Internal Medicine - Geriatrics Physician Assistant

Our Mission

At ConcertoCare, we believe seniors and older adults with complex care needs deserve a more holistic, equitable, and compassionate approach to health and wellness.

ConcertoCare s tech-enabled in-home care teams leverage our value-based, interdisciplinary care model to address unmet health and social needs and improve patients quality of life, partnering with them, their caregivers, families, health providers, and communities.

Our Vision : We will redefine care and aging for millions of US seniors and other adults with complex care needs by perfecting the kind of human-first, tech-enabled care in the home that we would want for our families.

ConcertoCare is seeking an Advanced Practice Provider Nurse Practitioner or Physician Assistant to be a core member of a multi-disciplinary Field Team that delivers home- and community-based care to patients with complex needs.

The ConcertoCare Advanced Practice Provider (Nurse Practitioner and Physician Assistant) delivers in-home clinical services to patients with the support of an integrated multidisciplinary care team. Our Advanced Practice Providers build meaningful relationships with patients and their caregivers, supporting them to provide care aligned with what matters most to our patients and to champion patient-centered strategies that guide our care teams. This is an ideal position for a clinician who seeks an opportunity for top of license practice , enjoys a collaborative team-based approach to care, and is excited to engage in developing and nurturing our innovative, value-based clinical model focused on caring for patients with complex needs who are inadequately served by traditional healthcare delivery systems.

This exciting role allows you to deliver clinical care flexibly through a blend of in-person care delivery at your patient s home and virtual care delivery from your own home, with the support of nurses, community health workers, medical assistants, nurse case managers, clinical social workers, and clinical pharmacists. This position also affords professional development via dedicated clinical education programming and real-time support from our on-staff world-class experts in geriatric medicine, palliative care, geriatric psychiatry, clinical pharmacy, care management, and social determinants of health and health equity.

Nurse Practitioner and Physician Assistant Responsibilities :

• Provision of compassionate, individualized, and holistic patient care including comprehensive care, urgent care, and chronic condition management that aligns with a value-based care delivery model, reflects appropriate patient risk stratification and integrates with multidisciplinary team services.
• Collaboration with the multidisciplinary team to cooperatively deliver transitions of care support, social determinants of health interventions, behavioral health evaluation and management, and complex medication management as clinically appropriate.
• Delivery of exceptional clinical care both in-person and virtually, with in-person settings including private homes, congregate living facilities, ambulatory clinics, and / or skilled nursing facilities.
• Integration of clinical practices, data dashboards, and operational processes that support the achievement of company performance goals into daily clinical approaches and workflows.
• Promotion of and participation in patient engagement and experience initiatives and efforts.
• Maintenance of comprehensive medical records including timely and accurate completion of clinical documentation and coding for clinical encounters, up-to-date medication reconciliation, and recording of patient care-related activities and communications.
• Active participation in care team huddles, operational huddles, organizational meetings, and clinical partnership meetings as requested including preparation and follow-up activities.
• Collaborative engagement with internal care team members as well as external providers and clinical partners to support care coordination including goals of care.
• Adherence to medical policies, protocols, criteria, and clinical guidelines to ensure best practices are maintained for clinically effective and efficient care delivery.
• Adherence to compliance policies, procedures, and standards of conduct including all applicable laws and regulations.
• Supportive function as growth / engagement ambassador in initiating, developing, and sustaining relationships with patients, caregivers, congregate living facility staff, and clinical partners.
• Participation in after-hours on-call schedule and other clinical care cross-coverage as requested.
• Other market-specific duties as assigned.

Nurse Practitioner and Physician Assistant Qualifications

• Nurse Practitioner with graduation from an accredited health professions school and successful completion of an ANCC or AANP certification; or board-certified Physician Assistant. Nurse Practitioners who only possess PMHNP or NNP certifications, are not eligible for this position.
• Active licensure in applicable state(s).
• Active DEA licensure and state-specific controlled substance registration, as applicable.
• Advanced training in geriatrics and / or palliative medicine preferred.
• Certification in basic life support (BLS) required.
• Clinical experience caring for aging adults and adults with complex care needs required.
• Clinical experience caring for patients in the home setting including private homes and / or congregate living facilities preferred.
• Previous experience with managed care and / or value-based healthcare delivery preferred.
• Average to advanced computer and software skills required.
• Ability and means to travel as needed in a timely manner to locations that may have limited access to public transportation; proof of liability and property damage insurance on vehicle used is required. DRIVER REQUIREMENTS : Licensed for a minimum of 5 years. No vehicle-related suspensions / reinstatements, DUI, reckless driving, leaving the scene of an accident, or felony convictions within the last 3 years . Multiple violations and accidents within the last 5 years would be subject to review.

Vaccination Policy

ConcertoCare requires all frontline workers to be fully vaccinated and to provide records for validation.

Base Salary / Wage Range $140,000 to $150,000 plus annual bonus . Compensation for the role is commensurate with the candidate s qualifications, skills, competencies, and experience and may fall outside of the range shown. ConcertoCare offers a competitive total rewards package, which includes full healthcare coverage, a 401K with match, and a broad range of other health, wellness, and financial benefits.

We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.

ConcertoCare is an Alcohol / Drug / Smoke-Free Workplace