PharmD Live
Location: 100% Remote
FLEXIBLE HOURS (Set your schedule)
ONLY CALIFORNIA LICENSED
Job Summary
We are seeking a dedicated and compassionate Physician Assistant (PA-C) or Nurse Practitioner (NP) to support our Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs. In this role, you will leverage advanced clinical training to empower patients in effectively managing chronic conditions while ensuring high-quality, evidence-based care delivery. You will conduct comprehensive assessments, develop and adjust individualized care plans, and provide patient-centered education, clinical oversight, and support in collaboration with a multidisciplinary care team.
Key Responsibilities
Comprehensive Patient Assessments
- Perform detailed medical, psychological, and social assessments to identify patient needs and risks.
- Diagnose, evaluate, and manage chronic conditions in accordance with current clinical guidelines.
Individualized Care Plans
- Develop, implement, and modify personalized care plans that optimize patient outcomes.
- Collaborate with physicians, pharmacists, and care managers to ensure integrated, coordinated care.
Patient Education and Engagement
- Counsel patients on disease management, medication adherence, lifestyle modification, and preventive care.
- Use motivational interviewing and behavior-change strategies to engage patients in their health journey.
Care Coordination & Clinical Oversight
- Facilitate seamless communication among patients, caregivers, and the healthcare team.
- Review test results, monitor disease progression, and provide follow-up to prevent complications or gaps in care.
Data Monitoring and Interventions
- Monitor RPM data for early warning signs and initiate timely clinical interventions.
- Use population health insights to guide proactive outreach and risk reduction strategies.
Documentation and Compliance
- Document all patient encounters, care plans, and interventions in the EHR accurately and promptly.
- Ensure compliance with CMS and other regulatory requirements for CCM and RPM.
Program Support & Leadership
- Oversee patient enrollment into CCM and RPM programs.
- Support quality improvement initiatives, program effectiveness, and patient satisfaction tracking.
Qualifications and Requirements
Education & Certification
- Active, unrestricted California Physician Assistant (PA-C) or Nurse Practitioner (NP) license.
- National certification (NCCPA for PA-Cs; AANP or ANCC for NPs) is required.
Experience
- Minimum 2 years of clinical experience in primary care, internal medicine, geriatrics, or chronic disease management.
- Experience with CCM, RPM, or value-based care models is strongly preferred.
Technical Skills
- Proficiency in electronic health records (EHR).
- Familiarity with RPM devices, data platforms, and telehealth technologies.
Soft Skills
- Strong clinical judgment and decision-making skills.
- Excellent interpersonal and communication abilities for patient education and interdisciplinary teamwork.
- Highly organized with the ability to manage multiple priorities in a remote setting.
Work Environment
- Reliable internet connection and a HIPAA-compliant workspace for telehealth and virtual care delivery.
Originally posted on Himalayas
To apply for this job please visit himalayas.app.
Working in United States
The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic consisting of 50 states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States also asserts sovereignty over five major island territories and various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's th
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