Job Description
About the Role:
The Pod Provider delivers comprehensive chronic disease management (e.g. hypertension, diabetes, chronic kidney disease), evaluation of acute concerns, behavioral health condition management (i.e. depression, anxiety, alcohol and substance-use disorder), and preventative care and wellness support (including sexual and reproductive health).
This role is based on-site at our Raleigh, NC Clinic and is a Monday-Friday 8am-5pm role.
Responsibilities:
Conduct comprehensive clinical intake visits. Provide longitudinal direct primary care or wrap-around care with a focus on chronic condition management and preventative care, timely follow-up for members post-transition of care event, acute need or according to condition-specific needs.
Proactively outreach to members who need follow-up care. Complete comprehensive and compliant diagnosis capture related to HCC (Hierarchical Condition Categories) and ICD-10 (International Classification of Diseases-10) Coding.
Address contractual and company-prioritized quality gaps and ensure proper chart documentation and codes (ICD or CPT) are included in the encounter as supporting evidence of gap closure. Prescribe 1st and 2nd line medications for depression, anxiety, alcohol-use disorders and opioid-use disorders.
Remain up to date on evidence-based care for complex patients in primary care: (adult only, pediatric in certain markets). Refer members to specialist care appropriately and according to internal CBH guidance if available. Support the member in achieving the goals in their care plans (physical, behavioral, and/or social health).
Participate in case conferences with the care team, providing clinical expertise on care plan development.
Requirements for the Role
Education & License requirements
Completed an accredited NP or PA program with a national certification
Specialty Area requirement: Family or Primary Care
Board-Certified (or Board-Eligible within one year of employment)
Certified in Basic Life Support for Healthcare Providers
PA: National certification as a Physician Assistant through NCCPA
Nurse Practitioner or Physician's Assistant with an unrestricted license to practice in North Carolina
DEA licensure (or willingness to acquire)
3+ experience
Medical Clearance - evidence of immunity to MMR, Hepatitis B, Varicella, and a TB screen, or have an approved medical or religious accommodation from vaccination if necessary
Proof of COVID Vaccination - proof of receipt of a primary COVID vaccination series, or have approved medical or religious accommodation from vaccination if necessary