Advanced Practice Clinicial at Commonwealth Care Alliance in Springfield, Massachusetts

Job Description:

Why This Role is Important to Us

The Engagement Center Advanced Practice Clinician (APC) will be an integral part of an interdisciplinary team working to promote and enhance high-value, high-quality, patient-centered care for members with complex medical and social needs and disabilities by providing a supportive, non- judgmental environment that allows members to "drop-in", socialize, and interact with peers and CCA staff. The Engagement Center APC primarily ensures that CCA members accessing the Engagement Centers with acute medical and psychiatric needs or significant gaps in preventive care and chronic disease management due to poor engagement or access to primary care receive assessment and examination, acute and routine treatment and stabilization where appropriate, and coordination into primary care. The Engagement Center APC practices in complement to the CCA care team, acute care and diversionary services, and PCP with the end goal of connecting members into a stable care system for ongoing care, while attending to their immediate unmet medical and psychiatric needs.

The Engagement Center APC may also be called upon to support CCA's Crisis Stabilization Units by rounding on the unit, providing assessment, examination, orders, and treatment in times of staffing shortage.

What We're Looking For

• Board Certified Nurse Practitioner or Physician Assistant with licensure in good standing in the Commonwealth of Massachusetts.


• Active DEA and X waiver


• 3+ years in primary care, serving a complex population


• Experience applying harm reduction principles in clinical practice.


• Experience and comfort level providing psychiatric assessment and prescribing with support and consultation from psychiatry


• Experience working in interdisciplinary team settings with clinical and non-clinical staff


• Experience initiating treatment for opioid use disorder


• Experience with urgent care or hospital medicine a plus


• Current CPR or Basic Life Support required


• Ability to think critically and prioritize tasks under pressure


• Ability to de-escalate patient interactions


• Ability to work collaboratively on an interdisciplinary team


• Excellent communication skills


• A desire to improve healthcare for those with psychiatric, substance use disorder, and complex needs who are underserved.


• English


• Spanish or other bilingual

Actual Work Location
3550 Main Street, Springfield, Massachusetts 01107

All Locations
Main Street-Springfield

Exempt / Not Exempt
Exempt




What You'll Be Doing

• Assess, examine, diagnose, treat and prescribe for the acute care and unmet medical and psychiatric needs of CCA members attending the Engagement Centers


• Orders appropriate medical testing to aid in the diagnosis and medical management of acute and chronic diseases


• Leverages CCA clinical resources (InstED) to avoid emergency room visits and inpatient admissions.


• Evaluate test results, appropriately treat member illness and communication/collaborate plan with PCP and CCA Care Team.


• Facilitates and/or delivers preventative care to members according the guidelines deemed appropriate by CCA


• Engages in appropriate clinical collaboration with clinical experts, including the member's PCP, CCA Psychiatry, CCA Medical Directors, and other CCA Advanced Practice Clinicians and Clinical Leadership.


• If appropriate, provide medical and psychiatric bridge prescribing for members in transition between providers


• Initiates MAT therapy for select individuals and manage them through stabilization, connecting individuals into long term care structures where possible. May continue to manage a panel of members with SUD, managing their MAT.


• Provide brief crisis intervention for members experiencing acute psychiatric symptoms.


• Evaluate member's HEDIS measure needs, write orders as appropriate to manage these gaps and coordinate with the member's Care Partner.


• Assist with Advanced Care Planning, including establishing and documenting goals of care with members.


• Provides limited follow up visits for the management of chronic disease as members are getting connected to primary care. Visits may be inclusive of a history of present illness, review of systems, physical exam, ordering of appropriate studies and tests, identification of a definitive diagnosis, adjustment or maintenance of an established treatment plan, and a plan for follow up.


• Liaises with CCA Care Partner and community-based PCPs/ Specialists, as needed


• Provides Intermittent Skilled Care as necessary (e.g., wound care,)


• Documents all activities and results using an Electronic Medical Record in a timely way in accordance with CCA documentation standards.


• Formulating an action/ treatment plan based on scientific rationale, evidence --based standards of care and practice guidelines that demonstrate critical thinking, diagnostic reasoning and knowledge of the pathophysiology of acute and chronic disease and conditions


• Collaborate in evaluating member's service plan to inform Care Partner and allow for appropriate service utilization for members


• Utilizing and depending on CCA internal resources, ensures that the plan of care is implemented in a timely manner.


• Fills in for staffing shortages at the CSU, rounding on members on the unit, providing assessment, examination, diagnosis, treatment and prescribing.


• Participates in Team Case Review


• Maintains appropriate written and oral communication on a timely basis completing documentation within 24 hours of activity, and returning non-urgent calls within 48 hours


• Conducts educational and training activities that promote appropriate, safe, effective patient care


• Actively participates in the evaluation of own performance and progress


• Participates in activities and education to maintain and advance competency


• Participates in CCA quality improvement efforts


• Assists CCA management and leadership with the development, refinement and enhancement of clinical programs, initiatives, processes, policies, workflows, and projects


• Participates in committees and workgroups that promote clinical excellence and help to advance CCAs mission and business objectives


• Maintains confidentiality of patient and employee information


• Complies with organization's policy and procedures


• Advocates for members in a culturally competent


• Seeks maximum member and family participation to promote independence

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