Care Management Advanced Practice Provider: PA, NP

Mission for Position

The Care Management Advanced Practice Provider will collaborate with interdisciplinary teams to design, implement and optimize care pathways that prioritize quality, efficiency and patient satisfaction. A compassionate and driven provider with a strong commitment to improving healthcare delivery and patient experiences, the Care Management APP plays a critical role in our efforts to improve patient outcomes while reducing costs through value-based care initiatives.

Position Summary

Strategic Priorities

• Advocate for and lead change in value-based, care coordination initiatives across the system.

• Coordinate the care of a variety of patients with a focus on preventative care and disease management within a value-based framework.

• Collaborate with interdisciplinary teams, including care managers, nurses, pharmacists, and social workers, to develop and implement evidence-based care pathways that align with value-based care principles.

• Utilize health information technology and electronic health records to track patient outcomes, identify care gaps, and monitor adherence to clinical guidelines.

• Participate in system efforts to manage high risk/high cost patients through collaboration with team members.

• Participate in quality improvement initiatives, performance measurement activities, and population health management efforts to optimize care delivery and achieve value-based care goals.

• Stay abreast of emerging trends, best practices, and innovations in value-based care and contribute to the continuous improvement of care delivery models.

Day-to-Day Priorities

• Provide comprehensive medical care to patients within a value-based care framework, focusing on preventative care, chronic disease management and transitional care.

• Conducts assessments, which includes comprehensive annual wellness exams on non-paneled patients.

• Engage with patients to promote shared decision-making, educate them about their conditions and treatment options, and empower them to actively participate in their care plans.

• Additional day-to-day patient care duties include:

• Hospital discharge follow-ups (average 3 patients per day)

• Emergency department follow-up appointments as needed.

• Facilitate closing gaps in care by educating patients about preventive monitoring and working with provider practices to schedule diagnostic testing.

• Prescribe medications, order tests, and collaborate with patient's primary care providers to enhance care management and quality of life.

• Support top of scope clinical guidance for entire Care Management team, including HCH, chronic care management, palliative care, and transitional care management teams.

• Participate in the integrated care team meetings including Hospital Quad.

• Maintain compliance with regulatory requirements, payer contracts, and quality reporting standards related to value-based care programs.

• Support quality improvement and cost reduction strategies (e.g., hospital readmissions, unnecessary emergency room visits, duplicative services, unnecessary care) for attributed populations.

Position Type

Full-time, Monday-Friday, Flexible scheduling

Qualifications

Qualifications

• Board certified and hold a valid state registration or license.

• 3 years of clinical experience in primary care or a related specialty

• Strong understanding of value-based care principles, including risk stratification, care coordination and population health management.

• Current and unrestricted DEA certificate

• Must maintain certification of BLS and have current course credentials.

• Is proficient in health information technology and electronic health records.

Ideal Candidate

• Has excellent communication and interpersonal skills, with the ability to build rapport with patients and collaborate effectively with interdisciplinary teams.

• Maintains commitment to continuous learning, quality improvement and patient-centered care.

• Has experience with value-based care contracts, payer relationships and quality reporting preferred.

• Can work without direct supervision and practice autonomously

Benefits

Lakewood Health System is growing and looking for great people to join our mission of providing personalized, quality healthcare for a lifetime. At Lakewood, our people are our most valued asset!

• Generous Flex Time Off & Wellness Time Off

• 401K Match

• Annual tuition assistance of $2,000 per year

• Best-in-region employer HSA contributions

• New in 2024 - employer paid premiums for individual-only healthcare coverage!

With ample opportunities for growth within the system and support as you pursue your personal goals, it's safe to say that Lakewood Health System is a great place to launch or continue your career in healthcare!

Next Steps

Interested, but will the schedule work for you?

Have questions on organizational culture, team fit or day-to-day experience?

Contact Becky Misegades to discuss the possibilities further:

Becky Misegades, Care Management Director

P: 218-894-8858

E: beckymisegades@lakewoodhealthsystem.com

Apply Online | Careers - Lakewood Health System

About Lakewood

Lakewood Health System is a comprehensive rural healthcare system in central Minnesota. Leading the way in providing quality, personalized healthcare for a lifetime, Lakewood prides itself on remaining fiercely independent to prioritize its patients, staff, and communities in all decisions. Voted as one of Star Tribune's Top Workplaces for the third year in a row, we do rural healthcare differently at LHS by providing a solid foundation of family practice providers with access to best-in-class specialty services, all right here at Lakewood. Across the spectrum of life, Lakewood Health System provides compassionate, quality care for the Brainerd Lakes region and beyond.

Lakewood Health System provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.