Nurse Practitioner

Role Overview

• We are seeking an experienced and compassionate Nurse Practitioner (NP/PA) to join a collaborative, interdisciplinary care team providing comprehensive care to patients with Chronic Kidney Disease (CKD) and other complex chronic conditions.
• This is an excellent opportunity for a clinician who enjoys relationship-centered, value-based care and wants to make a meaningful impact on patients' long-term health outcomes.
• You will manage a focused panel of patients while working closely with physicians, social workers, care navigators, specialists, and community resources.
• Care is delivered through a flexible combination of in-home visits, telehealth, and telephone support, allowing clinicians to better understand and address each patient's unique medical, behavioral, and social needs.
• The role offers an opportunity to work independently while being supported by a highly collaborative interdisciplinary team.

Key Responsibilities

• Manage a focused panel of patients with CKD and complex chronic conditions.
• Conduct comprehensive health assessments, histories, physical exams, and ongoing clinical evaluations.
• Diagnose, treat, and manage acute and chronic conditions within scope of practice.
• Order, interpret, and review laboratory and diagnostic testing.
• Prescribe and manage medications in accordance with state regulations.
• Develop individualized care plans addressing patients' medical, behavioral, and social needs.
• Educate patients and caregivers on disease prevention, medication adherence, lifestyle changes, and treatment plans.
• Coordinate care with primary care providers, specialists, hospitals, skilled nursing facilities, home health, hospice, and community organizations.
• Participate in interdisciplinary care team huddles and collaborate with other healthcare professionals.
• Monitor patient progress and adjust treatment plans to improve outcomes and reduce avoidable hospitalizations.
• Provide care through in-home visits, telehealth, and telephone encounters.
• Maintain accurate and timely clinical documentation.
• Support quality improvement initiatives and evidence-based clinical practices.
• Maintain patient confidentiality and comply with all regulatory and organizational requirements.
• Provide limited after-hours telephone support as needed.

Work Model & Schedule

• Monday-Friday, 8:00 AM-5:00 PM
• Flexible scheduling based on patient needs.
• No routine weekends or overnight shifts.
• Limited after-hours calls.
• Approximately 5-6 patient visits per day.
• Combination of in-home visits, telehealth, and care coordination.
• Daily collaboration with an interdisciplinary care team.

Qualifications

• Active Nurse Practitioner or Physician Assistant license in Arizona or Florida.
• Board Certified NP/PA.
• Ability to meet clinician credentialing and background check requirements.
• Valid driver's license and reliable transportation.
• Ability to travel to patients' homes.
• Strong clinical assessment, communication, and critical-thinking skills.
• Comfortable working independently while collaborating with a multidisciplinary team.
• Comfortable providing care both in person and through telehealth.
• Passion for relationship-centered and value-based care for patients with chronic illnesses.

Preferred Experience

• Experience in Primary Care, Internal Medicine, Geriatrics, Home-Based Care, Urgent Care, or Value-Based Care.
• Experience caring for patients with multiple chronic conditions.
• Experience managing patients with complex medical needs.

Benefits

• Comprehensive medical, dental, and vision insurance.
• 401(k) with company matching.
• Fully covered malpractice insurance.
• 4 weeks of PTO + 12 paid holidays.
• Paid maternity and paternity leave.
• Adoption assistance.
• Mileage reimbursement.
• CME and licensure reimbursement.
• Wellness and professional development resources.

Practice Highlights

• Relationship-centered, value-based care model.
• Small, focused patient panels allowing more meaningful patient relationships.
• Combination of home-based care, telehealth, and care coordination.
• Strong interdisciplinary team including physicians, social workers, care navigators, and specialists.
• Opportunity to make a direct impact on CKD and complex chronic disease outcomes.
• Focus on preventive care, chronic disease management, and reducing avoidable hospitalizations.
• Collaborative environment with strong clinical and professional support.