Clinical Care Specialist

About Upperline Health

We are the nation's largest provider dedicated to lower extremity, wound and vascular care. Our mission is to change specialty care by delivering a more efficient path for patients to receive consistent and effective treatment for chronic illnesses.

Our providers coordinate patient care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. We put patients at the center of value-based care.

Why This Role?

This Nurse Practitioner role will provide clinic-based care for patients in the greater San Diego area. The ideal candidate will have experience in Primary Care/Internal Medicine, Geriatric Care, Wound Care, Diabetic Care, Palliative or Hospice Care, and/or previously worked in a value-based care environment. They must demonstrate compassion for patient needs, have great attention to detail, and thrive in a collaborative environment with rapid growth.

Responsibilities:

• Develop and implement clinical plans of care for adult patients facing chronic conditions (e.g., diabetes, COPD, CHF, debility, dementia).
• Gather patient history, physical exam, and diagnostics in the clinic setting.
• Develop and implement treatment plans given patient's goals of care and current conditions.
• Collaborate with the interdisciplinary team to meet the patient and family's physical as well as psychosocial needs.
• Provide compassionate care for our complex patients and their families.
• Educate patients and families about medication usage, side effects, illness progression, diet & nutrition, medical adherence and crisis anticipation & prevention.
• Communicate with other Upperline clinical team members as well as patient's community providers, to coordinate optimal care and resources for the patient and their family.
• Communicate with Upperline's local physician to review patient records and care plans on a timely basis consistent with state regulations and company standards and policy.
• Maintain patient medical records and medical documentation consistent with state regulations and company standards and policy.
• Complete accurate and timely documentation according to risk adjustment standards per education provided.
• Provide telephonic support for escalated calls from triage nurse.
• Participate in continuing education as required by the state Board of Nursing.
• Prescribe medication as permitted by the state Board of Nursing.

Requirements:

• Master's degree in Nursing required.
• Board Certification as an Adult, Adult-Gerontological or Family Nurse Practitioner required.
• Current California State Registered Nurse & Nurse Practitioner license required.
• Minimum of two (2) years of Nurse Practitioner experience in Primary Care/Internal Medicine and/or Podiatry.
• Experience working in an EMR; AthenaHealth EMR is highly preferred.