NP Nurse Practitioner

Job Description

CareConnectMD is a rapidly growing healthcare organization dedicated to expanding access to high quality, compassionate care for frail and elderly patients across the community.

We’re currently hiring a Nurse Practitioner to join our expanding team and help advance this important care model. If you’re passionate about patient advocacy, continuity of care, and working within a collaborative environment that values excellence and compassion, we’d love to connect with you.

Key Duties and Responsibilities

Assessment of patients to identify needs for services and support such as: DME and supplies, acute medical services, behavioral health services, HCBS and primary or specialty care

Assist patient and their families/caregivers in identifying goals or care, family support system, environmental, cultural, and linguistic needs for the patient care plan.

Complete appropriate assessment within contractual timelines

Managing a complex caseload of patients. The performance standard is at least 260 required visits per months

Provide primary care services in a collaborative environment for frail and elderly patients in a long-term care setting

Provide primary care that will focus assessment, health management, education, advocacy, and prevention

Communicate assessment outcomes with patients, PCP, and key service providers

Ensure appropriate utilization and consistent application of the benefits

Serve as member advocate and facilitator to resolve issues that maybe perceived as barriers to care

Collaborate and communicate with other members of the Care Coordinator Team to improve the quality and efficiency of health care delivery

Rounding on skilled nursing patient as needed, monthly rounding on custodial patients

Through an accurate medical documentation using EMR charting

Review and order medications (including IVs), labs, and other diagnostic testing

Participate in patient’s IDT’s

Available from 7 AM – 7 PM for phone calls from Monday - Friday

Participate in on-call for assigned patients (Monday-Friday 7 AM – 7 PM) call for patients without additional compensation which is part of job responsibilities

Participate in 1 -2 weekends day calls from 7 AM – 7 PM

Will also participate in rotational after hours on-call which may include weekends and holidays, (reimbursement as per company policy), after hours call from 7 PM – 7 AM.

Participate in QI program and Peer Review meetings

Participate in utilization management program

Discussion of advanced care planning

Ongoing patient/family communication

Proactive communication with case manager and PCPs to keep them apprised of patient care issues

Appropriate CPT coding and daily submission of billing forms to office. All chart to be signed within 7 days of visit.

Timely completion of all medical records in accordance with facility and other applicable policies. Documents to be completed within 5 days of visit if document is not completed within this time frame will not be counted toward bonus count.

Timely completion of: Discharge summary, Annual Wellness Visits.

Engagement at Care Management Meetings and Monthly Staffs Meetings

POLST completion

Perform other duties and responsibilities as assigned

Education and Experience

Master’s degree with an emphasis in adult/geriatric program

Must be Board Certified and have a DEA

State certification as adult/geriatric nurse practitioner

Current CPR certification

Experience in geriatrics and skilled nursing facilities preferred

Essential Skills and Abilities

Strong background in geriatric and/or internal medicine

Furnishing number

Demonstrate ability to work independently

Manage care experience

Thrives in an unstructured, start-up environment.

Excellent communication and interpersonal skills with the ability to effectively communicate with all levels of management, patients, and family members.

Creative, flexible, well organized, resourceful, and detail-oriented

Excellent judgment in handling confidential and sensitive information

Establishing and maintaining cooperative working relationships with others

Ability to work across locations and time zones

Occasionally require lifting or exert force up to 10 pounds.

Licenses/Certifications

Must be Board certified and have a DEA

State certification as adult/geriatric nurse practitioner

Current CPR certification

Core Competencies

Instills trust

Customer focus

Manages ambiguity

Collaborates

Drives results

Salary Range:$140,000.00 To $145,000.00 AnnuallyCompany Description

CareConnectMD is a provider enabling organization dedicated to caring for frail, elderly, and medically complex populations. With 22 years of experience managing care for institutionalized patients, we’ve developed an integrated care delivery model that seamlessly supports patients as they transition across care settings—from inpatient to post-acute care, and ultimately, to wherever they call home.

Our expert clinicians specialize in symptom management, supportive care, advanced care planning, telemedicine, and medical crisis prevention, ensuring patients receive high-quality, coordinated care while empowering families with the guidance they need.

As a multi-state ACO focused on the Long-Term Care population, CareConnectMD is redefining care for those who need it most—bridging gaps, improving outcomes, and enhancing quality of life.

Full-time