Primary Care Provider (NP/PA) - Community-Based Senior Care

Our organization operates a comprehensive, community-based senior care program designed to empower elderly participants to remain in their homes and communities. We utilize an innovative, whole-person medical approach driven by a collaborative interdisciplinary team. We are seeking a dedicated Primary Care Provider to join our mission-driven culture and lead participant care coordination.Under the guidance of the Medical Director, you will provide clinical assessments and primary care while working alongside a diverse team of healthcare professionals. This role is essential for maintaining high-quality medical coverage and continuing education for our program participants.Core ResponsibilitiesConduct in-person comprehensive medical assessments Partner with the interdisciplinary team to design and implement individualized care plans.Manage discharge planning for participants transitioning from acute or long-term care settings.Oversee participant care within nursing facilities, providing regular clinical visits.Facilitate effective care coordination with community-based physicians and specialists.Analyze utilization data and hospitalization outcomes to improve clinical policy and best practices.Participate in a rotating schedule for night and weekend on-call coverage.