We are a premier home-based healthcare solution for patients and families facing chronic, complex and life-threatening illness.  We are an innovative, multi-specialty practice experiencing tremendous growth nationwide. We offer patients and families a complete population health model, focusing our practice in caring for patients across the continuum of complex and serious illness.

Our focus is comprehensive care at home to improve quality of life, increase understanding and management of serious illness, facilitate coordination between providers, and decrease unnecessary healthcare cost.   We are an interdisciplinary group of clinical professionals that understand the needs of patients, medical professionals, health systems and payers.  We meet the patients where they are within the continuum of serious and complex illness; we provide the right level of care at the right point in time.  This includes health risk assessments, transitions of care, complex and chronic disease management, and palliative care support. We conduct in-home longitudinal care for medically complex patients with chronic illnesses in an effort improve clinical outcomes and decrease utilization.  We provide physical, emotional, and spiritual support for patients who are facing life-threatening illnesses.

We are currently seeking nurse practitioners who are passionate about serious illness care and management to join our growing house calls practice to provide both chronic disease management and palliative care support, as we further extend our operations serving a variety of Medicare Advantage, Medicaid, and Commercial clients.

Duties & Responsibilities:

Perform home visits with patients enrolled in chronic care risk program. Initial visits are comprehensive evaluations with subsequent visits targeting risk factors for disease exacerbations and hospitalizations.

Working closely with other team members to ensure quality care is delivered.

Coordinate with patient's other providers including PCP, specialists and health plan case managers to ensure all are working together with the patient to achieve the same health goals

Sharing after hour on-call coverage with other providers on the team.

Working with field and office RN and medical assistants.

Clinical documentation of acute and chronic healthcare issues  through patient encounter in EMR system

Documentation must be appropriate and thorough, and completed in a timely manner

Provider will ensure all appropriate consent forms are signed and dated

Provider will have frequent interaction with patients, coders, schedulers, and supervising physician

The provider will educate patients and/or patient’s family on chronic medical conditions, preventative care, and medication adherence compliance

Provider will participate in weekly telephonic clinical meetings and occasional web-based compliance trainings;  however, provider will occasionally be required to attend on-site training

Provider will prescribe medications, order labs or diagnostic testing, and make sub-subspecialty referrals collaborating with the community PCP.

Provider will be responsible to review  patient records for past and present health issues, being sure to update the chart accordingly

Provider will need to collaborate with the supervising physician and other members of health care team to ensure outstanding patient care is delivered

Provider must be able to interpret laboratory data and diagnostic testing when available to assist in diagnosis of medical conditions

As part of the initial, and subsequently annual, assessments the provider must screen for ADL/IADL deficits, fall risk, depression, cognitive impairment and nutritional health.

Medication reconciliation done at every visit.

Performs other duties as assigned by the supervising physician and/or manager

Knowledge, Skills, Abilities and Requirements:

Graduated from an Advanced Nurse Practitioner program in Adult, Geriatric, or Family Nurse Practitioner.

Active, unrestricted NP license in respective state

NP candidates must be board certified by the ANCC or AANP or geriatrics, and have current RN and NP licensure in state of practice

Must have current BLS certification; ACLS preferred. 

Must be able to be credentialed by Medicare, Medicaid, and other Private Insurance Companies

DEA license and State Controlled Substance License upon hire or within 6 months of hire;

Experience with electronic medical records is required.  Also required is proficiency with various computer-based applications such as Microsoft Office.

Prior clinical experience in geriatric, adult or family medicine is preferred

Strong background/interest in primary care and preventative medicine

Must have valid state driver’s license

Highly motivated, self-directed professional with strong organizational skills and comfortable working independently on a daily basis 

Excellent clinical assessment and analytical skills

Effective leadership and interpersonal skills; facilitates problem resolution and maintains a professional demeanor in difficult situations. 

Excellent verbal and written communication skills

Demonstrated ability to identify, diagnose, treat and document acute and chronic disease in adults 

Demonstrated ability to recognize conditions, characteristics, and behaviors that place patients at risk.

Proven ability to pursue feedback, continuing education and professional development

Proof of yearly influenza vaccination, Hepatitis B vaccination, and TB testing required.

Provider must live locally to greater Nashville area

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About Cigna Healthcare

Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.