Nurse Practitioner, Longevity Care in Senior Living (In-Person Contract)

About Total Life

Total Life connects adults 65+ with licensed clinicians for behavioral health, geriatric care and longevity services, covered by Medicare, Railroad Medicare and major commercial insurers. Since 2021 we've grown to more than 200 credentialed providers serving patients in 49 states.

Most longevity medicine is built for healthy 40-year-olds. Ours is built for older adults. The Longevity Program combines a comprehensive geriatric assessment with chronic disease management, cognitive health, medication review and weight management, organized around five pillars of healthy aging: sleep, nutrition, movement, mental health and social connection. It works alongside a patient's existing care and never replaces their primary care provider.

The role

This is an in-person contract role. We're looking for nurse practitioners in the North San Diego County area to lead longevity days at our partner senior living communities. Each day opens with a short educational talk for residents on healthy aging, using a presentation and speaker notes we provide. You then see the residents who sign up for one-on-one longevity visits.

You'll be trained and supported by our Chief Medical Officer, a board-certified geriatrician who designed the program's clinical content. Your first site day is run alongside a member of our team.

Schedule

Site days are on weekdays. The presentation is the fixed part of the day. The rest depends on how many residents sign up. Expect roughly 4 to 8 hours per site day, a few times a month to start, with hours growing as bookings grow.

What you'll do

Conduct 45 to 60 minute longevity visits built on a comprehensive geriatric assessment: what matters most to the resident, medication review and deprescribing, cognition (including the Mini-Cog), mood, sleep, nutrition, mobility, fall risk, daily function and advance care planning
Evaluate eligible residents for weight management, including GLP-1 therapy where clinically appropriate
Identify residents who would benefit from follow-up care, such as a fuller cognitive review, ongoing medical follow-up, psychiatry or therapy, and coordinate with their primary care provider
Document every encounter accurately and completely, to Medicare standards, in our EHR
Represent Total Life professionally with residents, families and community staff
Travel to assigned senior living communities in the North San Diego County area

Requirements

Active, unrestricted California RN license and Nurse Practitioner certification from the California Board of Registered Nursing (California is not a Nurse Licensure Compact state, so a multistate RN license does not apply)
An active NP Furnishing Number from the California Board of Registered Nursing
Current national NP board certification
Active DEA registration for California and registration with CURES, California's prescription drug monitoring program
Ability to practice under standardized procedures with a supervising physician, as required in California, or certification as a 104 NP under AB 890 (a 103 NP must practice in a setting with a physician on site, which our senior living sites do not have)
Clinical experience caring for adults 65+
Experience with Medicare documentation and E/M coding
Your own malpractice insurance (minimum $1M per occurrence, $3M aggregate) that covers in-person care, not just telehealth, or the ability to obtain it before your first site day
Comfort presenting to groups and speaking with older adults and their families
A valid driver's license and reliable transportation
Ability to complete each community's onboarding requirements, which may include a background check, TB screening and immunizations
Weekday availability for on-site days in the North San Diego County area, with hours confirmed in advance

Nice to have

Experience with comprehensive geriatric assessment
Familiarity with cognitive screening and staging tools (Mini-Cog, MoCA, FAST); MoCA certification is a plus
Experience in senior living, long-term care, SNF, hospice, palliative or house-call settings
Experience prescribing GLP-1s for weight management
Telehealth experience
Licenses in more than one state
Adult-Gerontology NP certification (AGNP/AGPCNP), or Family NP with a geriatric focus or training

What we offer

Mileage reimbursement for site days
Training from our CMO in geriatric assessment, cognitive tools (Mini-Cog, MoCA, FAST) and our documentation
Presentation materials, resident sign-ups and scheduling handled by our team
Flexible contractor schedule, with hours that grow as your calendar fills
The chance to help build a program for a population the longevity field has overlooked

Total Life welcomes applicants of all backgrounds and is committed to equal opportunity.

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Knowledge of medical ethics and law practices, pertaining to medical and medical socioeconomics. SPECIAL CONDITIONS Must be able to work various hours and locations based on business needs. Employment is subject to a criminal background check and pre-employment physical. Position may require on-call, overnight, evening, and weekend hours. May travel to various locations in La Jolla, Moores Cancer Center, and Rancho Bernardo. Must be able to obtain UCSD Medical Staff privileges and maintain during employment. Due to advanced practice credentialing eligibility, clinical advanced practice experience must be within the last two years. Current University of California NPIII employees may be hired at the NPIII level pending review and approval by Health Human Resources and the UCSD Advanced Practice Council. Pay Transparency Act Annual Full Pay Range: $176,624 - $247,157 (will be prorated if the appointment percentage is less than 100%) Hourly Equivalent: $84.59 - $118.37 Factors in determining the appropriate compensation for a role include experience, skills, knowledge, abilities, education, licensure and certifications, and other business and organizational needs. The Hiring Pay Scale referenced in the job posting is the budgeted salary or hourly range that the University reasonably expects to pay for this position. The Annual Full Pay Range may be broader than what the University anticipates to pay for this position, based on internal equity, budget, and collective bargaining agreements (when applicable). Apply Now If employed by the University of California, you will be required to comply with our Policy on Vaccination Programs, which may be amended or revised from time to time. Federal, state, or local public health directives may impose additional requirements. If applicable, life-support certifications (BLS, NRP, ACLS, etc.) must include hands-on practice and in-person skills assessment; online-only certification is not acceptable. UC San Diego Health Sciences is comprised of our School of Medicine, Skaggs School of Pharmacy and Pharmaceutical Sciences, The Herbert Wertheim School of Public Health and Human Longevity Science, and our Student Health and Well-Being Department. We have long been at the forefront of translational — or "bench-to-bedside" — research, transforming patient care through discovery and innovation leading to new drugs and technologies. Translational research is carried out every day in the hundreds of clinical trials of promising new therapies offered through UC San Diego Health, and in the drive of our researchers and clinician-scientists who are committed to having a significant impact on patient care. We invite you to join our team! Applications/Resumes are accepted for current job openings only. For full consideration on any job, applications must be received prior to the initial closing date. If a job has an extended deadline, applications/resumes will be considered during the extension period; however, a job may be filled before the extended date is reached. To foster the best possible working and learning environment, UC San Diego strives to cultivate a rich and diverse environment, inclusive and supportive of all students, faculty, staff and visitors. For more information, please visit UC San Diego Principles of Community . The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected status under state or federal law. For the University of California’s Anti-Discrimination Policy, please visit: https://policy.ucop.edu/doc/1001004/Anti-Discrimination UC San Diego is a smoke and tobacco free environment. Please visit smokefree.ucsd.edu for more information. UC San Diego Health maintains a marijuana and drug free environment. Employees may be subject to drug screening. Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts an offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; or have filed an appeal of a finding of substantiated misconduct with a previous employer. a. "Misconduct" means any violation of the policies governing employee conduct at the applicant’s previous place of employment, including, but not limited to, violations of policies prohibiting sexual harassment, sexual assault, or other forms of harassment, or discrimination, as defined by the employer. For reference, below are UC’s policies addressing some forms of misconduct: UC Sexual Violence and Sexual Harassment Policy UC Anti-Discrimination Policy Abusive Conduct in the Workplace

Other

1 week ago

Advanced Practice Nurse (Practitioner/Dermatology)

Defense Health Agency (DHA) San Diego, CA

$177,442 - $222,642 / year

Overview ASTEBIN% This position is located at Defense Health Network Pacific Rim, Naval Medical Center, San Diego, CA. A recruitment or relocation incentive may be authorized Salary negotiation may be available for those candidates who are new to Federal service. Advanced Leave Accrual may be authorized. Advanced Practice Nurse (Practioner/Dermatology) Salary Range: $177,442-$222,642 Benefits: https://civilianmedicaljobs.com/benefits/ Downtown San Diego is located on San Diego Bay. Balboa Park encompasses several mesas and canyons to the northeast, surrounded by older, dense urban communities including Hillcrest and North Park. To the east and southeast lie City Heights, the College Area, and Southeast San Diego. To the north lies Mission Valley and Interstate 8. The communities north of the valley and freeway, and south of Marine Corps Air Station Mirmar, include Clairemont, Kearny Mesa, Tierrasanta, and Navajo. Stretching north from Miramar are the northern suburbs of Mira Mesa, Scripps Ranch, Rancho Penasquitos, and Ranch Bernado. The far northeast portion of the city encompasses Lake Hodges and the San Pasqual Valley, which holds an agricultural preserve. Carmel Valley and Del Mar Heights occupy the northwest corner of the city. To their south are Torrey Pines State Reserve and the business center of the Golden Triangle. Further south are the beach and coastal communities of La Jolla, Pacific Beach, Mission Beach, and Ocean Beach. Pont Loma occupies the peninsula across San Dego Bay from downtown. The communities of South San Diego (an Enclave), such as San Ysidro and Otay Mesa, are located next to the Mexico-United States border and are physically separated from the rest of the city by the cities of National City and Chula Vista. A narrow strip of land at the bottom of San Diego Bay connects these southern neighborhoods with the rest of the city. San Diego has one of the top-ten best climates in the United States and has one of the two best summer climates in the country as scored by The Weather Channel. San Diego area has been variously categorized as having either a semi-arid climate or a Mediterranean climate. San Diego's climate is characterized by warm, dry summers and mild winters, with most of the annual precipitation falling between December and March. The city has a mild climate year-round, with an average of 201 days above 70 °F and low rainfall (9–13 inches annually). Responsibilities As a Dermatology Nurse Practitioner you will : Clinical Care & Specialized Procedures Administer systemic, biologic, photo, and laser therapies for dermatologic conditions within authorized scope. Provide immediate emergency stabilization and crisis intervention (including CPR and lifesaving procedures) in the absence of a physician. Systems & Clinical Documentation Utilize MHS, MTF, CHCS, and ADM systems to manage care, log diagnoses, and enter CPT codes. Document all patient encounters , including progress notes, prescriptions, procedures, consults, and admission/discharge paperwork. Coordination, Referrals, & Administration Consult with primary care and specialty providers regarding patient evaluation and treatment plans. Coordinate inpatient admissions with attending dermatologists and inpatient ward teams. Facilitate care transitions via referrals, follow-up calls, and the preparation of medical boards, profiles, insurance forms, and Exceptional Family Member Program (EFMP) paperwork. Education & Preceptorship Serve as a preceptor and instructor for Graduate Medical Education (GME) candidates, including medical residents, students, Physician Assistants, and APRNs. Qualifications Qualifications Who May Apply: US Citizens In order to qualify, you must meet the education and experience requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document. Basic Requirement for Advanced Practice Nurse (Dermatology ): Degree: A graduate or higher level degree from an accredited professional nursing educational program is required. Foreign Degree: A degree from a Foreign Nursing School. Official certification from the Commission on Graduates of Foreign Nursing Schools is required for individuals who graduated from foreign nursing schools. Licensure: A current, active, full, and unrestricted license or registration as a professional nurse from a State, the District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States; and you must have passed the National Council Licensure Examination. Exemption: You are exempt from the basic requirements above if you are a current federal employee occupying a position in the 0610 occupational series and have been continuously employed in this occupational series since September 27, 2017 or before. Applicants claiming this exemption must meet the requirement below. Note: You will be required to provide appropriate documentation to the respective Human Resources Office to validate your status.Degree or diploma from a professional nursing program approved by the legally designated State accrediting agency at the time the program was completed by the applicant.Active, current registration as a professional nurse in a State, District of Columbia, the Commonwealth of Puerto Rico, or a territory of the United States. In addition to meeting the basic requirement above, to qualify for this position you must also meet the qualification requirements listed below: Professional Nursing Experience: One or more full years of professional nursing experience of advanced nursing principles, concepts, and practices, supplemented by highly specialized clinical knowledge in the field of dermatology. Some federal jobs allow you to substitute your education for the required experience in order to qualify. For this job, you must meet the qualification requirement using experience alone--no substitution of education for experience is permitted.