Field-based Clinician (TX)

Hello, we’re Belong. We partner with regional payers to deliver Medicare Advantage and Special Needs Plan products. With a dual focus on data-driven, proactive clinical intervention and unwaveringly empathetic patient experience, Belong has completely reimagined health insurance for seniors and other Medicare-eligible individuals who have been disregarded and deprioritized for far too long. We believe that only by recognizing individuals can we make communities strong. Belong Health . Kinder, more supportive care. We are seeking a highly motivated and experienced Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our team as a Field-Based Clinician. In this role, you will play a critical role in ensuring the health and well-being of our complex Medicare patients by conducting comprehensive in-home assessments, identifying healthcare needs, and coordinating complex care plans. You will collaborate closely with a multidisciplinary team to improve health outcomes and enhance the quality of life for our members. The position will also provide opportunities for advancement into clinical leadership roles based on performance and demonstrated leadership and management ability. ESSENTIAL JOB DUTIES AND RESPONSIBILITIES Conduct comprehensive in-home assessments for complex Medicare patients, including a thorough review of medical history, medication reconciliation, physical examination, and various health assessments (Social determinants of health, mental health, frailty, etc.) Identify and document healthcare needs, potential gaps in care, and risk factors through the assessment process. Develop personalized care interventions based on identified healthcare needs and coordinate with the patient's primary care provider and specialists as necessary. Educate patients and their caregivers on their healthcare conditions, medications, and self-management strategies. Collaborate closely with a multidisciplinary team, including nurse care managers, social workers, pharmacists, community health workers, primary care providers, and specialty providers, to ensure comprehensive care coordination. Provide support and guidance to patients and their families to promote better health outcomes and quality of life. Maintain accurate and up-to-date documentation of assessments, clinical encounters, quality measures, and patient interactions in accordance with Medicare and Medicaid regulatory standards. REQUIRED PROFESSIONAL EXPERIENCE AND QUALIFICATIONS Current Nurse Practitioner (NP) or Physician Assistant (PA) license in the state of Texas. Provider enrollment with Medicare and Texas state Medicaid Preferred, Minimum of 1 years of clinical experience as an advanced practice provider in a field-based clinical role, preferably in primary care, geriatrics, or a similar field. Preferred but not required, experience with Medicare Advantage programs and familiarity with CMS guidelines and regulations is a plus. Strong interpersonal and communication skills to effectively engage with patients, families, and a diverse healthcare team. Ability to work independently, prioritize tasks, and manage time effectively. Ability to drive to conduct in-home visits Comfortable conducting in-home visits and navigating various home environments. Proficient computer skills for electronic health record documentation. LICENSE AND CERTIFICATION This role requires an active license in the state of TX to practice as a nurse practitioner or a physician's assistant. WORK ENVIRONMENT TRAVEL These demands must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to sit, talk, or hear. There are no special vision requirements.Some travel to corporate locations or travel with the state of OR may be required to fulfill the position's requirements. HEALTH AND SAFETY Belong Health and its partners require full vaccination for associates and select contractors who conduct work outside of their home on behalf of Belong Health and its partners. This applies to those who work within our facilities; interact directly with members and patients; attend in-person meetings or trainings; and/or represent Belong Health at events or volunteer activities. Medical and religious exemptions will be considered, and this policy will not supersede state or local laws. SALARY $120,000 - $140,000 Belong Health is an equal opportunity employer and encourages all applicants from every background and life experience to apply. Our organization participates in E-Verify to confirm the eligibility of employees to work in the United States. (Nuestra organización participa en E-Verify para confirmar la elegibilidad de los empleados para trabajar en los Estados Unidos.) Originally posted on Himalayas