In-Home Advanced Practice Provider

We are hiring In-Home Advanced Practice Providers in these locations:

• Fort Smith
• Conway
• Russellville
• Hot Springs
• Jonesboro
• Camden
• El Dorado

JOB SUMMARY
The Nurse Practitioner (NP) serves as an in-home primary care provider delivering comprehensive, patient-centered care to adult and geriatric patients in their place of residence. This role is designed to support patients attributed to value-based care arrangements through proactive longitudinal care, chronic disease management, care coordination, and interventions aimed at improving quality outcomes while reducing avoidable utilization.

Essential Duties and Responsibilities

• Provide in-home primary care services, including comprehensive history and physical assessment, diagnosis, treatment planning, and follow-up care for medically complex patients.
• Manage acute and chronic conditions such as diabetes, hypertension, COPD, heart failure, frailty, and other complex comorbidities with a focus on stabilization and prevention.
• Perform medication reconciliation, prescribe therapies within scope of practice, order and interpret diagnostic tests, and adjust treatment plans based on patient status and goals of care.
• Identify and address gaps in care, including preventive screenings, immunizations, chronic disease monitoring, and post-discharge follow-up.
• Coordinate care across physicians, specialists, hospitals, home health agencies, pharmacists, social workers, and family caregivers to improve continuity and reduce fragmentation.
• Assess functional status, home safety, caregiver capacity, and social determinants of health that may affect adherence, access, and outcomes.
• Document visits accurately and timely in the electronic health record to support clinical communication, quality reporting, risk adjustment, and value-based reimbursement requirements.
• Participate in interdisciplinary case reviews, transition-of-care management, and patient outreach activities for high-risk populations.

Value-Based Care Responsibilities

• Deliver care that supports quality performance, patient experience, and total cost of care objectives under accountable and risk-based payment models.
• Use risk stratification, utilization trends, and care gap data to prioritize patients needing intensified clinical intervention or follow-up.
• Reduce preventable emergency department visits, hospital admissions, and readmissions through early identification of clinical decline and timely in-home intervention.
• Collaborate with interdisciplinary teams to develop individualized care plans aligned with evidence-based practice and patient-centered goals.
• Support documentation and coding practices that accurately reflect patient complexity and clinical conditions relevant to value-based care programs.

Required Qualifications

• Current and unrestricted Nurse Practitioner license in the applicable state.
• National certification as a Nurse Practitioner in family, adult-gerontology, or other relevant population focus.
• DEA registration and prescriptive authority consistent with state law and organizational policy.
• Minimum of two years of clinical experience in primary care, geriatrics, home-based care, palliative care, or a related field preferred.
• Valid driver’s license, reliable transportation, and willingness to travel locally for home visits.
• Proficiency in electronic health record documentation and care management workflows.

Preferred Qualifications

• Experience caring for Medicare, Medicare Advantage, dual-eligible, or other high-risk populations.
• Familiarity with accountable care organizations, Medicare value-based payment models, and population health management.
• Experience with interdisciplinary care planning, transitional care management, and chronic care management.
• Strong understanding of quality measures, utilization reduction strategies, and preventive care gap closure.

Core Competencies

• Strong clinical judgment and ability to practice independently within scope.
• Excellent patient communication and caregiver engagement skills.
• Ability to work effectively in variable home environments and address psychosocial as well as medical needs.
• Strong collaboration skills across medical, behavioral, and community-based teams.
• Commitment to compassionate, relationship-based care for medically complex and home-limited patients.

Physical and Work Requirements

• Ability to travel routinely within the assigned service area.
• Ability to perform in-home assessments in residential settings with variable physical conditions.
• Ability to use a laptop, tablet, and mobile communication tools in the field.
• Ability to respond to urgent patient needs during scheduled service hours, consistent with organizational protocols.

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• Do you have a valid Arkansas APRN? (Required)
• How many years of Advanced Practitioner clinical experience in primary care, geriatrics, home-based care, palliative care or related field do you have?

Work Location: In person