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Clover Health // data driven health insurance
New Jersey    Posted: Sunday, February 14, 2021
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Clover is reinventing health insurance by working to keep people healthier.

Our Complex Care Team is a group of caring & passionate professionals dedicated to improving the lives of our most vulnerable members. Our team includes physicians, nurses, social workers, medical assistants, behavioral health specialists & others who provide in-home primary care & transitional care services. A goal for this program is to improve our offering of palliative & supportive care services for members with advanced illness.

Our leading complex care offering is the Clover In-Home Care program. This program provides vulnerable members, including those with major complex chronic conditions, frailty, & advanced illness, with in-home primary care services from an interdisciplinary team. Our providers are trained in geriatrics & supportive care & are able to focus on the symptoms & conditions that matter most to complex older adults.

The primary care provider (PCP) is a nurse practitioner (NP) specializing in family medicine, internal medicine, and/or geriatric medicine, & who provides primary care to an assigned panel of patients in accordance with licensure, privileges, & scope of practice.

In collaboration with the Patient Care Team (PCT) composed of nurses, medical assistants, & social workers, the PCP is responsible for the following:

  • Assuming primary medical responsibility for their assigned patients.
  • Visiting patients at home.
  • Providing person-centered care by eliciting patients values & preferences & structuring care plans to reflect these desires.
  • Routinely determining patients' prognoses & structuring care plans, including advanced care planning, to reflect these prognoses.
  • Routinely determining primary drivers of hospitalization risk & structuring care plans to minimize these risks.
  • Achieving high performance on CMS & NCQA-determined Stars & HEDIS quality metrics, respectively.
  • Providing care that is consistent with medical evidence, including identified clinical protocols.
  • Identifying obstacles to care & medical decision-making & collaborating with the larger PCT to address these obstacles.
  • Leading interdisciplinary team (IDT) meetings.
  • Ensuring execution of member care plans by the PCT through clinical personnel supervision & education & training.
  • Determining the need for consultation from medical, surgical, rehabilitative, and/or psychiatric specialties.
  • Determining the need for & facilitating care by an emergency department, hospital, skilled nursing facility, home health agency, hospice and/or community-based organization as appropriate & consistent with patients goals of care.
  • Providing medical administrative support such as signing forms requiring physician signature.
  • Documenting all clinical encounters in a timely & accurate manner, including in proprietary Clover tools such as Clover Assistant.
  • Participating in ongoing professional development & self-improvement.
  • Collaborating with the practice Medical Director & Practice Manager in efforts of continuous quality improvement, including that related to the EHR & Clover Assistant .
  • Collaborating with the practice Medical Director & Practice Manager in efforts to pilot new care delivery models.
  • Supporting Clover efforts to establish a positive image for the In-Home Care practice in the medical community.

You will love this job if:

  • You are passionate about caring for our most vulnerable elders, including those with multiple chronic conditions, frailty, & advanced illness.
  • You enjoy team-based collaborative care.
  • You love developing relationships with your patients & their caregivers.
  • You embrace technology & clinical protocols as a means for driving high quality clinical care.
  • You are flexible & comfortable working in an evolving environment that values innovation.
  • You embrace measurement & performance management to drive improved member outcomes.

You should get in touch if:

  • You are based in the state of New Jersey, required
  • You are certified as an Advanced Nurse Practitioner (required).
  • You hold current unencumbered NJ Licensure as a Registered Nurse.
  • You graduated with a Bachelors degree (BSN) from an accredited school of nursing.
  • You have a Masters degree in advanced clinical practice nursing or graduate of post Masters certificate program for Nurse Practitioner
  • Have worked in a home care setting previously.
  • You desire to work full-time or are open to working a minimum of 33 hours a week.
  • You have demonstrated clinical competencies in such areas as age-specific care, cultural assessment & health education.
  • You enjoy working with patients of diverse social, ethnic, & cultural backgrounds.
  • You are comfortable walking up at least 3 flights of stairs as some residences may not have elevators.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest & conviction records. We are an E-Verify company.

About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software & analytics to empower our clinical staff to intervene & provide personalized care to the people who need it most.

We always put our members first, & our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate & mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.

From Clovers inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer & our employees are people with different strengths, experiences & backgrounds, who share a passion for improving people's lives. Diversity not only includes race & gender identity, but also age, disability status, veteran status, sexual orientation, religion & many other parts of ones identity. All of our employees points of view are key to our success, & inclusion is everyone's responsibility.

Clover Health welcomes qualified candidates with disabilities & will provide accommodations during the interview process as needed. If you require accommodations, please email with the details of your requested accommodation. Requests are reviewed by a member of the recruiting team. Requests will have no bearing on the candidate evaluation process or hiring decisions.

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