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The Nurse Practitioner will provide clinical care and management for medically complex patients through virtual telehealth platforms. They will collaborate with an interdisciplinary team to develop individualized care plans and ensure quality outcomes through proactive interventions.
Role: Nurse Practitioner - Telemedicine (Spanish) 100% WFH Opportunity
Required
This role offers an experienced Nurse Practitioner the chance to provide meaningful care to medically complex patients primarily through virtual care.
You will join a collaborative interdisciplinary team focused on prevention, early intervention, and better patient outcomes. This position emphasizes autonomy, care coordination, and innovative approaches to home-centered healthcare in New Mexico.
Key Responsibilities:
● Provide clinical care and ongoing management through telehealth and remote care technologies.
● Manage medically complex Medicaid and Dual Eligible patient populations.
● Collaborate with physicians and interdisciplinary care team to develop and execute individualized care plans.
● Work closely with patients, families, caregivers, primary care providers, specialists, and health plan partners.
● Identify changes in patient health and intervene early to prevent unnecessary emergency visits and hospitalizations.
● Support patients through hospital admissions, discharges, and transitions back home.
● Participate in advance care planning and goals-of-care discussions with patients and families.
● Participate in a shared clinical triage and support model.
● Support quality initiatives including accurate documentation related to HCC coding, risk adjustment, STAR and HEDIS measures, and closure of quality gaps.
● Contribute to clinical best practices and help shape a growing and innovative care model
Languages:
● Spanish (preferred)
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