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