We are seeking an advanced practitioner to join an innovative team that is committed to improving care for underserved patients with complex-needs. Reporting to the Field Team Physician, the Field Team Advanced Practitioner will be based in our office in Kalamazoo but will include travel throughout the local area.
The Concerto Health Field Team is a robust, multi-disciplinary team that provides wrap-around services to patients in the home and community setting. Their aim is partner with provider groups to ensure effective and safe transitions of care, improve quality of care, and in doing so prevent unnecessary utilization (emergency department visits, inpatient admissions, readmissions).
The Field Team Advanced Practitioner must have a strong desire to build close relationships with all members of the Field Team and regional care management team, and be committed to working in a collaborative fashion to provide excellent care for patients. They must possess excellent time management and organizational skills, with the ability to prioritize and multi-task. Flexible and dynamic, a creative problem solver, this self-starting candidate will exhibit a high level of professionalism that allows them to lead and work effectively with a team of dynamic and unique individuals.
Our schedules allow providers to spend extended amounts of time with patients, allowing them to excel at relationship-based care, which is key to our care model. The Field Team Advanced Practitioner will work with members of a core field-based team (advanced practitioner, primary care nurse, clinical field team coordinator, patient engagement specialist) to address the social determinants of health, ensure safe transitions of care, maximize health outcomes, and prevent avoidable healthcare utilization.
Concerto Field Team providers are expected to carry a panel of homebound or access-challenged members. A typical schedule could include up to 6 home visits in a day. The schedule is designed to provide a high level of attention and care to each patient. Approximately 20% of clinical time is provided for administrative duties.
Essential Duties and Responsibilities