082310 InstED-Medical Expenses
**Position Summary:**
Reporting to the CMO/Medical Director and Associate Medical Director of instED, the Virtual Medical Control (VMC) Nurse Practitioner provides medical decision making, including all elements of diagnostics, treatment, and disposition, to patients seen by instED's Mobile Integrated Healthcare service. The VMC serves as the clinician of record, prescribes short-term treatments, documents the encounter in instED's medical record, and relays any essential follow-up needs to the care team via the instED Clinical Resource Center (CRC) team.
This is a per-diem position with a minimum commitment of four (4) shifts per month, including a mix of weekend, weekday and holiday shifts.
instED currently operates 9a-10p ET, 365 days a year.
**Supervision Exercised:**
No, this position does not have direct reports.
**Essential Duties & Responsibilities:**
+ Provide patient-centered, high-quality acute care in place to individuals with complex medical needs per clinical protocols
+ Work closely with mobile integrated healthcare clinicians (paramedics and EMTs) and other instED team members
+ Participate in biannual performance reviews
+ Participate in scheduled operational or clinical meetings, based on schedule availability, to remain up to date on programmatic and company activities and implications for clinical practice
+ Collaborate with other VMCs, and with CRC team members as needed, primarily around managing visit volumes and clinical questions
+ Provide clinical and operational feedback to management team to improve care delivery
+ Collaborate with referring Care Partners and Primary Care Providers
+ Document visit within the EMR in a complete, accurate, and timely manner. Documentation should include relevant data, medical decision making, and follow-up needs
+ Attend required onboarding, training, and online compliance education courses
+ Protect patient confidentiality
+ Provide clinical care to patients via various telehealth technologies (telephonic, video, direct messaging)
+ Maintain necessary professional licenses and credentials needed for independent practice
+ Obtain licensure in additional states as instED grows
**Working Conditions:**
+ Ability to work day and evening shifts on weekdays, weekends and holidays
+ Equipment/systems used and provided: Laptop computer, instED Now Platform, Electronic Health Record, Cell phone
+ Standard remote work conditions.
**Required Education (must have):**
+ Masters of Science in Nursing or Doctor of Nursing Practice
+ Board Certified in Family Practice, Acute Care or Adult-Gerontology
+ Current BLS Certification
**Required Licensing (must have):**
+ Current Massachusetts Certified Nurse Practitioner License
+ Active board certification in Family Practice, Acute Care or Adult-Gerontology
+ Current DEA registration
**Desired Licensing (nice to have):**
+ Licensure in any of the following other states: Massachusetts, New Hampshire, Connecticut, & Maine
**MA Health Enrollment** **(required if licensed in Massachusetts):**
+ Yes, this is required if the incumbent is licensed in Massachusetts.
**Required Experience (must have):**
+ Minimum of five years experience working independently as a Nurse Practitioner in urgent care, emergency medicine, or hospital medicine
+ Experience caring for medically and socially complex patients
+ Experience working collaboratively with a variety of professionals
+ Experience providing non-face-to-face care, especially in telephone or virtual care
+ Adaptability to change in systems and workflows
+ Innovative, team-player, and expert communicator
**Required Knowledge, Skills & Abilities (must have):**
+ Ability to virtually/remotely assess medically complex patients
+ Ability to provide person-centered, medically and clinically appropriate care options to patients
+ Willingness to learn best practice in delivering home-based care
+ Comfort with remote care delivery model and technology
+ Comfort with shared decision making and patient-centered consideration of risk
+ Ability to virtually/remotely assess medically complex patients
+ Ability to work in a team-based care delivery model
+ Strong written and verbal communication skills
+ Comfort with Health IT and EHR systems
**Required Language (must have):**
+ Ability to speak/read/write English fluently
**Desired Knowledge, Skills, Abilities & Language (nice to have):**
+ Experience working with EMS professionals (paramedics/EMTs)
EEO is The Law
Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Please note employment with CCA is contingent upon acceptable professional references, a background check (including Mass CORI, employment, education, criminal check, and driving record, (if applicable)), an OIG Report and verification of a valid MA/RN license (if applicable). Commonwealth Care Alliance is an equal opportunity employer. Applicants are considered for positions without regard to veteran status, uniformed service member status, race, color, religion, sex, national origin, age, physical or mental disability, genetic information or any other category protected by applicable federal, state or local laws.