Job Title: Telehealth Nurse Practitioner Job Location: Remote, *we only hire in certain states* MUST have OR NP License! Company Description: reputed company is a fast-growing organization delivering care to older adults in access starved communities. Our innovative model is led by Nurse Practitioners and focused on outcomes, not volume—meaning we prioritize quality over quantity, spend more time with our patients, and are accountable for their health and well-being. Whether through our own senior-focused primary care clinics or our suite of integrated clinical solutions for health plans and provider groups, we are making value-based care more accessible and more effective. We help reduce avoidable healthcare costs, improve clinical outcomes, and create a best-in-class patient experience. If you're passionate about transforming healthcare and delivering meaningful care to those who need it most, reputed company offers a purpose-driven, collaborative, and supportive environment where your work can make a lasting impact. The Role: Ideal candidates are those who thrive working with a collaborative and compassionate community of caregivers. For this position, Nurse Practitioners will manage high-risk patients in a telemedicine capacity for patients in the Southern OR community with the goal of preventing unnecessary acute care admission, providing holistic patient care, optimizing the management of the patients’ medical conditions, and providing support for clinical and psychosocial factors that contribute to the cyclical utilization of healthcare. What will you do as Nurse Practitioner at GGH? Assess patients' healthcare needs and provide clinical care and consultation via telemedicine Perform an annual wellness exam for senior Medicare patients via telemedicine. Obtain and record the patient's medical history and symptoms, including medicine reconciliation Perform HCC coding, verification, and risk adjustment Coordinate continuity of care, prevention and avoidance of complications, and close clinical treatment and management under the direction of the patient’s primary healthcare provider(s) and collaboration with other referral sources Perform various tests and screenings via telemedicine Counsel patients with education around their discharge plan Execute the discharge plan and use your critical thinking skills to build an effective care plan during a critical transition period after a hospital discharge Supports patients and their families, and provides compassionate care Contribute to an interdisciplinary team (reputed company) model and attend regular reputed company meetings to collaborate with other healthcare professionals (social workers, case managers, and other clinicians) to ensure the holistic approach to the care plan is carried out Collaborate with care team to ensure completion of holistic patient care Complete charts within 72 hours of patients’ visits; you will have access to EMR and/or portals to review charts and document notes Cover for other Nurse Practitioners and Care Team Members when necessary Maintains patients’ confidence by completing and safeguarding medical records, keeping patients’ information confidential, and abiding by all HIPAA rules and regulations This position is a full-time Nurse Practitioner opportunity (5 days a week, 8am-5pm PST schedule). This role will be all telemedicine. What will make you successful at GGH? Demonstrate the ability to execute thoroughly in a fast-paced work environment and continually build upon best-practices for efficiency Ability to build rapport with the aging and elderly population through effective redirection skills Detail-oriented and thrives in routine work Open to feedback from the clinical and leadership team to strive for constant improvement with coding and processes Comfort with technology systems, commitment to timely EMR documentation, and have a deep understanding of Medicare HCC coding and managed care Flexible with work schedule The ideal candidate is passionate about providing high-quality care and constantly striving for excellence. You get out of bed every day to do this work because continual improvement and learning makes you happy. You have experience providing care to the underserved population and are passionate about providing more access to comprehensive care. You emphasize personal connection to provide effective patient education and use a comprehensive approach to care. Most importantly, you share and embody the GGH values to every interaction ensuring that every patient is provided the opportunity to receive quality care. Experience and qualifications Current Oregon Nurse Practitioner license 2 + years of clinical experience as a NP in either Primary Care, Family Medicine, Internal Medicine, Gerontology or Palliative Care. Acute care experience with high-risk patients is a plus Home h