PCP Nurse Practitioner
Company: BoldAge PACE
Location: Oakwood
Posted on: February 2, 2026
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Job Description:
Join BoldAge PACE and Make a Difference! Why work with us? A
People First Environment: We make what is important to those we
serve important to us. Make an Impact: Enhance the quality of life
for seniors. Professional Growth : Access to training and career
development. Competitive Compensation: Medical/Dental Flex Time Off
401K with Match* Life Insurance Tuition Reimbursement Flexible
Spending Account Employee Assistance Program BE PART OF OUR
MISSION! Are you passionate about helping older adults live
meaningful, independent lives at home with grace and dignity?
BoldAge PACE is an all-inclusive program of care, personalized to
meet the individual health and well-being needs of our
participants. Our approach is simple: We listen to our participants
and their caregivers to truly understand their needs and desires.
PCP Nurse Practitioner JOB SUMMARY Delivering primary care and
continuous healthcare services to PACE participants, utilizing the
knowledge and skills required to assess, plan, and provide care in
alignment with PACE Program standards. Works closely with the
clinical care team to conduct assessments, reassessments, develop
care plans, and deliver comprehensive primary care. ESSENTIAL
DUTIES AND RESPONSIBILITIES: Provide high-quality primary care with
a strong focus on individualized evaluation, starting with a
comprehensive history and physical exam, rather than defaulting to
broad diagnostic testing panels. Collaborate closely with the IDT
before referring participants to specialists, ensuring referrals
are necessary and that continuity of care is maintained.
Collaborate with the Medical Director to manage specialist
referrals, initiate appropriate treatment prior to referral when
indicated, review specialist notes promptly, and develop and
communicate participant care plans that incorporate clinical
judgment and consult findings to ensure comprehensive care. Manage
and monitor all of your participants' medications, aiming to exceed
expectations in medication reconciliation, and medication
interactions. This can be done in conjunction with the Medical
Director and our collaborating Pharmacist vendor. Stay actively
informed of participant status during hospitalizations and facility
stays, providing appropriate guidance to ensure safe transitions
and care continuity. Assume shared responsibility for all
participants in the center, regardless of individual assignment,
supporting the IDT model of team-based care. Participate in and
contribute to daily IDT meetings, offering clinical insights and
collaborating on participant-centered care plans. Ensure accurate,
timely completion of all participant assessments and documentation
in compliance with policy, regulatory, and quality standards.
Review and respond to labs, imaging, and consults in a timely
manner, incorporating findings into ongoing care plans and
communicating changes with the IDT. Educate participants and
caregivers on self-care strategies, medication use, and wellness
practices, empowering them to participate in their own care. Use
the Emergency Department judiciously, prioritizing PACE resources
unless symptoms are potentially life-threatening. Accurately
document diagnoses with attention to proper coding practices,
supporting risk adjustment and quality reporting metrics. Provide
coverage for the 24/7 on-call rotation, addressing participant
needs promptly and ensuring proper hand-offs and communication.
Contribute to discharge planning, supporting smooth transitions
across care settings. Assist with staff training and mentoring,
contributing to clinical policy development and best practice
implementation. Participate in ongoing performance and quality
improvement initiatives. Demonstrate flexibility by stepping into
other roles, as allowed by licensure and experience, when needed to
support the team. Maintain and report clinical resource needs to
the Medical Director, supporting effective operations. Consistently
uphold all safety, privacy, and compliance standards. EXPERIENCE
AND EDUCATION: MD, DO, APRN, NP, or PA Current State license State
CDS Certification and DEA Registration Board Certified in
Geriatrics preferred BLS required (must have within 90 days of
employment) 2 years experience providing direct patient care
(preferred) 1 year of experience working with a frail or elderly
population preferred. If this is not present, training will be
provided upon hiring (If applicable for the role). PRE-EMPLOYMENT
REQUIREMENTS: Must have reliable transportation, a valid driver's
license, and the minimum state required liability auto insurance.
Be medically cleared for communicable diseases and have all
immunizations up to date before engaging in direct participant
contact. Pass a comprehensive criminal background check that may
include, but is not limited to, federal and state Medicare/Medicaid
exclusion lists, criminal history, education verification, license
verification, reference check, and drug screen. BoldAge PACE
provides equal employment opportunities to all employees and
applicants for employment and prohibits discrimination and
harassment of any type without regard to race, color, religion,
age, sex, national origin, disability status, genetics, protected
veteran status, sexual orientation, gender identity or expression,
or any other characteristic protected by federal, state or local
laws. *Match begins after one year of employment Monday - Friday
Full-time Days Full-time
Keywords: BoldAge PACE, Anderson , PCP Nurse Practitioner, Healthcare , Oakwood, Indiana