- Conduct virtual medical evaluations by video, phone, and asynchronous forms, confirming diagnoses and documenting baseline metrics.
- Create and manage evidence-based care plans for ACCESS-defined cardiometabolic conditions.
- Prescribe, titrate, and renew medications according to ACCESS protocols and applicable state practice authority.
- Manage device-triggered Red Alerts during Pacific time zone business hours, including patient triage and urgent treatment adjustments.
- Provide warm handoffs to referring clinicians in urgent situations.
- Document synchronous and asynchronous patient interactions in the EHR with accurate ICD-10 coding.
- Capture comorbidities accurately to support appropriate reimbursement.
- Prepare PCP care coordination reports for referring physicians.
- Follow established titration algorithms and clinical protocols, and flag opportunities to improve them.
- Collaborate with the Medical Director and fellow NPs and provide feedback on care tools, behavioral support content, and remote monitoring integration.
EHR