NURSE PRACTITIONER

Signify Health is seeking an In-Home Nurse Practitioner or Physician Assistant to perform comprehensive clinical evaluations in patients' homes. In this role, you'll assess medical history, medications, functional status, and social determinants of health, identifying gaps in care and opportunities to improve outcomes. You will use Signify Health's technology and analytics to document visits, inform value-based care plans, and collaborate with interdisciplinary teams. This mission-driven position offers autonomy, schedule flexibility, and the opportunity to impact vulnerable populations while working within an innovative, data-driven culture that supports growth and work-life balance.

Responsibilities

• Conduct comprehensive in-home health assessments for diverse, often vulnerable patient populations.
• Review medical histories, medications, and social determinants to identify gaps in care and risk factors.
• Develop evidence-based care recommendations and coordinate with primary care and specialist providers.
• Document visits accurately in Signify Health's technology platform and ensure regulatory compliance.
• Collaborate with interdisciplinary teams using data and analytics to improve patient outcomes.
• Educate patients and caregivers on disease management, preventive care, and community resources.
• Escalate urgent clinical concerns and facilitate appropriate follow-up care or referrals.
• Contribute to quality improvement initiatives and value-based care programs.
• Maintain patient safety, infection control, and professional standards in home environments.
• Participate in ongoing training to stay current with guidelines, technology, and best practices.

Required Skills

• Family or Adult-Gerontology Nurse Practitioner or Physician Assistant clinical practice
• Comprehensive geriatric and adult primary care assessment
• Chronic disease management (e.g., CHF, COPD, diabetes)
• Medication reconciliation and polypharmacy review
• Use of EMR/EHR and mobile clinical documentation tools
• Knowledge of value-based care and risk adjustment (HCC coding)
• Care coordination and interdisciplinary collaboration
• Patient education and motivational interviewing
• Home health safety assessment and care planning
• Regulatory compliance and documentation standards (CMS, HIPAA)