Job Description
About the role:
Accompany Health Advanced Practice Clinicians (APCs) in our Complex Care model, partner with health advocates, physicians, nurses, behavioral health clinicians, and pharmacists to deliver coordinated, whole-person care for highly complex patients with often co-occurring medical, behavioral, and social needs.
As an APC in our Complex Care model, your primary goal is to help keep our patients healthy at home. You’ll provide longitudinal care and build trusted relationships with your patients—delivering care independently or in collaboration with physicians across home, community, and virtual settings. You’ll diagnose and manage chronic diseases, ensure evidence-based preventive care, address urgent needs, and identify and help overcome any barriers or obstacles to their health.
With intentionally small panel sizes and robust multidisciplinary support, you’ll have the time and resources to deliver meaningful, patient-centered care. Our model emphasizes continuous adaptation of care plans based on what matters most to each patient, ensuring responsive, effective management of symptoms, chronic conditions, and overall well-being.
*$10,000 Sign-on Bonus for Qualified Candidates*
*Opening to Cover the Following Geographic Zone:
-Greater Boston/Quincy/Natick area
Responsibilities will include:
Patient Care Delivery
Delivers virtual and in-person visits for patients with significant physical, behavioral, and social complexity, meeting patients in their homes or other safe environments to ensure appropriate, patient-centered care
Depending on market needs, may also deliver primarily virtual (video and video facilitated) visits for low and rising risk patients and a subset of higher risk patients in more distant geographies to ensure appropriate, patient-centered care
Guarantees every patient is seen face-to-face annually and proactively completes additional visits when clinical needs or care gaps arise
Onboard patients into our care model with a Health Advocate, including performing a comprehensive biopsychosocial assessment and medication reconciliation in order to ensure accurate and appropriate diagnosis and evidence-based treatment for chronic conditions as well as preventative care gaps
Conduct follow-up visits with patients to guide and oversee the medical management of patients’ chronic and urgent conditions to maximize patients’ healthy days at home
Conduct post-hospital / ED visits in order to ensure appropriate transition of care and reduce risk for avoidable readmission
Create and adjust patient care plans in collaboration with other Accompany Health team members, ensuring appropriate referrals or delegation of key actions to address key barriers and obstacles to health
Provide clinical coverage as needed, including home-based follow-up and urgent visits
Participate in a rotating call schedule to manage patients’ urgent needs
The assigned geographic area (subject to change) may include locations requiring variable drive times; however visit and travel times will be scheduled to fit within the standard workday
Interdisciplinary Collaboration
Work in close collaboration with Health Advocates - providing clinical support, coaching and guidance to their activities to help them coach and empower patients on successful self-management of their health
Refer, collaborate and co-manage patients with our behavioral health, nursing and pharmacy teams
Collaborate with external providers and community organizations to ensure care aligns with patient goals as well as social, home health, and DME needs
Clinical Diagnosis and Documentation, Quality, and Compliance
Ensure accurate and appropriate diagnosis, coding and documentation of chronic conditions with evidence-based treatment plans
Maintain timely, accurate documentation in EMR and custom care platforms
Own the quality of preventative care delivered by helping patients close HEDIS quality gaps
Technical Fluency and Innovation
Quickly learns and adapts to new tools, software, and systems—including AI-driven solutions—that support patient engagement, care coordination, and clinical decision-making
Understands the intersection of healthcare and technology, leveraging data-driven platforms, electronic medical records, and AI-enabled insights to independently problem solve and improve patient outcomes and operational efficiency
Performs other duties as assigned
What makes you a fit for the team:
- Committed to serving complex, historically underserved patients with co-occurring medical and behavioral health conditions through an integrated, tech-enabled care model
- Strives to exceed expectations and dedicated to delivering high-quality, compassionate care to all patients, regardless of background or need
- Thrives in a fast-paced environment and able to adapt and contribute to continuous improvement
- Comfortably manages high volumes of work, and adapts quickly as priorities shift
- Bringing experience and comfort delivering high-volume care in fast-paced settings such as Urgent Care, the ED, or busy primary care/FQHC environments
- Demonstrates a strong clinical ‘detective’ mindset, investigating across multiple systems to uncover the right diagnosis and supporting evidence, consistently seeking the ‘how’ and ‘why’ while thoroughly documenting patients’ conditions and needs
- Shows adaptability and a strong growth mindset, including the willingness to unlearn prior workflows and embrace new approaches
- Exhibits calm, confident clinical decision-making even in ambiguous or rapidly changing situations
- Works collaboratively with teammates and actively seeks opportunities to learn, grow, and elevate team performance
- Displays trust in the organization’s mission, values, and direction, and contributes positively to a culture of shared purpose
- Highly organized and efficient, able to balance time and needs across a complex patient panel
- Motivated by advances in technology and excited to incorporate new technology and systems into daily practice
- Embraces continuous learning, coaching and feedback to enhance own skills in service of patient outcomes
- Strong communicator and clinical leader skilled in coaching, mentoring, and collaborating across clinical and non-clinical teams to promote excellence in patient care
Desired skills and experience:
Required
Active Nurse Practitioner (NP) or Physician Assistant (PA) license in state of employment and willingness to obtain additional licensure as requested
Active DEA registration or eligibility to obtain (X-waiver preferred)
Active or eligible state-controlled substance license
Current Basic Life Support (BLS) certification
3+ years’ of experience in adult internal medicine, family medicine, geriatrics, or addiction medicine
Strong clinical judgment and ability to make independent medical decisions
Proficient in electronic medical record (EMR) systems
Valid unrestricted driver’s license and access to an insured vehicle for daily use
Preferred
Brings experience delivering high-volume care in fast-paced settings such as Urgent Care, the ED, or busy primary care/FQHC environments
Experience engaging patients with chronic mental illness and substance use disorders
Proven success collaborating within multidisciplinary care teams
An understanding of managed care including how to appropriately assess STARS/HEDIS measures, code clinical comorbidities, and identify clinical care gaps
Hands-on experience working with AI tools in a clinical healthcare setting
$125,000 - $165,000 a year
The base salary range for this full-time position is $125,000-$165,000 + bonus + equity + benefits. Our salary ranges are determined by role, level, and location. The range displayed on each job posting reflects the minimum and maximum target for new hire salaries for the position. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. Our talent team can share more about the specific salary range for your preferred location during the hiring process.
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We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
