Physician Assistant (PA-C)/ reputed company Practitioner (NP), San Bernardino

We are looking for a compassionate and skilled Physician Assistant (PA-C) or Nurse Practitioner (NP) to join us in supporting patients through our Chronic Care Management (CCM) and Remote Patient Monitoring (RPM) programs. This role emphasizes proactive, patient-centered care, leveraging clinical expertise to help individuals manage chronic conditions, reduce risks, and improve overall health.

Primary Responsibilities

• Patient Assessments & Clinical Care: Conduct in-depth medical, psychosocial, and risk evaluations. Diagnose, manage, and monitor chronic conditions.
• Care Planning & Management: Design and implement customized care plans. Partner with physicians, pharmacists, and care coordinators.
• Patient Engagement & Education: Provide guidance on disease management, medications, prevention, and lifestyle changes using motivational interviewing.
• Clinical Coordination: Ensure communication with patients, caregivers, and providers. Review diagnostic results and monitor treatment.
• Data-Driven Interventions: Review RPM data for early signs of concern and use analytics and population health tools.
• Documentation & Compliance: Maintain accurate clinical records in the EHR. Adhere to CMS and regulatory standards for CCM and RPM documentation.
• Program Leadership Support: Assist with patient enrollment and contribute to ongoing program evaluation and performance improvement.

Qualifications

• Education & Licensure: Active, unrestricted California PA-C or NP license. National certification required (NCCPA, AANP, or ANCC).
• Experience: At least 2 years of clinical experience in primary care, internal medicine, geriatrics, or chronic disease management.
• Technical Proficiency: Skilled in EHR documentation, workflow, and familiar with RPM devices and telehealth platforms.
• Core Skills: Strong clinical judgment, excellent communication, organization, and self-motivation in a remote environment.
• Work Environment: Must maintain a HIPAA-compliant, private workspace with reliable internet.