Experienced APP for Population Health Senior Health Services (Hybrid Schedule) - Sentara Health

Sentara's Senior Health Services team is searching for a Nurse Practitioner or Physician Assistant with post-graduate experience in Internal, Family, or Geriatric Medicine to join our Home-Based Primary Care team, providing care to patients within a 30-mile radius of Sentara Careplex Hospital - Hampton, VA. The NP/PA will collaborate and partner with chronically ill or high-risk geriatric patients and their family/caregiver(s), clinic/hospital/skilled nursing facility providers and staff, and community resources in a team approach for post-discharge patients.

Position Highlights:

• Schedule: 7:30AM - 5:00PM; 4 days a week onsite, 1 day remote (4 hour admin block with remainder of day off)
• In collaboration with PCPs the APP will independently manage a panel of their own patients, conduct home visits for high-risk patients for AWV completion, provide Transitional Care Management, medication reconciliation, and acute or chronic disease management, while identifying any barriers to health within the home environment.
• Provide timely access to appropriate care for post-discharge patients.
• Serve as an integral part of the post-acute care strategy to effectively reduce hospital admissions/readmissions and potentially preventable Emergency Department visits.
• Develop and promote adherence to a care plan, developed in coordination with the patient, primary care provider, and family/caregiver(s)
• Increase continuity of care by managing relationships with hospitalists, specialists, and those managing transitions of care
• Collaborate with payer partners to engage high risk Medicare patients via virtual or home visits.

Benefit Highlights:

• Comprehensive Benefits and Retirement Packages
• Generous Time Off Policy
• $3,000 CME Allowance plus 5 CME Days
• $5,000 QPI Annual Bonus
• $10,000 Student Loan Forgiveness Program
• Fully Integrated EHR (EPIC)

Sentara Health is an award-winning, nationally recognized, innovative, nonprofit healthcare system. Our physician-led organization is a top-tier, high-performing multi-specialty group that brings together over 2,000 providers to deliver quality and compassionate care to our communities. To learn more about Sentara and the communities we serve, please visit Sentara Healthcare and America's First Region. For consideration, apply online at Sentaracareers.com, enter keyword search JR-58342, and include a copy of your CV.