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HRA Clinical Full-Time Provider TX

Travis County, TX, USA ● Williamson County, TX, USA Req #157
Monday, June 28, 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 Episource Provider effectively diagnoses chronic conditions and provides education and recommendations to promote health and prevent disease progression while maintaining a non-treating/non-prescribing scope of practice. The Episource Provider will conduct a comprehensive assessment which includes a history, a physical examination and clinically indicated or client requested laboratory or diagnostic tests.  All documentation is completed using the Episource proprietary electronic medical record.

 

Essential Duties & Responsibilities: 

  • Responsible for completing a health assessment of high-risk patients that captures a comprehensive picture of the patient’s disease burden.
  • May be required to travel to remote areas of {local region/state} to perform in-home assessments.  
  • The full time Episource Provider must provide a schedule of availability for health risk assessment (HRA) visits. An individualized schedule will be determined and approved by the clinical supervisor/manager. HRA visits may be performed 7 days per week between 8 AM and 8 PM local time. 
  • Must maintain a HIPAA compliant dedicated space in their home to complete documentation and to conduct telehealth visits as needed. All necessary hardware and software will be provided and only Episource issued hardware may be used.
  • Complete and submit all documentation: adhering to the documentation submission policy.
  • The full-time Episource Provider may be scheduled to perform in-home HRA visits for members which may include travel to remote areas of {local region/state}.  
  • Required to perform the following specialty diagnostic testing procedures including but not limited to diabetic retinal exam (DRE), NC-Stat DPN Check (DPN), bone mineral density testing (DEXA), Spirometry, peripheral vascular evaluation (PADNet). All necessary training will be provided.   
  • Demonstrate accountability for professional practice by participating in educational programs.
  • Respond clearly and in a timely fashion to all communications within the Episource network. 
  • May be assigned other duties. 
  • Must maintain compliance with all company policies and procedures including the Episource Immunization policy.  COVID-19 vaccination is strongly encouraged. 
Additional Responsibilities:

  • May be assigned other duties at the discretion of the Supervisor or Manager of Clinical Services during periods of decreased membership and during any time that available HRA home visits are not filled/scheduled.
  • Additional duties may include and are not limited to clinical QA and chart review.
  • Required to obtain additional state licensure based on Episource needs. 

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-C License obtained by successfully passing the Physician Assistant National Certifying/Re-certifying Examination (PANCE/PANRE).
  • 3 or more years of experience in patient care or clinical work
  • 1 or more years’ experience as an advanced practice provider preferred.
  • Experience performing health risk assessments preferred.
  • Knowledge of risk adjustment methodology, HEDIS/STAR measures preferred.
  • Ability to work in an environment with PHI/PII.
  • Strong attention to detail.
  • Ability to work independently and be self-motivated to meet deadlines and achieve goals.
  • Strong computer skills: Microsoft office preferred.
  • Proficient in the use of Apple / IOS operating system.
  • Strong clinical level of knowledge including clinical assessment skills and chronic disease management.
  • Reliable transportation, current driver’s license and automobile insurance are 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.
  • Requires prolonged sitting, some standing, some bending, stooping, and stretching, requires eye-hand coordination and manual dexterity sufficient to operate a computer keyboard, photocopier, telephone, and other office equipment.
  • Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Working Conditions:

  • Working conditions are normal for an office environment, in the field in member's homes or in the home office setting. May be required to work in a medical office of clinic setting.
  • Appropriate Personal Protective Equipment (PPE) is required and will be provided.
  • Wi-Fi is required. 

Training /Certification Requirements:
 

  • Current Licensure free of disciplinary actions
  • CRNP license with AANP or AANC Certification
  • PA license with NCCPA Certification
  • Approved Specialties:  FNP, ACNP, ANP, AGNP (not all-inclusive)
  • 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 Monday, June 28, 2021
Location on Google Maps
  • Travis County, TX, USA
  • Williamson County, TX, USA