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HRA Clinical Provider - CA

Fresno, CA, USA ● Placer County, CA, USA Req #8
Thursday, April 1, 2021
Episource, with over 3500 employees worldwide, is a leading provider of risk adjustment services and solutions for health plans.  Our services help Medicare Advantage, Commercial/Exchange, and Medicaid managed care plans improve and support accurate reimbursement in a post-Affordable Care Act market. Our services include retrospective chart reviews, medical record retrieval, HEDIS/ACO quality reporting, and data analytics, allowing payers and providers to dramatically reduce costs and improve quality of care.  

Job Summary:  

The part-time / seasonal Episource Provider is a regional position to perform in-home health risk assessment (HRA) visits. The part-time / seasonal Episource Provider will report directly to the regional Supervisor and/or Manager of Clinical Services and by performing HRA visits will improve project outcomes, member satisfaction and quality of the in-home HRA visits.  

Essential Duties & Responsibilities:

  1. Perform in-home health risk assessment (HRA) visits in the member’s home environment. HRA visits may also be performed in a clinic or office setting or at Health Fairs as needed.
  2. The part-time / seasonal Episource Provider is expected to give availability to the scheduling team for a minimum of 10 HRA visits per week.
  3. Availability for HRA visits must be provided to the Scheduling team monthly and within 7 days of request.
  4. Perform a comprehensive HRA visit which includes a thorough medical history, review of systems, physical exam, screenings and diagnostic tests.
  5. Identify and evaluate the disease processes and environmental risks of patients.
  6. Provide education to patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications
  7. Make case management referrals as appropriate to improve the patient’s quality of life and medical care.
  8. Complete and submit all HRA visit documentation on the Episource iPad within a specific timeframe. Adhering to the documentation submission timeframe is a requisite of the job.
  9. Demonstrate accountability for their own professional practice by participating in educational programs that increase clinical knowledge base and skill set.
  10. Respond clearly and in a timely fashion to all communications within the Episource network.
  11. Requires an individual to maintain the ability to work in an environment with PHI / PII data.
  12. Must maintain compliance with all company policies and procedures.

Qualifications / Requirements:

  • Nurse Practitioner
    • Advanced Practice Registered Nurse (APRN) degree, Master’s degree in Nursing (MSN), or higher (DNP or PHD in Nursing)
  • Physician’s Assistant
    • Bachelor’s Degree or Master’s Degree for Physician Assistants from a NCCPA program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessors. 
    • PA License obtained after taking the Physician Assistant National Certifying Examination (PANCE).
  • 1 or more years of experience in patient care or clinical work
  • Strong attention to detail
  • Ability to multi-task / work independently and be self-motivated to meet deadlines and achieve goals
  • Proficient in the use of an Apple iPad
  • Strong professional level of knowledge including clinical assessment skills in the adult population and chronic disease management.
  • Reliable transportation is required.

Physical Requirements:  

  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job
  • The employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds with assistance.
  • Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Training / Certification Requirements:

  • Current State Licensure 
  • Current Licensure free of disciplinary actions
  • AANP, AANC, or NCCPA Certification
  • CRNP or PA License
  • Company compliance program modules
  • Company safety regulations

Episource, LLC provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Episource, LLC complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leave of absence, compensation, and training.

Episource, LLC expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status. Improper interference with the ability of Episource, LLC employees to perform their expected job duties is absolutely not tolerated.

Other details

  • Pay Type Salary
  • Travel Required Yes
  • Required Education Master’s Degree
  • Job Start Date Thursday, April 1, 2021
Location on Google Maps
  • Fresno, CA, USA
  • Placer County, CA, USA