WellBe Senior Medical Jobs Hiring Now

Your Impact

The CareConnect Team at WellBe supports timely response to patients’ changing needs seven days/week. This role is critical to overall interdisciplinary team and focuses on providing compassionate care to patients who have both chronic and acute illnesses and injuries while supporting their ability to remain safely in their own home.

You will provide clinical triage, clinical management, and clinical oversight for unscheduled needs – through telephonic and video visits or by overseeing facilitated in-home visits in collaboration with other healthcare professionals on the team. As part of our longitudinal model, you will help ensure patients remain compliant with protocols, HEDIS measures, and transition-of-care needs, scheduling follow-up appointments as required. Working within our broader interdisciplinary team, you will help deliver concierge-style, timely, high-quality care to every patient.

• Practice the WellBe mission: To help our patients lead healthier, meaningful lives by delivering the most CompleteCare™ to their patient panel.
• Partner with other clinicians including community medical directors, longitudinal advanced practice providers, and community social workers to manage the health and wellbeing of patients living in their homes.
• Responsible for supporting care needs and efforts to keep patients engaged.
• Facilitate in-home + telehealth visits, including initial patient assessments and ongoing follow-up visits as appropriate per patient need.
• Facilitate staff, patient, and family decision-making by providing educational resources.
• Perform urgent care services, necessary patient screenings and physical examinations, create appropriate assessment and careplans, and complete documentation in a timely manner.
• Address any care needs of the patients as they arise, including transition of care visits and HEDIS measures.
• Collaborates with community team to complete a full patient care assessment and plan.
• Order, interpret, and analyze diagnostic tests and determines the need for follow-up appointments and further treatment options per state supervisory agreement.
• Prescribe and manage medications and treatments as appropriate, including but not limited to psychopharmacological, consistent with applicable state scope-of-practice and any required collaborative or supervisory agreement.
• Update patient records and verify their accuracy at each patient's appointment.
• Deliver patient care and complete regular patient reviews with supervising/collaborating physicians per state supervisory agreement.
• Deliver the highest standard of quality care while maintaining all company metrics pertaining to appropriate patient needs.
• Provide clinical care delivery to support necessary items for documentation/coding, HEDIS measures, engagement of patients, and managing medical expenses.
• Serve as a key resource for patients in delivering ongoing care information, counseling and guidance for any patients with critical conditions.
• Utilize all available resources to help care for patient needs and refer to internal/external resources as appropriate, such as WellBe behavioral health protocols.
• Collaborate with the interdisciplinary team and participates in regularly scheduled team meetings.
• Maintain required unencumbered, active state licensure(s) and national certification(s).
• Deliver palliative care, and when needed, support end of life care to patients and families.
• Facilitate family meetings with WellBe community team, to help with complicated family dynamics and goals of care.
• Adhere to a professional code of conduct in patient care delivery including completion of care needs and documentation standards.
• Perform other tasks as needed to accomplish organizational objectives/goals.

• Minimum of Master's Degree in Nursing with a focus on Family , Adult , Geriatric or Adult-Geriatric Nurse Practitioner from an accredited, Nurse Practitioner program (required)
• 3-5 years Nurse Practitioner experience (preferred)
• Previous experience in value-based care, home care, primary care, hospice, palliative care, or geriatrics strongly preferred, other complex patient health care experience also beneficial (preferred)
• Active, unencumbered Nurse Practitioner license in the state of job posting (required)
• Current board certification in your field with either ANCC (American Nurses Credentialing Center) or AANP (American Association of Nurse Practitioners) (required)
• BLS certified and an active NPI# as an NP (required)
• Active, unencumbered DEA licensure or eligibility to obtain (required)
• Experience with telehealth care delivery (highly preferred)
• Home care experience preferred.

• Ability to conduct in-home setting visits remotely and in person while having previous experience on a telehealth platform
• Demonstrated role proficiency with Microsoft 365 software suite, Office; Excel, Word, G-suite, etc.
• Proficient with office software, including Electronic Health Records, Scheduling Software and Ring Central applications
• Ability to work independently and make sound decisions while adhering to established protocols and guidelines.
• Excellent organizational and time management skills to handle administrative tasks and facilitate telehealth consultations.
• Experience working with culturally diverse and underserved populations.
• Experience in diagnosing and treatment of ongoing, chronic and urgent medical/psychological conditions of older adults
• Role model in courageous teamwork, integrity, ethics, and productivity
• Experience in panel management, primary care, geriatrics, internal medicine, palliative care
• Experience in palliative care, and end-of-life communication
• Excellent verbal, written, presentation, and interpersonal communication skills
• Confident speaker to internal and external groups
• Additional state licenses preferred