Nurse Practitioner - Post-Acute/Telehealth

Job Title: Nurse Practitioner 

Department: Quality - Clinical Operations 

About the Role: 

We are looking for a Nurse Practitioner to join a team that is passionate about the health of our patients. As part of the Quality Department, the Clinical Operations team leads the effort to improve health outcomes by coordinating and delivering key clinical care. Through outreach and education, we inspire patients to take a preventive approach to maintaining their health and to be active in their management of chronic diseases. Together, we strive to achieve healthy living for all through all stages of life. 

As a Post-Acute NP, during the AWV you will review and update patients’ current health status, discuss health risk factors, and recommend preventive services. By working closely with patients, you will be able to positively influence behaviors that can result in better health. In this full-time position, you will conduct visits via telehealth video calls from your home office. For special projects, you may be assigned to conduct in-clinic visits a few times a year. 

What You’ll Do: 

• Maintain a panel of 45-60 high-risk patients from inpatient discharges
• Provide high-quality care to prevent hospital readmission within 30-day window
• Document chief complaint, previous medical, family, and social history, review of systems, examination, assessment, and appropriate plan of care
• Identify gaps in care during the evaluation that may require additional screening, diagnostics, and laboratory studies
• Recapture previous conditions while carefully capturing newly found conditions
• Create or update a Personalized Prevention Plan based on current health and risk factors to optimize the management of current conditions and prevent illnesses
• Provide patient education regarding preventive services and prescribed treatments, reinforce the importance of staying current on covered preventive services
• Make recommendations for member's follow-up with their primary care physician
• Communicate with Care Coordination team to ensure patients receive necessary referrals to additional services
• Complete documentation/charting in an accurate and timely manner
• Obtain and maintain a thorough understanding of HCC, HEDIS measures, HCC
• Complies with federal, state, and local legal and professional requirements by studying existing and new legislation, anticipating future legislation; enforcing adherence to requirements; advising management on outstanding actions

Qualifications: 

• Active Nurse Practitioner Licensure, Active Nurse Practitioner Furnishing License
• Current Board Certification with (AANP, AACN, ANCC)
• Valid DEA and NPI

You’ll be great for this role if you have: 

• Minimum one year of direct patient care experience as a Nurse Practitioner in Primary Care, Gerontology, or related field
• Experience in HEDIS and HCC as it pertains to AWV/Medicare population
• Fluency in Cantonese, Mandarin, or Spanish 
• Experience with EHRs

Who We Are:  

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.  

Our platform currently empowers over 12,000 physicians to provide care for over 1.3 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.  

Our Values:  

• Put Patients First 
• Empower Entrepreneurial Provider and Care Teams 
• Operate with Integrity & Excellence 
• Be Innovative 
• Work As One Team 

Environmental Job Requirements and Working Conditions:  

• This is primarily a tele-health position. In-clinic visits will be required up to 3 times per year. Candidates must be based out of CA. The clinic is located at 120 W Hellman Ave, Monterey Park, CA 91754
• The total compensation target pay range for this role is between $130,000.00 - $145,000.00. This salary expectation represents our national target range for this role. 

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.  

Additional Information:  

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.