Redefine What It Means to Practice Medicine Are you a Nurse Practitioner who is passionate about truly patient-centered care? Do you thrive on solving complex clinical challenges, building meaningful relationships with patients, and seeing the direct impact of your interventions over time? At PACE, this is more than a provider role. It is an opportunity to become a clinical leader within an interdisciplinary team dedicated to helping older adults remain safely and independently in their homes and communities. At PACE, you won't be practicing in isolation. You'll work hand-in-hand with physicians, nurses, therapists, social workers, dietitians, home care professionals, and other disciplines to ensure participants receive the comprehensive support they need. This collaborative model gives you the rare opportunity to see your care plans come to life and experience the measurable outcomes that result from truly coordinated care. If you're looking for a role where you can influence outcomes beyond the exam room, lead complex care coordination efforts, and help close gaps before they become barriers to health and well-being, PACE offers an incredible opportunity to do just that. Here, every team member shares accountability for participant success, creating an environment where innovation, collaboration, and proactive care are not only encouraged but expected. This position is ideal for clinicians who love a challenge, embrace problem-solving, and are energized by the opportunity to build, improve, and transform care delivery. You'll have the ability to practice at the top of your license while partnering with a highly engaged interdisciplinary team that supports your clinical decision-making and helps ensure participants receive the right care at the right time.
DEPARTMENT
MEDICAL
JOB TITLE
PACE
NURSE PRACTITIONER REPORT TO
PACE
MEDICAL DIRECTOR PACE
Nurse Practitioner Role Overview The PACE Nurse Practitioner serves as a core medical provider within an interdisciplinary team (IDT), delivering comprehensive, longitudinal care to frail older adults with complex medical, functional, and psychosocial needs. This role emphasizes geriatric focused primary care, including initial and ongoing comprehensive geriatric assessments, chronic disease management, and close collaboration with nursing, social work, rehabilitation, pharmacy, and behavioral health. Key distinctions from a traditional primary care role include: Integrates the Geriatric 5Ms framework (What Matters, Mobility, Mentation, Medications, and Multicomplexity) into routine clinical decision-making and care planning. Performs comprehensive geriatric assessments at enrollment, and provide longitudinal care with focus on functional status, cognition, fall risk, and medication safety. Actively participates in IDT meetings, contributing to shared care plans, risk stratification, and coordinated interventions across care settings. Supports prevention of avoidable hospitalizations through proactive chronic disease management, early identification of decline, and close collaboration with the care team. Shares accountability for participant outcomes, quality metrics, and regulatory compliance within a capitated, value-based care model.
REPRESENTATIVE DUTIES
The duties recorded below are intended to accurately represent the duties of the class and are not intended to cover every single duty of the job. 1. Associates with physicians and are under supervision of the Chief Medical Officer and physician consultant in above services. 2. Takes and dictates complete medical histories which include identifying information, chief complaints if any, present illness, past history and do a complete system review. 3. Performs comprehensive physical examination including impressions or diagnosis. 4. Evaluates the presence and severity of disease within the realm of their competence, keeping the Chief Medical Officer abreast of pertinent development. 5. Orders and executes treatment within the scope of their specialty. 6. Writes progress notes and orders on the patient's charts as directed by the physician or form standing orders. 7. Makes referrals to specialist contracted with PACE by innercare as medically necessary. 8. Instructs and counsels patients on patient health education. 9. Knowledge and implementation of community-based, patient-centered medical home (PCMH) process with appropriate coordination of care. 10. Responsible as a member of the interdisciplinary team in participating in daily team meetings/huddles. 11. Support Nursing Staff and facilitate in implementing policies, procedures, and the PCMH process. 12. Responsible for compliance with managed care plans expectations. 13. Responsible for signing documents needed for meaningful use reporting. 14. Prepares lectures and demonstrates as a health resource person to the community as deemed necessary. 15. Maintains required nursing and CPR certifications. 16. Performs other duties as may be assigned.
EDUCATION AND EXPERIENCE
: Graduate of an accredited Nursing program with a current California License for Registered Nurse. Graduate of an accredited Nurse Practitioner Program with a current California License to practice as Nurse Practitioner. Also must have a current First Aid and CPR Card.
KNOWLEDGE AND ABILITIES
: Knowledge of the methods, practices and terminology used in nursing and medical care; knowledge of medications and prescription procedures; knowledge off medical crisis protocol; knowledge of modern office medical record keeping procedures and regulations; knowledge of modern office practices and technology, including computers; ability to learn, interpret and/or communicate rules, regulations, procedures, and policies; ability to follow and give oral and written directions; ability to provide effective leadership and work direction to subordinate nursing staff; ability to establish and maintain cooperative relationships with subordinates, co-workers, supervisors, other professionals and patients; ability to react professionally and effectively in emergency medical situations and to make urgent decisions affective the lives on patients; ability to plan and implement various programs and projects as assigned; ability to learn new information and skills to enhance job performance; ability to prepare reports and records with accuracy and to maintain patient confidentiality as required; ability to make required calculations accurately; ability and willingness to work irregular hours as necessary. Ability to establish and maintain harmonious relationships with the general public and fellow staff and maintain confidentiality of records along with Innercare business. Willingness to accept supervision and constructive criticism from the Chief Medical Officer and Clinic Manager.
WORK DIRECTION, LEAD AND SUPERVISORY RESPONSIBILITIES
Not applicable. No assigned permanent staff to supervise.
PHYSICAL EFFORT
Normal medical clinic environment. Work requires the ability to walk and stand for extended periods of time, and to exert moderate, though not constant, physical effort in the performance of nursing procedures, typically involving some combination of stooping, kneeling, crouching, and the lifting, carrying, pushing and/or pulling of objects and materials of moderate weight. Should be able to handle a cute clinical situations or emergencies without panic.
CONTACTS
: Supervisor, co-workers, physicians, other Innercare personnel, pharmacists, patients, vendors, hospital personnel, Health Department personnel, health care services, and the general public.
WORKING CONDITIONS
Work is performed under stressful conditions; work may require extensive VDT exposure. Worker may be exposure to communicable disease. Must comply with the Innercare Corporate Compliance Program. HIPAA/Compliance Maintain privacy of all patient, employee and volunteer information and access such information only on a need to know basis for business purposes. Comply with all regulations regarding corporate integrity and security obligations. Report unethical, fraudulent, or unlawful behavior or activity.
NOTE:
THIS JOB IS EXEMPT UNDER FLSA PROVISIONS.
Innercare is an Equal Opportunity Employer. In compliance with the Americans with Disabilities Act, Innercare will provide reasonable accommodation to qualified individuals. Innercare encourages both incumbents and individuals who have been offered employment to discuss potential accommodations with the employer.
Pay:
$210,000.00 - $240,000.00 per year
Benefits:
Dental insurance Employee assistance program Employee discount Flexible schedule Flexible spending account Health insurance Health savings account Life insurance Paid time off Parental leave Professional development assistance Referral program Relocation assistance Retirement plan Tuition reimbursement Vision insurance