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    • Value Based Care Practitioner - Baltimore - Chase Brexton Health Care

    Chase Brexton Health Care
    Chase Brexton Health Care Baltimore

    1 month ago

    Default job background
    Description
    Job Summary
    Motivated and self-sufficient healthcare professional sought to collaborate with the Medical Director of Population Health at Chase Brexton Health Care to address targeted care needs of patients. A successful candidate will be highly committed to the organization's mission and values, a team player, and possess the clinical skillset required to address various value-based care priorities as defined within value-based care (VBC) contracts.
    The role includes a schedule of billable visits and may involve addressing cross-team administrative issues such as covering planned provider outages.
    The successful candidate will be flexible and adaptable to different primary care provider styles, ensuring alignment with VBC principles and targeted care measures.
    This position does not have a panel and will be subject to unique productivity assessments.
    Evaluation of the role's success will be determined by the supervisor, with evolution of the role in response to organizational VBC contracts and broader organizational priorities.

    Major Duties and Responsibilities
    Analytical and Critical Thinking
    Work closely with primary care teams to coordinate patient care needs and progress on established care plans.
    Review existing plans of care and follow through on those, updating as needed to align with the latest clinical guidelines, in partnership with patient and family preferences and needs.
    Contribute to patient risk stratification policies and systems.

    Patient Focus
    Assist patients to prioritize high-value care needs, i.e., USPSTF Grade A & B recommendations and others recommended for improving chronic disease outcomes.
    Use healthcare data from electronic medical records, CRISP, and local healthcare portal systems to optimize healthcare resource use and convene relevant specialty care recommendations with that of the primary medical home.
    Assist in identifying individuals and populations and connect them to relevant resources to improve adherence, reduce utilization, and ensure optimal outcomes.

    Checking, Examining, and Recording
    Maintain complete and comprehensive clinical plans.
    Complete clinical documentation in a timely manner.
    Follow through on positive screening results.
    Address administrative coverage tasks within policy-defined timeframes.

    Skills and Abilities
    Licensed nurse practitioner or physician assistant.
    Ability to work within multi-disciplinary clinical teams.
    Familiarity with Microsoft Office Suite (SharePoint, Outlook, Word, Excel).

    Education and/or Experience
    Required: Master's degree from an accredited program in relevant clinical practice (NP/PA).
    Preferred: Doctoral degree in nursing practice, primary care practice experience, telehealth experience, previous FQHC experience, MPH or other public health-related degree and experience.
    At least 2 years of experience.
    Appropriate Maryland licensure and clinical certification, DEA and Maryland CDS, X license interest in and/or experience in community health settings.
    Ability to work harmoniously with diverse groups of individuals.
    Excellent communication and team skills required.

    Working Conditions
    Hybrid position.
    Must reside in Maryland.
    Schedule will be developed in partnership with clinic leadership and evolving organizational needs.
    This role offers a high degree of critical thinking and autonomy and is best filled by a
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Value based care practitioner