Geriatric Advanced Practice Provider

THE PERKS:

• Fun, challenging, and collaborative work environment with passionate colleagues that care deeply about healthcare delivery.
• Recognized as One of the Best Places to Work in Healthcare by Modern Healthcare.
• Great work life benefits- Paid time off, sick time, and 12 paid holidays.

WHAT YOU CAN LOOK FORWARD TO:

Clinical Care & Geriatric Focus 
Provide comprehensive primary and preventive care services to aging patients enrolled in MHN’s contracted health centers. 
Perform thorough assessments with a focus on chronic disease management, functional status, cognitive health, fall risk, and medication management. 
Develop individualized, patient-centered care plans in collaboration with patients, caregivers, and interdisciplinary teams. 
Annual Wellness Visits (AWVs) 
Conduct Medicare Annual Wellness Visits, including: 
Health risk assessments 
Cognitive and depression screenings 
Fall risk and functional assessments 
Medication reconciliation 
Preventive care planning and referrals 
Ensure accurate documentation and compliance with regulatory and payer requirements. 
Identify gaps in care and initiate appropriate follow-up or care coordination. 
Advance Care Planning (ACP) 
Lead compassionate, patient-centered Advance Care Planning discussions with patients and families. 
Assess patient goals, values, and preferences for future medical care. 
Facilitate completion and documentation of advance directives, POLST/MOLST forms, and related ACP documentation as appropriate. 
Collaborate with care teams to ensure ACP preferences are understood and honored across settings. 
Program Development & Building 
Contribute to the design, implementation, and scaling of clinical programs focused on geriatric care, preventive services, and population health. 
Help define workflows, clinical protocols, and quality standards for AWVs, ACP, and related initiatives. 
Partner with operations, clinical leadership, and quality teams to improve efficiency, outcomes, partner with operations, clinical leadership, and quality teams to improve efficiency, outcomes, and patient experience. 
Collaboration & Quality 
Work closely with physicians, nurses, care managers, social workers, and other interdisciplinary team members. 
Support quality improvement initiatives, documentation accuracy, and performance metrics related to value-based care. 
Educate patients, caregivers, and staff on preventive care, aging-related health topics, and care planning. 
Directly managing Medical Assistant(s) 

WHAT YOU’LL NEED TO SUCCEED:

Required 
Active Nurse Practitioner license (IL) 
National NP certification (AANP or ANCC) or PA certification 
Experience in geriatric care required 
Demonstrated experience conducting AWVs and ACP discussions 
Strong communication skills and comfort with sensitive conversations 
Experience working in FQHCs or similar community health settings is strongly preferred.  
Prior experience building or scaling clinical programs 
Experience with primary care or population health 
Background in value-based care, risk adjustment, or quality initiatives 
Familiarity with EHR documentation and Medicare compliance 
Experience working with interdisciplinary or care management teams 
Fluent Spanish speaker required
 
Required Education: 
Master’s degree or higher from an accredited Nurse Practitioner or Physician Assistant program 
Current, unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in the state of IL.