Nurse Practitioner - Academic Home Based Primary Care Program

Fort Johnson, NY, United States

Department / Unit : PCI - Internal Medicine

Work Shift : Day (United States of America)

Salary Range : $0.00 - $0.00

Position Summary

We are seeking a dedicated and compassionate Nurse Practitioner (NP) to join our academic home-based primary care practice, serving approximately 200 homebound older adults across an 11-county region in the Greater New York Capital Region. This position will work in close collaboration with a full-time board-certified geriatrician to provide comprehensive, longitudinal care to medically complex, homebound patients.

The NP will manage a personal panel of approximately 40 patients and provide cross-coverage for an additional 160 patients in the practice. The role includes home visits, telehealth support, and the management of chronic and acute medical conditions, with a strong emphasis on geriatric syndromes, care coordination, and diagnostic oversight.

Essential Duties and Responsibilities

Clinical Care :

• Provide primary care services to a panel of ~40 homebound patients through in-person home visits and virtual encounters as appropriate.
• Collaborate closely with the geriatrician to co-manage patient care across the full practice panel (~200 patients).
• Cross-cover the remaining 160 patients, including addressing urgent clinical needs, medication adjustments, and patient / caregiver inquiries.
• Conduct comprehensive assessments and develop individualized care plans that reflect patients' goals, preferences, and functional status.
• Manage acute and chronic conditions, focusing on geriatric syndromes (e.g., falls, dementia, polypharmacy, frailty).
• Coordinate with caregivers, visiting nurses, specialists, and other home-based service providers.
• Provide palliative and end-of-life care consistent with best practices and patient wishes.

Diagnostic & Lab Oversight :

Team Collaboration & Communication :

Qualifications

Required :

Preferred :

Skills & Competencies

Working Conditions

Thank you for your interest in Albany Medical Center!

Albany Medical Center is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that :

Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Medical Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.

Thank you for your interest in Albany Medical Center!

Albany Medical is an equal opportunity employer.

This role may require access to information considered sensitive to Albany Medical Center, its patients, affiliates, and partners, including but not limited to HIPAA Protected Health Information and other information regulated by Federal and New York State statutes. Workforce members are expected to ensure that :

Access to information is based on a "need to know" and is the minimum necessary to properly perform assigned duties. Use or disclosure shall not exceed the minimum amount of information needed to accomplish an intended purpose. Reasonable efforts, consistent with Albany Med Center policies and standards, shall be made to ensure that information is adequately protected from unauthorized access and modification.