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 Lodi-Sacramento 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 Lodi-Sacramento 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 Lodi-Sacramento 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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