Bilingual Nurse Practitioner (English/Spanish) - Chronic Kidney Disease Care

About the role

Duo Health is a medical group focused on patients with chronic kidney disease, using a Health Mobilization platform that links multidisciplinary care teams with community nephrologists. The Advanced Practice Provider works as part of a care team serving a panel of patients with CKD stages 3b, 4, 5 and ESRD, providing in-home care across the Mayaguez area. The position is not office or clinic based.

Key responsibilities

• Assume responsibility for an assigned panel of patients and provide clinical care and support focused on patient-level interventions
• Take complete history and physical exams, order and interpret laboratory and diagnostic tests, and prescribe medications where permitted
• Educate patients and caregivers about conditions, treatments, medication use and side effects
• Manage patients' clinical conditions and psychosocial care, and develop comprehensive care plans
• Decide when specialist consultation is needed and coordinate care across emergency departments, hospitals, skilled nursing facilities, home health agencies, hospice and community organizations
• Participate in care team huddles, contribute to quality improvement and help improve clinical protocols and HEDIS measures
• Document encounters accurately and promptly, and be available for after-hours telephonic support

Required profile

• Licensed Advanced Practice Nurse (APN) eligible to practice in Puerto Rico
• Bilingual English/Spanish, able to communicate orally and in writing
• Must meet clinician credentialing criteria, including a background check
• Own car, valid driver's license and good driving record with insurance; must be able to travel to patient homes
• Preferred: experience with complex patients in hospitals, with chronic kidney disease or dialysis, and with community resources from diverse backgrounds

Required skills

• Comfortable interacting with patients and care teams both in person and by telephone
• Ability to build inclusive, equitable relationships with patients, caregivers and staff
• Self-motivated and able to follow defined operating procedures

Schedule: Monday to Friday, 8:00 am to 5:00 pm, with paid after-hours on-call rotation.