SCAN is seeking an Advanced Practice Clinician (Nurse Practitioner or Physician Assistant) to provide and coordinate primary care to SCAN members in the Portland, Oregon area. This is a field-based position where you will deliver care to an assigned panel of patients primarily in senior living communities and skilled nursing facilities, with a focus on keeping older adults healthy and independent.
Clinical Setting
You will work in community-based settings, primarily senior living communities and skilled nursing facilities, providing in-home care to SCAN members. This is a patient-facing role with significant travel requirements throughout the Portland area.
Responsibilities
- Provide primary care to an assigned panel of members in their place of residence, including physical and wellness exams, assessments, urgent medical visits, and telephonic triage
- Administer vaccines and order and interpret diagnostic tests
- Initiate goals of care conversations with patients and their families
- Manage chronic diseases such as dementia, diabetes, heart failure, and COPD
- Identify patient healthcare needs and develop comprehensive care plans in collaboration with families and living community staff
- Independently manage your visitation schedule in line with established protocols, adjusting based on member needs and acuity
- Collaborate with case management teams to ensure timely access to necessary services
- Work collaboratively with Primary Care Physicians for clinical oversight and guidance
- Connect with specialists, hospitals, ancillary care providers, and community-based organizations to ensure continuity of care
- Monitor and address clinical quality gaps in partnership with other care providers
- Document member visits and interactions in a timely manner according to established protocols
- Serve as an ongoing direct resource for members, families, and community support staff
- Participate in virtual health visits to promote accurate triaging and reduce drive time
- Participate in the on-call program available to members after hours and on weekends
- Participate with the Integrated Care Sales team in community events to build member awareness
- Maintain professional knowledge through educational workshops and professional publications
- Contribute to quality healthcare goals by closing care gaps, attending high-risk group discussions, and optimizing clinical workflows
Required Qualifications
- Master's degree in Nurse Practitioner or Master's degree from an accredited PA program (education in Adult/Geriatric medical care preferred)
- Oregon Nurse Practitioner license OR Oregon Physician Assistant Certification (PA-C) in good standing
- Knowledge of complex chronic disease treatment, including dementia, diabetes, heart failure, and COPD
- Ability to identify healthcare needs and refer and coordinate with other resources and programs
- Knowledge of HCC and ICD-10 coding and documentation
- Knowledge of wound care and management
- Knowledge of CMS guidelines and Medicare Advantage Managed Care
- Comfort with initiating goals of care and end-of-life discussions
- Strong interpersonal skills and change agent mindset to build relationships with healthcare teams and patients
- Knowledge of and ability to maintain HIPAA requirements
- Adaptability and openness to change and problem-solving
- Basic technological skills (Word, Excel, PowerPoint, Outlook, EMR) and openness to new technology
- Valid driver's license, automobile insurance, and reliable transportation
- Ability to stoop, kneel, and crouch; ability to bend, reach, lift, pull, push, and carry up to 10 pounds regularly and up to 50 pounds occasionally
Preferred Qualifications
- Wound Care Certificate
- Palliative Care Certificate
- Multilingual and multicultural background
Travel Requirements
- Travel 75% or more of the time in the assigned Portland area
- Must have a valid driver's license, automobile insurance, and reliable personal transportation
Schedule
- Participation in on-call program available to members after hours and on weekends
- Remote/field work mode
Compensation and Benefits
- Base salary range: $125,400 to $179,300 annually
- Sign-on bonus eligible
- Quarterly bonus program
- Robust wellness program
- Generous paid time off (PTO)
- Eleven paid holidays per year, plus one additional floating holiday
- Excellent 401(k) retirement savings plan with employer match and contribution
- Robust employee recognition program
- Tuition reimbursement
- Employees may be eligible for differential pay
Additional Requirements
- Tuberculosis screening required upon hire or proof of negative screening within the last year
- Background check required
- If you have a disability, medical reason, or sincerely held religious belief that prevents you from providing information required by the tuberculosis screening policy, SCAN will engage in an interactive process to evaluate reasonable accommodations