CareConnectMD

Our 22 years of managing care for high-risk populations has helped us design an integrated care model that effectively coordinates care as our patients transition from inpatient to post-acute settings, including going home.. Our unique value-based care model improves clinical outcomes and patient/family satisfaction, while reducing overall system costs.. AOC Reach Nurse Practitioner will conduct annual wellness visits and create or update a personalized prevention plan to prevent illness based on current health and risk factors and optimize the management of the patient’s current medical conditions.. Key Duties and Responsibilities Conduct comprehensive annual wellness evaluations for traditional Medicare beneficiaries enrolled in the ACO REACH program, focusing on elderly and vulnerable individuals residing in disadvantaged areas.. Utilize the ACO REACH program's tools and resources to enhance care quality, coordination, and accessibility, while maintaining the integrity of traditional Medicare features and flexibilities.

nurse practitioner

Overview Are you passionate about revolutionizing healthcare for the elderly and medically complex population? If you are, CareConnectMD would like to meet you Since 1996, CareConnectMD (formerly Gerinet Medical Associates) has been providing personalized and compassionate medical care for our frail and medically complex patients in skilled nursing and long-term care facilities. Our 22 years of managing care for high-risk populations has helped us design an integrated care model that effectively coordinates care as our patients transition from inpatient to post-acute settings, including going home. Our unique value-based care model improves clinical outcomes and patient/family satisfaction, while reducing overall system costs. We are experts in symptom management, supportive care, advanced care planning, telemedicine, medical crisis prevention, and patient-family communication. Our Culture: Many employers say they offer work-life balance, but few are able to deliver on that promise. CareConnectMD providers do not practice on a shift-basis, so they have more flexible schedules that work around raising their families and other important priorities. With us, there are no surprise 12-hour work shifts or increasing unpaid time for after-hour clinic work duties. Retention is important to us, so we want to make sure our providers enjoy great qualities of life. CareConnectMD provides after-hours call coverage support, so you can enjoy your time away from work without being interrupted by calls. AOC Reach Nurse Practitioner will conduct annual wellness visits and create or update a personalized prevention plan to prevent illness based on current health and risk factors and optimize the management of the patient’s current medical conditions. This will include performing various tests, screenings, providing general and preventative care, collecting family history information and meticulous charting. Accurate and timely documentation is essential in providing quality care. The ideal candidate is passionate about providing high-quality care and constantly striving for excellence. Key Duties and Responsibilities Conduct comprehensive annual wellness evaluations for traditional Medicare beneficiaries enrolled in the ACO REACH program, focusing on elderly and vulnerable individuals residing in disadvantaged areas. Collaborate with a multidisciplinary team to develop individualized care plans based on assessment findings, patient goals, and medical history. Perform thorough physical assessments, including reviewing medical histories, conducting physical examinations, and assessing mental health status. Administer and interpret diagnostic tests, screenings, and laboratory results to identify potential health issues or risks. Educate patients and their families about preventive care strategies, disease management, medication adherence, and lifestyle modifications to promote overall wellness. Address patients' concerns, answer questions, and provide guidance on healthcare decisions, ensuring patients are well-informed and empowered to actively participate in their care plans. Utilize the ACO REACH program's tools and resources to enhance care quality, coordination, and accessibility, while maintaining the integrity of traditional Medicare features and flexibilities. Collaborate with primary care physicians, specialists, social workers, and other healthcare professionals to ensure seamless communication and coordination of care for each patient. Document evaluations, assessments, interventions, and care plans accurately and comprehensively in the electronic health record system. Continuously stay informed about geriatric best practices, evidence-based guidelines, and relevant healthcare policies to provide the highest standard of care. Participate in regular team meetings, quality improvement initiatives, and ongoing education to optimize care delivery within the ACO REACH program.

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