The licensed Nurse Practitioner who leads the medical aspects of team-based care for individuals with serious mental illness. This position is responsible for documenting and supporting the medical needs of the individual, by performing a whole-person clinical assessment to identify and remediate care gaps. On an ongoing basis, this position will support care coordination among the individual’s medical and behavioral health providers, making referrals as appropriate, as well as provide clinical support to Guides (peers) and Community Resources Guides (social workers).

Qualifications:

• Master's degree or higher

3 years of experience in ALL of the following:

• Value Based Care
• Primary Care
• Valid Nurse Practitioner (NP) in the state of Ohio (OH)

You will:
Perform a whole-person clinical assessment, including:
- Gathering information from outside sources (especially other care providers)
- Assessing both behavioral and physical health conditions through a thorough history and physical examination
- Capturing conditions not yet diagnosed, including by ordering additional studies as indicated
- Organizing the information in a manner that supports successful disability applications (if appropriate)
- Conducting visits in the field or in an individual’s home when needed
- Making individualized recommendations and/or referrals for programs/care provided by firsthand or outside providers, based on the assessed need

Lead the medical component of the team-based care provided, including:
- Training and advising firsthand Guides and Community Resources Guides on clinical issues and treatments
- Supporting Guide Team on care coordination
- Leading care management - identifying actionable care gaps
- Performing medication reconciliation post-discharge and as needed
- Communicating and coordinating with individuals’ care providers, primarily at CMHCs, FQHCs, and hospitals

You will be a good fit if you have:
- Empathy, compassion, and approachability
- Excellent listening, communication, and interpersonal skills
- Desire to help people in need and support their path to wellness
- Comfort working as part of a multidisciplinary team, and enjoy mixed roles and duties - this is a mix of direct service, teaching, and care management
- Cultural humility, knowledge of trauma informed care, and social determinants of health
- Desire to perform data driven care
- Familiarity with local providers
- Ability to maintain professional boundaries and engagement skills with a population with challenges and in non-traditional work conditions
- Intermediate computer skills, familiarity with Microsoft Office Suite
- Driver’s license, private auto insurance, and be insurable under firsthand coverage

Job Type: Full-time

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday

Work setting:

• In-person

Education:

• Master's (Required)

Experience:

• Primary Care: 3 years (Required)
• Value Based Care: 3 years (Required)

License/Certification:

• Nurse Practitioner (NP) in the state of Ohio (OH) (Preferred)

Ability to Relocate:

• Richmond, VA: Relocate before starting work (Required)

Work Location: In person