Job Description

Millennium Physician Group is one of the largest comprehensive primary care practices in Florida, serving communities through a value-based care model focused on improving patient outcomes and enhancing the healthcare experience. As part of Mosaic Health, MPG is committed to delivering coordinated, patient-centered care while partnering with health plans, providers, and community organizations to improve the health of the populations it serves.

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Job Description Summary

As a Primary Care Advanced Practice Provider (APRN), you will have the opportunity to make a meaningful impact on the health and well-being of your patients by delivering comprehensive, patient-centered care across the continuum. Working collaboratively with physicians and an interdisciplinary care team, you will manage acute, chronic, and palliative care needs, conduct comprehensive assessments, develop individualized care plans, diagnose and treat conditions, interpret diagnostic results, prescribe medications, and coordinate services that support optimal patient outcomes. Your clinical expertise and decision-making will play a vital role in ensuring patients receive timely, evidence-based care while building trusted relationships with patients, families, and caregivers.

In this role, you will practice at the top of your license while driving quality outcomes through care gap closure, HCC documentation, chronic disease management, and preventive care initiatives. You will serve as a patient advocate and clinical leader, collaborating with primary care providers, specialists, home health services, therapy providers, and community resources to ensure seamless care coordination. You will also support patients with advanced care planning and symptom management needs while contributing to a value-based care model focused on improving outcomes, enhancing the patient experience, and reducing unnecessary healthcare utilization. Timely documentation, accurate billing, and effective communication with the care team will be essential to your success.

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How will you make an impact & Requirements

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• Is responsible for the total care of all assigned patients in collaboration with the community-based physician/provider and patient care team.
• Is responsible for patient assessments and care planning, risk management plan development, addressing quality measures and HCCs, and providing acute interventions, chronic care management, and palliative care services within their scope of practice.
• Provides services to meet patient needs and prevent unnecessary Emergency Department utilization when appropriate.
• Ensures all pertinent and active medical conditions are documented in the electronic medical record in a timely manner, consistent with Millennium Physician Group (MPG) policy, and in a compliant manner with Centers for Medicare & Medicaid Services (CMS) and other insurance carriers. 
• Exhibits strong clinical skills to improve patient care for an aging, adult population; as well as excellent interpersonal relationship skills in interpreting and communicating health care information to the patient, family, and patient care team.
• Provides leadership in the application of the nursing process to client care, organizational processes and/or systems improving outcomes at the program or service level and initiates interdisciplinary projects to improve organizational performance.
• Identifies patients who are appropriate and would benefit from skilled nursing/therapy and initiates appropriate process for qualifying value-based patients.  Follows all CMS guidelines and ensures patients are admitted to a qualifying SNF.  Completes all required documentation and works with other members of the health care team to ensure continuity and patient safety.
• Instructs and counsels patients regarding compliance with prescribed therapeutic regimens and health maintenance.
• Accountable for identifying patients needing additional assistance and making referrals to home care, social services, behavioral health, and other available community resources, when needed and appropriate.
• Works collaboratively with Program Manager in oversight of assigned Medical Assistant and to establish workflow processes, provisions of ongoing education/training, and employee improvement planning as needed.
• Essential Duties and Responsibilities include the following. Other duties may be assigned.

Qualifications

• Master's or Doctor of Nursing Practice degree from an accredited Nurse Practitioner program required.
• Current, unrestricted Nurse Practitioner license and Advanced Practice Registered Nurse licensure in the applicable state required.
• National board certification as a Family Nurse Practitioner (FNP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), or other certification appropriate to the practice setting required.
• Current Drug Enforcement Administration registration and Basic Life Support certification required.
• Advanced Cardiovascular Life Support certification is preferred.
• Typically requires two or more years of advanced practice clinical experience in primary care, family medicine, internal medicine, ambulatory care, or a closely related specialty. Primary care experience is strongly preferred.
• Demonstrated knowledge of primary care medicine, preventive health guidelines, chronic disease management, population health principles, evidence-based clinical practice, and value-based ambulatory care.
• Experience using electronic health records, clinical decision support tools, population health platforms, and healthcare technology to support quality patient care, regulatory compliance, and value-based care initiatives.
• Strong clinical judgment, diagnostic reasoning, communication, patient education, interdisciplinary collaboration, relationship management, and cultural competence skills with the ability to provide compassionate, comprehensive, high-quality primary care across diverse patient populations.

About Millennium Physician Group:

Formed in 2008 and headquartered in Fort Myers, Florida, with offices in Florida, North Carolina, Georgia, and Texas, Millennium Healthcare is the largest independent physician group in the state of Florida and one of the largest in the United States. At Millennium Physician Group, our employees are the foundation of our success. Our promise is to provide you with the tools to do your job successfully, as well as providing a team atmosphere that empowers you to seek better ways to deliver care to our patients and their families. We also promise to care for you as an individual and help you grow in your role.

What We Offer:

• Health, Dental, and Vision Insurance
• 401(K) Retirement Plan with Matching
• Short & Long-Term Disability
• Employer-Paid Life Insurance
• Paid Time Off, Floating Holidays, and Paid Major Holidays
• Employee Assistance Program (EAP)
• and much more!

How to Apply:

ARE YOU READY TO JOIN OUR TEAM? We understand your time is valuable, and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application so that we can review your information. We look forward to meeting you!

If interested, please reach out to: Yilka Ibarra

Yilka.Ibarra@inhealthmd.com

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Compensation Range:

$49.28

to

$73.92

The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.