Nurse Practitioner - Care Partners

Care Direct Medical Group Clinical Approach

Our goal is to see every patient in the comfort of their own home. Accordingly, our NPs come out and visit our patients in-person. We’ve found that by building a personal relationship with the patient, we are able to intervene more immediately while also instilling a level of trust that encourages patients to call our team first in a crisis, instead of simply heading back to the ER when an episode does not require it.

In-between visits, the patient is supported by our NP’s, RNs and LVNs telephonically, inclusive of the patient having 24/7 access to their assigned NP. Altogether, over the average duration of care (~30 days), we average 4+ in-home visits from an NP as well as an additional 5+ follow-ups telephonically. For higher risk patients, those numbers can double (or more) to make sure we’re staying on top of the patient’s care plan and guiding them back to an appropriate baseline prior to discharge from our care.

Finally, our care model is holistic, as opposed to episodic, so the NPs take into account and treat with an eye on the most recent admission and the patient’s previous utilization over the past 6-12 months. The goal here, in addition to returning the patient to an appropriate baseline, is to provide support for the Clinical AND Psychosocial factors that contribute to readmissions and cyclical utilization.

As a final note, for all of our patients, the goal is to discharge them successfully from our care back into the care of their preferred PCP or specialist. Regrettably, what we’ve found is that most PCPs, by no fault of their own, may not know that their patient was admitted to the hospital. Not only do we provide them with an update, but we will collaborate with them to ensure we are providing care in line with the plan set forth by the PCP.

Nurse Practitioner - Home Visits, Full- Time.

• New Grads welcome to Apply!!
• Location: Orange County Area
• Compensation: $125,000 - $140,000 *Based on Experience
• Plus $5,000 Sign on Bonus
• Car Allowance: $500 month
• Work schedule: Full-time
• Incentives: Earn an additional $500 monthly when 100% productivity is achieved.
• Flexibility: Control over your own full time schedule. (Conducting home visits)

Home Visits

• Conducts face-to-face visits with patient in healthcare facilities and in patients' homes.
• Initiates telephone outreach and is available by phone during office and on-call hours
• Works independently and keeps physicians informed of patient status.
• Uses all components of the Transitional Care Model and nursing process including assessment, triage, planning, implementing, and evaluating care to meet the patients' needs.
• Collects, organizes, documents, and analyzes data, synthesizing it into understandable information
• Coordinates continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the patient's primary healthcare provider(s).
• Effectively communicates, problem-solves, and maintains productive and effective interpersonal relationships while effectively prioritizing.
• Works with outside facilities and agencies on a routine basis, maintaining positive working relationships.
• Supports patients and their families, and provides compassionate care
• Provides training, oversight, and supervision of assigned TCN-RNs, conducting new-hire orientations, performance evaluations, reviewing patient satisfaction surveys, and reporting back to Director of Nursing and Medical Director.

Education/Experience:

• At least 2 of RN experience
• Graduate of an accredited Nurse Practitioner Program - must be able to provide diploma or school certificate

Licensure, Certification, Registration or Designation:

• Current Nurse Practitioner License
• Current AHA-approved BLS
• Current driver's license, auto insurance and safe driving history

For immediate consideration please call/Text: 657-643-3945