Nurse Practitioner Implementation and Training Team

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Job Information

Centerwell

Nurse Practitioner, Implementation and Training Team

in

Lancaster

South Carolina

Description

Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life goals. It's about living life fully. At the Primary Care Organization, a division of Humana, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives. We encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. We're seeking innovative people who want to make positive changes in their lives, the lives of our members, and the healthcare industry.

Responsibilities

In this role, you will work closely with the clinical education and market implementation teams under the Humana Primary Care Organization. Collaboratively with market leadership, you will train primary care providers in quality-based, senior-focused medicine for existing and new centers in the PCO. As a provider trainer, you will be the ambassador for value-based, senior care model in the primary care network.

The main responsibilities of the role are:

Develop, plan, organize, and supervise training for primary care providers including principles of population health, value-based care, senior care. May also need to incorporate EMR, compliance, primary care policy and procedure, coding and documentation, quality, utilization, customer service standards, team communication as needed. Training could occur in-person in markets and virtually through live and recorded sessions.

Monitor medical performance and provide guidance to ensure that the quality of care being provided meets appropriate standards and to ensure cost-effective utilization practices.

Work collaboratively with implementation teams, compliance, market teams and PCO leadership to identify training needs for providers.

Represent the organization in recruiting and marketing events.

Maintain active clinical practice in the local market for a portion of the time.

Required Qualifications

Graduate of accredited NP program with certification in Family Medicine, Internal Medicine or Geriatric Medicine with continued certification throughout employment

Maintain license in state of practice and if needed, sites of training

Experience supporting and facilitating training initiatives for providers

Experience in the areas of Population Health Management, Practice Management, (VBC) Value Based Care and/or healthcare operations setting, preferably in Medicare Advantage programs

Strong knowledge of MA coding and documentation policies and procedures in a value-based care model

Basic computer skills: Microsoft Office applications, Word and Excel, email, apps, and navigating the EMR. eCW experience is preferred.

Ability to travel up to 50%, largely within local and regional markets

Preferred Qualifications

Leveraging Technology: You are technological savvy and know how to appropriately share and use your knowledge to improve business results

Problem Solving: You are a problem solver with the ability to encourage others in collaborative problem solving

Accountable: You meet clearly stated expectations and take responsibility for achieving results

Clinical Knowledge: You understand clinical program design, implementation, management/monitoring to support choice in consumer medical care. Understands the medical utilization implications of such programs

Communication: You actively listen to others to understand their perspective and ensure continuous understanding regardless of communication channel or audience

Reporting Relationships

This area is under the leadership of Humana's Primary Care Organization Chief Medical Officer.

Additional Information

Vaccine Policy

Humana and its subsidiaries require vaccinated associates who work outside of their home to submit proof of vaccination, including COVID-19 boosters. Associates who remain unvaccinated must either undergo weekly negative COVID testing OR wear a mask at all times while in a Humana facility or while working in the field.

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Scheduled Weekly Hours

40

Company info

Humana Inc.
Website : http://www.humana.com