Nurse Practitioner - Primary & Palliative Care Specialist

HarmonyCares, a leading physician-led provider of innovative home-based primary and palliative care, is looking for a dedicated Advanced Practice Provider to join our team. In this impactful role, you will have the opportunity to serve medically complex, home-limited patients by conducting in-home and telehealth visits. Your responsibilities will include performing thorough assessments, managing chronic conditions, and supporting essential palliative care needs. You'll work collaboratively with an interdisciplinary team to coordinate personalized care plans, minimize avoidable hospitalizations, and enhance patient outcomes. Join us in making a meaningful difference in the lives of our patients while enjoying professional growth in a compassionate, supportive environment.

Key Responsibilities:
• Deliver compassionate home-based and telehealth primary and palliative care to patients with complex medical needs.
• Perform comprehensive assessments, diagnose conditions, and manage ongoing care for both acute and chronic illnesses.
• Collaborate with physicians and an interdisciplinary team to develop, implement, and adjust individualized care plans that address patient needs.
• Facilitate care transitions to reduce unnecessary emergency visits and hospitalizations, ensuring continuity of care.
• Educate patients and families about conditions, medications, and effective self-management strategies for better health outcomes.
• Accurately document all patient encounters, assessments, and care plans in our Electronic Health Record (EHR) system.
• Engage in interdisciplinary case conferences and participate in quality improvement initiatives to enhance care delivery.
• Uphold compliance with clinical, regulatory, and organizational standards to ensure high-quality care.
• Support end-of-life and palliative care goals, aligning with the preferences of patients and their families.

Essential Skills:
• Expertise in primary care clinical assessment and diagnosis.
• Experience in managing chronic diseases and providing palliative care.
• Strong skills in care planning and coordination among multidisciplinary teams.
• Proficient in utilizing telehealth technologies and remote patient monitoring.
• Knowledge of medication management and prescribing protocols.
• Skilled in Electronic Health Record (EHR) documentation.
• Adept at conducting home-based safety and functional assessments.
• Ability to educate patients and families effectively.
• Strong collaboration skills within interdisciplinary teams.