Director, Advanced Practice Clinicians (APC)

Job Number: 1912

Workplace Type:

Position Title: Director, Advanced Practice Clinicians (APC)

External Description:

The Alignment Care Anywhere (CAW) program is a physician-led and advanced practice clinician-driven program that is intended to care for and support Alignment Healthcare patients by proactively providing an additional level of medical and social support in the comfort of their home or in one of our Alignment Clinics. This program provides patients with medical and social support when and where they need it, with the goal of preventing unnecessary hospitalizations, health complications, and unmanaged disease progression that can occur when timely clinical interventions are not provided or are not accessible. The CAW program encompasses both our High-Risk and Jump Start Assessment (JSA) home-based programs. Our clinic and home-based programs are offered to eligible patients at no cost to them.
Position Summary: In collaboration with the Care Anywhere (CAW) Clinical Leadership Team, provides clinical and operational oversight to Advanced Practice Clinicians and is responsible for superior clinical outcomes for the Care Anywhere Program. Trains Advanced Practice Clinicians in the state of CA. Provides clinical care services to high-risk patients in a clinic or home-based setting.

General Duties/Responsibilities:
(May include but are not limited to)

• Primary responsibility is retention of existing Advanced Practice Clinicians; maintain and support team culture and ensure that Advanced Practice Clinician team feels well supported from a clinical, training, and administrative perspective.
• Provides clinical leadership and direction to Advanced Practice Clinicians in the state of CA.
• With direction from CAW Clinical Leadership Team, manages staff based on policies and procedures that conform to current standards of practice, company philosophy, and operational policies while maintaining compliance with state and federal laws and regulations.
• Works closely with Alignment HealthCare (AHC) clinical leaders, regularly discussing any concerns regarding utilization of services or complicated cases.
• Acts as a resource and provides expert clinical opinions to all areas within the local market.
• Ensure patient-centered care and patient satisfaction. Train and guide Advanced Practice Clinicians to provide high quality patient care and resolve patient grievances and complaints effectively when/if the need arises.
• In collaboration with Clinical Training Manager, responsible for new hire onboarding and training of new Advanced Practice Clinicians.
• Works closely with the Director of Clinical Operations to support the JSA home and clinic-based programs; will collaborate and support any related organizational projects and goal-setting.
• Works closely with Vivify Program Manager/Leadership to appropriately identify patients that meet eligibility for Vivify, AHC’s remote wireless monitoring program. Oversees and ensures that CAW providers are actively working on identifying patients for program participation.
• Reviews and audits charts on a weekly basis and identifies opportunities to improve clinical documentation quality, HCC accurate code capture, and closing HEDIS open gap measures.
• Works closely with Advanced Practice Clinicians to ensure that they know how to appropriately use the Patient 360 form to help guide clinical focus and improve clinical documentation.
• Administrative and training time commitment for completing chart reviews and shadowing/ride along activities with Advanced Practice Clinicians will be approximately 2 days per week or 40%; 3 days per week or 60% will be dedicated to directly managing a patient panel.
• Provide oversight and support during weekly Interdisciplinary Team (IDT) Meeting and ensure that case reviews are efficient as well as impactful, resulting in appropriate plans of care that will reduce risk of ER visits and/or unnecessary hospitalizations/readmissions to SNF and inpatient setting.
• Collaborates with PCPs, IPAs, and external and AHC Case Managers to develop care plan for members.
• Performs diagnostic and/or therapeutic procedures within his/her level of training and expertise, and as outlined on the practice agreement and written protocol with the supervising Physician.
• Orders, interprets and evaluates diagnostic tests to identify and assess patients’ clinical problems and health care needs.
• Discusses case with CAW Physician leaders when appropriate.
• Prescribes medication or other forms of treatment as indicated.
• Use of Electronic Medical Records required.
• Local travel is required; travel to AHC’s corporate office in Orange, CA is required for perioding management/program training.

Supervisory Responsibilities:
Oversees assigned staff in collaboration with CAW Clinical Leadership Team. Primary responsibilities include: Assists with recruiting, selecting, orientation process, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching employees. Responsible for retention of current clinical team and working proactively with CAW leadership to help support and mentor Advanced Practice Clinicians. Will report all findings to the CAW Clinical Leadership Team or appropriate company executive for final decision.

Minimum Requirements:
1. Minimum Experience:
a. 5+ years related experience with clinical emphasis for Nurse Practitioner or Physician Assistant; or any combination of education and experience, which would provide an equivalent background.
b. Minimum of 3-years’ experience leading clinical staff, preferably within a high-risk clinic and/or home-based care delivery environment.
c. Current unrestricted state license and current state driver’s license
d. Nurse Practitioner and/or Physician Assistance Board Certification
e. Knowledge of CPT, ICD-9 and HCPC codes
f. Knowledge of clinical standards of care and proficient in clinical diagnosis and treatment skills
g. Awareness of UM standards, NCQA requirements, CMS guidelines, Milliman guidelines, and Medicaid/Medicare contracts and benefit systems, is helpful
h. Passion for geriatric patient care
i. Comfortable with providing home-based care/home visits

2. Education/Licensure:
a. Master’s Degree or higher in Nursing OR Graduate of an accredited Physician's Assistant program required; doctorate degree highly preferred.
b. Current unrestricted RN license and NP license in applicable state OR PA license in applicable state and current NCCPA certification required.
c. Prescribing authority/DEA licensure in good standing as required in the state in which you are applying preferred.

3. Other:
a. Position will be based out of Orange, CA/Alignment Corporate office
b. EMR experience is strongly preferred.
c. Must be able to work a flexible schedule and travel as needed.
d. Preferred Qualifications:
e. Experience in gerontology, adult care
f. Home care or home visit experience
g. Excellent administrative, organizational and verbal skills
h. Effective communication skills with seniors and peers
i. Ability to work independently
j. Detail-oriented
k. Dependable and reliable

Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

 

City: Orange

State: California

Location City: Orange

Location State: California

Community / Marketing Title: Director, Advanced Practice Clinicians (APC)

Company Profile:

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

EEO Employer Verbiage:

 

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].