Advanced Practice Practitioner (Wisconsin Dells, WI)

Job Description

JOB DESCRIPTION Job Summary

Facilitates advanced practice clinical consultations for enrolled members including in-home histories, physical assessments and care plans; strives to ensure member progress toward desired member outcomes in conjunction with interdisciplinary team facilitating care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.

Essential Job Duties

• Conducts comprehensive member in-home health history and physical assessments, and identifies active and chronic disease conditions. Determines physical, behavioral and social needs at time of visit. Obtains vital signs, measures body mass index (BMI), reviews pharmacological therapies and conducts physical examinations.
• Captures and documents annual diagnoses accurately consistent with Medicare risk adjustment.
• Conducts comprehensive annual medication reviews and follows-up as necessary.
• Identifies gaps in acute / primary care and chronic disease management.
• Identifies medical risk and collaborates with members of the care team to mitigate.
• Communicates recommendations and collaborates with primary care providers / specialists to ensure clinically relevant treatments are explored, if not already in place.
• Communicates recommendations and collaborates with other providers to confirm suspected, but not yet identified / coded diagnoses.
• Develops a medical plan of care in conjunction with primary care provider / specialists as dictated by member need and assessment / consultation findings.
• Collaborates with leader and other clinicians in the department to ensure effective patient care consistent with quality indicators for patients cared for in the designated service.
• Educates and counsels members and family on any conditions identified during assessment and screening procedures.
• Provides quality member-centered care.
• Ensures timely appointments and documentation per department procedures.
• Provides consultation as needed, for medically complex members and / or high utilization members (e.g., palliative care, dementia, psychiatric).
• Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws.
• 50-60% local travel may be required (based upon state / contractual requirements).

Required Qualifications

Preferred Qualifications

To all current Molina employees : If you are interested in applying for this position, please apply through the Internal Job Board.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M / F / D / V