Job Description

Nurse Practitioner/Physician Assistant

Location:

Bellflower, CA 90706

Company:

Antonio N Romero MD, INC. Orthopedic Surgery, Spinal Surgery

Job description:

NP/or PA

Orthopedic / Orthopedic spine surgery practice in sunny southern CA seeking an Nurse Practitioner NP (ideally with a 104 license), or Physician Assistant PA for office/clinic, medical legal evaluations, hospital rounding, and possibly surgical assistance in the Operating Room(s).

Employment type: part-time, possible full-time

FLSA status: nonexempt

Compensation: $40-$60/hr TO START.

IN ADDITION to hourly rate with the practice, an NP may function as a pre-operative clearance provider and bill for such services. That is, the NP can see the patients identified as needing surgery and care for them appropriately, ordering tests and prescribing medications, until patient is a viable candidate/acceptable risk for the procedure they are recommended by the surgeon(s) to have.

These pre-operative clinic encounters could be billed for separately with the NP as the sole provider using their NPI. As such, the NP would keep ALL the reimbursement for those PRE-OPERATIVE encounters, and potentially POST-OPERATIVE encounters as follow up for medical conditions managed.

That reimbursement is essentially LIMITLESS. The NP provider would only be limited by the number of encounters/patients they wish to see. In-house Practice Manager/HR specialist would assist the NP to be credentialed with the various IPA insurances to ensure that such compensation would be billable. Further, the practice’s in-house Certified Medical Billing Specialist (CMBS) is available, willing and able to bill for NP clinical encounters on the NP’s behalf.

Therefore, compensation for working at this practice is hourly rate (provided by surgeon) PLUS billable encounters as an independent provider, i.e. an NP. This number could easily be in the $250K annual range, again limited only by the NPs number of billable encounters.

Re: surgeon assistance, once the NP is credentialed at the various facilities where the surgeon(s) perform surgeries, the NP can work directly with the surgeon(s) to assist in cases ranging from joint reconstruction, e.g. total knee arthroplasties (TKAs) to spine surgery cases, e.g. multi-level Lumbar laminectomies, cervical anterior discectomy and fusion (ACDF), as well as smaller cases such as carpal tunnel releases (CTRs) and arthroscopic procedures on the shoulders and knees. Surgical Assistants can bill independently of the surgeon performing the case. This reimbursable amount varies up to several hundred dollars or more/ case. In-house Practice Manager/HR specialist would assist the NP to be credentialed with the various IPA insurances to ensure that such surgical assistance would be billable. Further, the practice’s in-house Certified Medical Billing Specialist (CMBS) is available, willing and able to bill for NP surgeries on the NP’s behalf.

IN SUMMARY, compensation for working at this practice is hourly rate (provided by surgeon) PLUS billable encounters as an independent provider, i.e. an NP. Additionally, there is billable reimbursement for surgical assistance in the Operating Room(s). Combined, this results in TOTAL COMPENSATION easily in the $350-450K annual range, again limited essentially only by the NPs number of billable encounters, and numbers of surgeries in which the NP is willing and able to assist.

Reports to: Practice Manager

Work Location: Southern CA, including cities Bellflower, Bell, Downey, Lynwood

Schedule: Monday – Thursday, 9:30am – 3:30pm; additional hours based on performance, flexibility.

Minimum Qualifications:

· CA licensed NP or PA

· Active boards FNP-C/FNP-BC

· Active DEA

· Fluent in Spanish and English

· Has valid current CA DL, and valid auto insurance

· Lives locally/able to drive to different locations as noted above re: work location(s)

· Preferred: experience with orthopedics, spine surgery patients, working in underserved communities with little resources at hand

Responsibilities:

· Perform medical evaluations and formulate differential dx(s), Tx plan(s) for general orthopedic, spine patients within the scope of standard of care.

· Medical procedures include: suture, staple removal; basic suturing and retracting in the OR.

· Triage incoming patients needs.

· Perform Telemedicine consults as appropriate.

· Perform pre-operative Hxs and Physicals.

· Work closely with orthopedic, ortho spine physician(s).

· Document clinical evaluation and treatment in the EMR—Practice Fusion.

· Make patients and family members comfortable (speaking in their Spanish language as indicated), professionally answering any questions AND using patient – centered empathetic communications at all times.

· Translate Spanish to English in the examination room for the medical provider(s).

What is offered at this practice:

· Relative autonomy within the practice.

· Flexibility with hours, days of work.

· Understanding of family child care needs, emergencies.

· Taking care of patients who are most in need, including but not limited to, at times uninsured, versus Underinsured.

· Family environment, free from most of the confines of larger corporate type practices.

· Physician(s) needing assistance are military veteran(s) with insight into medical, surgical practice which crosses the borders outside the U.S. and far beyond

To apply:

Please send CV/or resume, with accompanying brief statement (1-2 paragraphs) describing your clinical background, career goals, how this job opportunity is a good fit for you. 2 professional references from clinical mentors would be ideal, and at least 1 reference is required for consideration. Please attach aforementioned documents to Indeed.

We look forward to meeting/interviewing potential candidates who are like minded, particularly those who would appreciate and value the opportunity to truly care for the poor and underserved in the Southern CA area.

Benefits:

401(k)
Flexible schedule
Paid time off
Parental leave
Retirement plan

Work Location: In person

Antonio N Romero MD, Inc.

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