Job Description
We are hiring In-Home Advanced Practice Providers in these locations: Little Rock Conway Russellville Hot Springs Jonesboro Camden El Dorado
JOB SUMMARY
The Nurse Practitioner (NP) serves as an in-home primary care provider delivering comprehensive, patient-centered care to adult and geriatric patients in their place of residence. This role is designed to support patients attributed to value-based care arrangements through proactive longitudinal care, chronic disease management, care coordination, and interventions aimed at improving quality outcomes while reducing avoidable utilization. Essential Duties and Responsibilities Provide in-home primary care services, including comprehensive history and physical assessment, diagnosis, treatment planning, and follow-up care for medically complex patients. Manage acute and chronic conditions such as diabetes, hypertension, COPD, heart failure, frailty, and other complex comorbidities with a focus on stabilization and prevention. Perform medication reconciliation, prescribe therapies within scope of practice, order and interpret diagnostic tests, and adjust treatment plans based on patient status and goals of care. Identify and address gaps in care, including preventive screenings, immunizations, chronic disease monitoring, and post-discharge follow-up. Coordinate care across physicians, specialists, hospitals, home health agencies, pharmacists, social workers, and family caregivers to improve continuity and reduce fragmentation. Assess functional status, home safety, caregiver capacity, and social determinants of health that may affect adherence, access, and outcomes. Document visits accurately and timely in the electronic health record to support clinical communication, quality reporting, risk adjustment, and value-based reimbursement requirements. Participate in interdisciplinary case reviews, transition-of-care management, and patient outreach activities for high-risk populations. Value-Based Care Responsibilities Deliver care that supports quality performance, patient experience, and total cost of care objectives under accountable and risk-based payment models. Use risk stratification, utilization trends, and care gap data to prioritize patients needing intensified clinical intervention or follow-up. Reduce preventable emergency department visits, hospital admissions, and readmissions through early identification of clinical decline and timely in-home intervention. Collaborate with interdisciplinary teams to develop individualized care plans aligned with evidence-based practice and patient-centered goals. Support documentation and coding practices that accurately reflect patient complexity and clinical conditions relevant to value-based care programs. Required Qualifications Current and unrestricted Nurse Practitioner license in the applicable state. National certification as a Nurse Practitioner in family, adult-gerontology, or other relevant population focus. DEA registration and prescriptive authority consistent with state law and organizational policy. Minimum of two years of clinical experience in primary care, geriatrics, home-based care, palliative care, or a related field preferred. Valid driver's license, reliable transportation, and willingness to travel locally for home visits. Proficiency in electronic health record documentation and care management workflows. Preferred Qualifications Experience caring for Medicare, Medicare Advantage, dual-eligible, or other high-risk populations. Familiarity with accountable care organizations, Medicare value-based payment models, and population health management. Experience with interdisciplinary care planning, transitional care management, and chronic care management. Strong understanding of quality measures, utilization reduction strategies, and preventive care gap closure. Core Competencies Strong clinical judgment and ability to practice independently within scope. Excellent patient communication and caregiver engagement skills. Ability to work effectively in variable home environments and address psychosocial as well as medical needs. Strong collaboration skills across medical, behavioral, and community-based teams. Commitment to compassionate, relationship-based care for medically complex and home-limited patients. Physical and Work Requirements Ability to travel routinely within the assigned service area. Ability to perform in-home assessments in residential settings with variable physical conditions. Ability to use a laptop, tablet, and mobile communication tools in the field. Ability to respond to urgent patient needs during scheduled service hours, consistent with organizational protocols. Benefits:
401(k) Dental insurance Employee assistance program Flexible spending account Health insurance Health savings account Life insurance Paid time off Vision insurance Application Question(s): Do you have a valid Arkansas APRN? (Required) How many years of Advanced Practitioner clinical experience in primary care, geriatrics, home-based care, palliative care or related field do you have? Work Location:
In person
