Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
The Advanced Practice Clinician in the Care Anywhere (CAW) program is designed to provide care and support to our Alignment Healthcare patients by providing an additional level of medical and social support in the comfort of their own home. This program is offered to eligible patients at no cost to them with the goal of preventing unnecessary hospitalizations, health complications, and unmanaged disease progression that can occur when timely clinical interventions are not provided or are not accessible.

EXPERIENCE:

• Required: None
• Preferred: One (1) year of prior clinical or home care experience. Previous EMR experience preferred. Experience in care of older adult (geriatric) patients preferred

EDUCATION:

• Required: Master’s degree from an accredited NP Program or PA program

SPECIALIZED SKILLS:

• Required:
• Ability to communicate positively, professionally and effectively with others.
• Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.

1. Conduct in-home assessments on Alignment members, medication review and health screenings
2. Provide patient education by matching care desired with best care given
3. Identify diagnoses to be assessed in care management and active medical management
4. Partner and communicate with Regional Medical Officer and other team members to discuss and develop the most appropriate care plans possible based on the needs of our members/patients.
5. Coordinate care with multiple stakeholders, including but not limited to PCPs, specialists, and ancillary providers.
6. Lead broader clinical team which may include nurses, health coaches, social workers, and care coordinators