employer match and contribution
- Robust employee recognition program
- Tuition reimbursement
- Employees may be eligible for differential pay
- Remote/Field work mode
- Opportunity to become part of a team that makes a difference to members and the community
