Job Description This position is a fully remote role and requires working hours in CST, MST, or PST. An active and clear RN and APRN or Physician Assistant license in AL, AZ, GA, IL, OH and/or TX  is required at time of hire. Candidates must be comfortable conducting clinical assessments in Spanish & English.  A bit more about this role:  This position represents an amazing opportunity for an experienced nurse practitioner (NP) or physician assistant (PA)  with a big heart and entrepreneurial spirit with extensive clinical experience offering care for cardiology patients.  Your primary focus will be delivering world class, virtual first, advanced primary care cardiology care to our members in the Devoted Medical Heart Center.   In this role you will be working in a next generation virtual heart clinic that dramatically expands access to care for America's most vulnerable seniors.  The clinic focuses on providing highly accessible, high quality care for members with general cardiology conditions. As part of the clinic you will also provide dedicated clinical services during part of your clinical time to our heart failure clinic which is a highly tailored, specialty center focused on providing best in class heart failure management including optimizing guideline directed medical therapy, providing health coaching, and managing volume overload. You will be a key member of our interprofessional team. On a day-to-day basis you will work closely with RNs who are assigned as clinical guides for each patient in the heart failure clinic. You will also work closely with an interdisciplinary team including physicians, pharmacists, social workers and medical assistants.   You will utilize and help improve our home-grown technology and electronic health information platform to carry out virtual visits.   Responsibilities will include:

• Conduct  focused and thorough assessments of patients with general cardiology and heart failure needs through virtual consultations including ordering diagnostics as needed, interpreting labs and imaging data, and developing a treatment plan in collaboration with the specialty care clinic team.  We expect that 80-90% of your time will be performing virtual visits.
• Formulate accurate diagnoses and develop individualized treatment plans for patients with heart failure and general cardiology clinical conditions, including medication management, volume monitoring and management,  and lifestyle modifications.
• Initiate, titrate, and manage guideline-directed medical therapies (GDMT) for a diverse group of  members with heart failure.
• Provide proactive management of heart failure and comorbid conditions, and address potential barriers to optimal care to mitigate the risks of heart failure exacerbation and hospitalizations.
• Assess and intervene in weight fluctuations and acute volume overload management of patients who are enrolled in the clinic.
• Assess, diagnose, and manage the range of general cardiology conditions that are suitable for virtual care including stable coronary artery disease, hypertension, hyperlipidemia, stable atrial arrhythmias, peripheral arterial disease and chronic venous disease. You will be ordering in-home diagnostics including echocardiograms, EKGs, and Holters and working with community cardiology practices for other diagnostics including stress testing and advanced cardiac imaging.
• Collaborate closely with other members of the care team including PCPs, cardiologists and other Devoted team members including pharmacy, clinical nursing, social work, as  well as interfacing with family members and caregivers to coordinate  holistic care for the member, to ensure continuity of care and deliver a collaborative care plan.
• Serve as the clinical advisor and provide clinical escalation support for the speciality clinic staff and other teams during business hours.
• Utilize our home grown electronic health information system for visits while also providing feedback on how to improve the interface.
• Maintain accurate and up-to-date patient medical records, ensuring compliance with relevant legal and ethical guidelines.
• Participate in quality improvement initiatives  and ongoing professional development to stay current on best practices and advancements in cardiovascular care.
• Adhere to all relevant laws, regulations, and industry standards, including patient privacy and telehealth regulations.

  Attributes to success:

• You are experienced working on an interprofessional team and enjoy team-based care.
• You have great clinical and non-clinical judgment.
• You are thorough and take the time to address the needs of your patients.
• You are deeply empathetic and humanistic, and want to go the last mile for your patients.
• You enjoy a fast-paced, high-energy, organization. Agility and collaboration are key as we will change and improve quickly.
• You welcome learning and using new technologies that are being developed in parallel. You thrive on knowing your work can help make these technologies better for you and your patients.
• You learn from every experience and are not afraid to fail - that's how you're wired.
• Finally and most importantly, you have a passion for making healthcare better, solving complex problems, and supporting the delivery of healthcare that we would want for our own family members.

Desired skills and experience:

• NP or PA  with 5 or more years working in cardiology clinical practice with ideally 2 years in an outpatient cardiology setting.
• Bilingual in English & Spanish.  You will be conducting comprehensive clinical assessments in both languages.
• Experience performing visits over telehealth video platforms and  strong desire to continue practicing virtually - you believe in the mission of bringing care to where the patient lives.
• A secure & private workspace with a strong & reliable internet connection.
• Highly comfortable with technology (EMRs, messaging platforms, online portals, AI chat)
• Willingness to work 8-5 in Central Time zone or later time zone (MT, PCT)
• Willingness to obtain and maintain multistate licensure within the first 90 days  (support and reimbursement provided)
• An understanding of managed care is a plus, including how to appropriately assess STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps.

  Licensure and Certification:

• An active and clear RN and APRN or PA license in the state of Texas, Ohio, Arizona, Illinois, Georgia or Alabama as well as APRN certification is required at time of hire and must be maintained while employed at Devoted Medical.
• Cardiovascular Nurse Practitioner Certification is a plus.

  Salary Range:  $120K-155K base range plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130K-170K   The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.   Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium
• Generous paid time off
• $100 monthly mobile or internet stipend
• Stock options for all employees
• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
• Parental leave program
• 401K program
• And more....

  *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.   Healthcare equality is at the center of Devoted’s mission to treat our members like family.  We are committed to a diverse and vibrant workforce.   At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States.  And we've just started. So join us on this mission!   Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.   As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.