Advanced Practice Registered Nurse

🕒 October 17

🐊 Florida – Remote

🐊 Florida – Remote

💵 $100k - $120k / year

⏰ Full Time

🟢 Junior

🟡 Mid-level

👻 Ghost score 0%

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Solis Health Plans

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2015

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Solis Health Plans is a Medicare Advantage plan that provides health insurance services primarily to residents of Florida. The company offers a variety of benefits including prescription drug coverage, case management, and additional healthcare services through a network of providers. Solis Health Plans operates under a contract with Medicare, ensuring compliance with federal regulations and a commitment to non-discrimination in healthcare access.

📋 Description

• Conduct comprehensive health evaluations for high-risk, complex health plan members in their residences • Analyze chronic conditions, symptom progression, and acute clinical changes • Evaluate medication regimens for safety, therapeutic intent, and adherence • Identify gaps in care, unmet systemic needs, hidden clinical risks, social determinants of health, environmental barriers, and caregiver limitations • Determine escalation pathways and need for advanced diagnostic testing or specialist care • Formulate customized clinical recommendations based on member risk profiles • Initiate, modify, or pivot treatments within authorized state scope of practice and organizational protocols • Order laboratory tests, diagnostic services, and therapeutic interventions as clinically indicated • Track diagnostic results and provide timely clinical follow-up • Manage acute deterioration through escalation to PCPs, specialists, or urgent/emergent care facilities • Provide evidence-based guidance and education for complex, comorbid chronic conditions • Prescribe tailored therapies and medications during in-home consultations • Reconcile medication discrepancies and address adherence barriers • Coordinate clinical overrides or alternatives with treating physicians and local pharmacies • Collaborate with Case Managers and interdisciplinary care teams to coordinate care • Communicate findings, recommendations, interventions, and follow-up needs to Case Management • Coordinate necessary services and address identified care gaps • Communicate with PCPs, specialists, home health providers, pharmacies, and other healthcare professionals • Participate in case discussions and interdisciplinary care planning • Document assessment findings, clinical status, risks, care gaps, interventions, orders, education, communications, and plans of care in the EHR after each visit • Maintain compliance with CMS guidelines, HIPAA, state nursing boards, organizational policies, professional standards, and health plan requirements • Support the In-House APRN Home Visit Program by improving continuity of care, adherence, outcomes, and appropriate follow-up while reducing avoidable emergency room utilization, hospitalizations, and readmissions • Perform regular daily local travel to member residences within the designated service territory

🎯 Requirements

• Current and unrestricted autonomous license as an Advanced Practice Registered Nurse (APRN) in the state in which services are provided • Current National Board Certification as a Nurse Practitioner (e.g., AGNP, FNP, or Adult-Gerontology Acute Care) via ANCC or AANP • Master's or Doctoral degree in Nursing from an accredited advanced practice nursing program • Current Basic Life Support (BLS) certification • Active DEA registration and prescriptive authority matching state mandates, or eligible to obtain before start date • Current prescriptive authority in accordance with applicable state requirements • Valid driver's license and reliable transportation for member home visits • Ability to meet all credentialing and privileging requirements established by the organization • 2+ years managing Medicare Advantage, frail elderly, or medically complex populations • Experience in primary care, geriatrics, internal medicine, home-based care, transitional care, population health, or care management • Experience managing members with multiple chronic conditions and complex healthcare needs • Familiarity with post-discharge care, readmission prevention, medication management, and healthcare utilization management • Experience working collaboratively with interdisciplinary care teams • Strong clinical assessment and decision-making skills • Ability to work independently in a home-based environment • Effective communication with members, caregivers, providers, and interdisciplinary teams • Sound clinical judgment, organizational and time-management skills, attention to documentation and follow-up, and cultural sensitivity • Ability to manage a mobile caseload, prioritize high-risk clinical needs, coordinate multiple services, and maintain effective communication with Case Management and healthcare professionals • Regular daily local travel to member residences within the designated service territory • Physical stamina to carry clinical bags and adapt to diverse household settings

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