APRN 1099 Home Visits

Job Title: Nurse Practitioner – House Calls

Locations available: Winter Park, Orlando, Lake Mary and Altamonte

Schedule: Open and flexible

Comp: 1099

Position Summary

We are seeking a compassionate and highly skilled Nurse Practitioner (NP) to provide high-quality, patient-centered care in the home setting, with an emphasis on proactive care management, risk stratification, and care coordination across the continuum. This position is ideal for clinicians who thrive in an autonomous environment, are organized and comfortable working in a mobile environment.

Key Responsibilities

Perform comprehensive History & Physical (H&P) assessments for new patient enrollment and risk adjustment

Conduct Transitional Care Management (TCM) visits within appropriate post-discharge timeframes to reduce readmissions

Complete Annual Wellness Visits (AWVs) and other preventive care services aligned with CMS guidelines

Perform in-depth functional, cognitive, and psychosocial assessments (ADLs/IADLs, fall risk, frailty, depression screening)

Provide ongoing primary care services, including diagnosis, treatment, and management of acute and chronic conditions

Develop and execute longitudinal care plans aimed at improving quality and patient outcomes

Provide early intervention to prevent unnecessary ED visits and hospital admissions

Collaborate closely with care coordinators and other interdisciplinary teams to coordinate care transitions across acute and post-acute settings.

Order and interpret diagnostic tests, labs, and imaging as appropriate

Prescribe medications appropriately, with attention to polypharmacy and deprescribing when indicated

Deliver patient and caregiver education to improve adherence and self-management

Maintain timely, accurate, and compliant documentation in the EMR

Participate in quality improvement initiatives and adhere to clinical protocols---

Performance Expectations (Value-Based Focus)

Work to reduce hospital admissions and 30-day readmissions

Decrease emergency department utilization

Achieve high completion rates for AWVs and preventive services

Support initiatives to maintain and improve quality metrics

Drive high levels of patient and caregiver satisfaction

Effectively manage a panel of patients

Travel Requirements

Travel to patient homes within an assigned geographic territory

Optimize routing and scheduling to maximize efficiency and patient access

Flexibility to accommodate urgent visits for high-risk patients when needed or work with care coordinators to facilitate alternative care.

Qualifications

Current, unrestricted Nurse Practitioner license in the state of practice

Board certification (AANP, ANCC, or equivalent)

Active DEA license (or ability to obtain)

Minimum 2+ years of experience as an APRN

Strong clinical assessment and diagnostic skills

Ability to work independently with sound clinical judgment

Excellent communication and interpersonal skills

Requirements

Reliable transportation and valid driver’s license

Willingness and ability to travel within assigned service area

Proficiency with mobile EMR platforms and point-of-care documentation

Ability to work independently in a field-based environment

Ability to lift/transport basic medical equipment as needed

Preferred Experience

Experience in home-based care, geriatrics, or value-based care models

Familiarity with Transitional Care Management and general primary care

Experience managing complex, high-risk patient populations

Work Environment

Field-based role providing care in private homes, assisted living, and group home settings

Supported by a centralized care team, including care coordinators, and administrative staff

High degree of autonomy with strong clinical collaboration

Compensation & Incentives

Pay per encounter

Travel fee per encounter

Laptop provided

Cell phone reimbursement