Nurse Practitioner OR Physician Assistant - Advanced Care Partner - CA license - Remote

Program Overview

The Advanced Care Partner Program creates a team-care structure to collaborate with PCPs who are managing complex patient panels.

The ACP “care team” model pairs a highly clinically experienced provider (ACP) with a PCP to collaborate closely by sharing the care and continuity management of the patient panel. The PCP’s task queue provides the focus of this collaborative platform whereby the Advanced Care Partner devotes their work to keeping all categories within SLAs, provides real time responses to patient messages, follows up with chronic care monitoring and management, and intimately understands the patient panel “as their own”, such that complex patients are known well, medical issues are managed efficiently, highest quality conversations engage patients’ trust, and continuity of care between the patient and two providers is seamless and exemplary. Further, the ACP care-team model promotes career-sustainability, mitigates the potential for decision fatigue, prevents practice isolation, and addresses burn-out risk factors. The program prioritizes well-being and belonging for both patients and PCPs. 

Advanced Care Partner Role:

The Advanced Care Partner is a full-time, remote clinician who works business hours live online with a team of PCP peers, a clinical supervisor, and the Clinical Case Management team of Care Navigators and nurses, as needed, for highly complex cases. The ACP will partner with approximately 5 PCPs and their patient panels, owning these shared panels with longitudinal accountability over time.

The ACP is responsible for maintaining task category SLAs, including but not limited to: 

• Answering clinical questions from patients and engaging in clinical dialogue to complete these conversations. 
• Clinical decision-making resulting from information coming from messages, lab results, and consults.
• Owning medication changes, titrations, and adjustments for chronic conditions as needed.
• Providing video visits and phone follow-up care as needed.
• Completing clinical paperwork such as disability, FMLA, home health sign-offs.
• Attention to closing patient care gaps, creating orders and follow up as needed 
• Processing Consults and providing related follow up management/care as needed.
• Referrals to and collaboration with Clinical Case Management.
• Providing urgent visit patient scheduling as needed.
• Providing continuity of care longitudinally.
• Participating as an active member of the care team including real-time Slack room responses, attending huddles, presenting cases, providing support to CCM team members.

Employment type:

• 40 hours per week. Business hours schedule; must be able to work in two time zones
• Occasional weekend/holiday coverage required
• Remote live video/phone/slack
• Reports to the Medical Director, Advanced Care Partner Program

Your Qualifications:

• 5+ years experience as an FNP/PA
• Remote/virtual medical care deep practice experience and proficiency
• Experience: chronic disease care management, metabolic disease expertise, patient education skills, CGM and EKG data analysis
• Strength: expertise in managing high risk patient caseload 
• Must be currently licensed in CA

You’ll be set up for success if you have:

• Excellent communication and interpersonal skills working collaboratively with colleagues
• Comfortable and enthusiastic to participate in a team-based care model
• Practicing at top of scope; challenging the status quo
• Compassionate, culturally-competent motivational style when communicating with patients and skill in navigating difficult conversations
• Must be a disciplined self-starter- able to work enthusiastically, creatively, autonomously and efficiently
• Prior professional experience working with complex patient populations such as terminally ill, unstable co-morbidities, chronic conditions risk reduction
• High Proficiency of technology, keyboarding and data platforms to deliver high quality care
• Welcome openness to feedback and reflection to gain productive insight into strengths and growth areas of medical practice and teamwork
• The ability to confidently problem-solve, manage and own “outside the box” situations with both patients and colleagues

This is a full-time virtual role. 

One Medical is committed to fair and equitable compensation practices.

The base hourly range for this role is $61.00 to $67.50per hour based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. For more information, visit https://www.onemedical.com/careers/.