One Medical

Affiliate Manager

• The Advanced Care Partner is a full-time, remote clinician who works business hours live online with a team of PCP peers, a clinical supervisor, and the Clinical Case Management team of Care Navigators and nurses, as needed, for highly complex cases.
• The ACP will partner with approximately 5 PCPs and their patient panels, owning these shared panels with longitudinal accountability over time.
• The ACP is responsible for maintaining task category SLAs, including but not limited to:
• Answering clinical questions from patients and engaging in clinical dialogue to complete these conversations.
• Clinical decision-making resulting from information coming from messages, lab results, and consults.
• Owning medication changes, titrations, and adjustments for chronic conditions as needed.
• Providing video visits and phone follow-up care as needed.
• Completing clinical paperwork such as disability, FMLA, home health sign-offs.
• Attention to closing patient care gaps, creating orders and follow up as needed.
• Processing Consults and providing related follow up management/care as needed.
• Referrals to and collaboration with Clinical Case Management.
• Providing urgent visit patient scheduling as needed.
• Providing continuity of care longitudinally.
• Participating as an active member of the care team including real-time Slack room responses, attending huddles, presenting cases, providing support to CCM team members.

Nurse Practitioner, Physician Assistant – Advanced Care Partner