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Nurse Practitioner - Home Based Primary Care Program
Nurse Practitioner - Home Based Primary Care ProgramAlbany Medical Center • Cherry Plain, NY, United States
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Nurse Practitioner - Home Based Primary Care Program

Nurse Practitioner - Home Based Primary Care Program

Albany Medical Center • Cherry Plain, NY, United States
3 days ago
Job type
  • Full-time
  • Remote
Job description

We are excited to announce an opportunity for a dedicated and compassionate Nurse Practitioner (NP) to join our academic home-based primary care practice, supporting approximately 200 homebound older adults across an 11-county region in the Greater New York Capital Region. This position offers a dynamic work environment where you will collaborate closely with a full-time board-certified geriatrician to deliver comprehensive, longitudinal care to medically complex, homebound patients.

As an NP, you will manage a personal panel of around 40 patients and provide essential cross-coverage for an additional 160 patients in the practice. Your role will encompass home visits, telehealth support, and the management of both chronic and acute medical conditions, with a strong focus on geriatric syndromes and care coordination.

Essential Duties and Responsibilities

Clinical Care :

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

Diagnostic & Lab Oversight :

  • Order and interpret laboratory tests, imaging, and other diagnostic studies.
  • Track and review results for the entire patient population in collaboration with the geriatrician.
  • Ensure timely communication of clinically significant findings and follow-up planning.
  • Team Collaboration & Communication :

  • Participate in regular team meetings and interdisciplinary case conferences.
  • Maintain thorough, accurate documentation in the electronic medical record (EMR).
  • Educate patients and caregivers regarding health conditions, medications, and treatment options.
  • Contribute to quality improvement and academic initiatives within the practice.
  • Qualifications

    Required :

  • Master's or Doctorate degree from an accredited Nurse Practitioner program.
  • Current NY State NP license and board certification (Adult-Gerontology Primary Care or Family NP).
  • DEA license and BLS certification.
  • A minimum of 2 years of experience in primary care, geriatrics, or home-based care.
  • Valid driver's license and reliable transportation for home visits.
  • Preferred :

  • Experience with home visits and medically complex, frail older adults.
  • Prior experience in academic or teaching settings.
  • Familiarity with value-based care models and interdisciplinary care approaches.
  • Skills & Competencies :

  • Strong clinical judgment and autonomous decision-making capability.
  • Excellent interpersonal and communication skills with patients, families, and care teams.
  • Ability to manage a large panel and track results for a diverse patient population.
  • Comfortable with mobile technology, EMRs, and virtual communication tools.
  • Compassionate, patient-centered, and team-oriented.
  • Working Conditions :

  • Home visits required across urban, suburban, and rural areas in an 11-county region (travel reimbursed).
  • Flexible schedule with support for remote administrative work.
  • Participate in a collaborative academic environment with opportunities for teaching and quality improvement.
  • Thank you for considering joining Albany Medical Center!

    Albany Medical Center actively promotes equal employment opportunities. This role may require access to sensitive information regulated by HIPAA and other Federal and New York State statutes. Employees are expected to adhere to policies ensuring information protection and minimum necessary access.

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    Nurse Practitioner Primary Care • Cherry Plain, NY, United States

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