House Calls Nurse Practitioners conduct in-home health assessments on enrolled Medicare Advantage members. A House Calls Nurse Practitioner will complete visits on members within a geographic area of responsibility. The nature of the House Calls visit can vary and could include performing an annual health assessment, a post discharge visit, or visiting more complex members more than once per year.
- Conduct in-home assessments on health plan members. Average visit is 45-60 minutes in length.
- House Calls Assessment includes:
- Past medical history
- Review of systems
- Physical examination
- Medication review
- Depression screening
- Responsible for checking vitals, conducting a physical exam that includes monofilament test, urine dipstick, and foot exam (as appropriate).
- Identify diagnoses to be used in care management and active medical management in the furtherance of treatment.
- Formulate a list of current and past medical conditions using clinical knowledge and judgment and the findings of your assessment.
- Communicate findings in your assessment that will be used to inform members PCP of potential gaps in care.
- Identify needs and opportunities to generate clinical referrals to Care Improvement Plus and / or the primary care physician.
- Educate members on topics such as disease process, medication, and compliance.
- Compliance with all HIPAA regulations and maintain security of protected health information (PHI).
Required Education and Experience:
NP (license and national certification, or the ability to obtain national certification and/or NP license in state of assignment)
Minimum of 1 year clinical experience in their highest level of education, clinical setting preferred.
Family, Geriatrics, or Adult certification required (Acute Care certification in states where permitted outside a hospital setting)
Experience in gerontology, cardiology, internal medicine, or endocrinology a plus.
Home care or home visit experience a plus.
Required Knowledge, Skills, and Abilities:
Ability to obtain reliable transportation in order to complete home visit assessments
Excellent administrative, organizational and verbal skills are required.
Professional image and behavior are required.
Strong communication skills with the geriatric or Medicare population.
Ability to navigate on the internet and work with personal computer.
Ability to work independently.
Dependable and reliable.
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