We are seeking a Nurse Practitioner (NP) to conduct comprehensive health assessments (Clover Care Visits) for enrolled Medicare Advantage members. You will also perform follow-up visits for members recently discharged from a hospital or post-acute care facility, as well as high-need patients. Visit assignments will be based on staff availability and member needs.
As a Nurse Practitioner, you will:
- Deliver preventive care to Clover members in their homes using Clover Assistant and EMR.
- Conduct comprehensive health assessments, evaluating medical history, physical health, environment, and psychosocial status.
- Demonstrate clinical competency in chronic disease management within your scope of practice.
- Document progress notes and prepare member workups and encounter summaries using Clover Assistant and EMR.
- Assist at-risk members in transitioning from hospitals and post-acute facilities to home.
- Create personalized care plans in coordination with members’ primary care physicians.
- Actively close care gaps, which may include ordering labs, writing prescriptions (in collaboration with the Primary Care Provider or supervising physician), and coordinating follow-ups.
- Perform point-of-care tests such as A1c, spirometry, and other diagnostics.
- Support Clover Care Visit program goals, ensuring accurate documentation, high performance on federal quality measures, and successful referrals to network providers and internal clinical teams.
- Coordinate and communicate with members’ interdisciplinary care teams.
- Participate in ongoing training and meetings, either onsite or remotely.