Associate VBC Outcomes Specialist (Nurse Practitioner or Physician Assistant)

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Associate Value-Based Care Outcomes Specialist (AVOS) - Baltimore, MD Job Summary The Associate VBC Outcomes Specialist is not a "fill-in" clinician; you are the Special Forces Vanguard treating in high-priority zones.

Your mission is to establish a strong trust in territories where patient volume is building.

You are an elite, W2-employed Nurse Practitioner or Physician Assistant who executes the Company's proprietary Value-Based Care (VBC) protocol with absolute precision.

This role is designed for the "Hunter/Healer"—a clinician who wants to treat patients, prove the model, and earn their seat as a Senior VOS.

You are not paid for hours; you are paid for outcomes.

Your objective is clear

Manage your initial cohort of patients to the "VBC Outcome" (healed wound, no readmission) and rapidly build your census to trigger your automatic promotion to the Senior Salaried Team.

Responsibilities 1.

Strategic Outcome Execution & Protocol Dominance (The Hunter/Healer Mandate) Precision Mission Ownership

Assume absolute clinical ownership for all assigned patients in the "Growth Zone." You own the episode from admission to successful "VBC Outcome" (healed wound, zero readmission).

Uncompromising Protocol Adherence

Execute the Company's proprietary, standardized VBC clinical pathway with 100% fidelity, including comprehensive assessment, precise diagnosis, and execution of advanced procedures (e.g., sharp debridement) strictly according to the single-source formulary.

The "One-Visit" Mandate

You are required to maintain clinical efficiency by adhering to the standard frequency of one in-person visit per week .

Any additional visits must have explicit clinical justification and prior authorization from the Lead VOS.

Unauthorized visits are not compensable.

The Anti-FFS Principle

Operate strictly within the protocol-driven W2/Piece Rate framework.

The focus is the VBC Outcome, not the accumulation of billable procedures. 2.

Data Discipline & Formulary Stewardship Real-Time Documentation & Proof of Value

Complete all clinical documentation within the EHR immediately following the encounter (no later than end-of-day).

Timely documentation is the "Proof of Life" for the billing cycle and is critical for VBC Outcome tracking.

Inventory & Reconciliation Command

Adhere with uncompromising rigor to the strict, single-source supply and CTP (Graft) formulary.

Meticulously track and document every graft and supply used, ensuring complete transparency and reconciliation.

You are accountable for the Variable Cost of Goods Sold (COGS) on your specific patients.

Asset Deployment Integrity

Perform all procedures and apply all clinical assets only in the exact manner, frequency, and quantity explicitly specified within the VBC clinical pathway. 3. "Path to Senior" Growth & Definitive Authority Outcome Focus & Performance

Your performance is measured solely by the VBC Outcome Success Rate (Healed + No Readmission).

You are paid to heal , not just to visit.

Census Building

Work in tandem with the VBC Account Executive (AE) to rapidly onboard new patients, leveraging your clinical excellence and "Radical Transparency" as the primary drivers of referral growth.

Protocol Champion

Act as the vanguard for the VBC model, consistently championing the commitment to data-driven, high-quality care to establish the VOS and the Company as the definitive, most trusted source of truth.

Strategic Collaboration

Engage with the Director of Clinical Outcomes and Regional Lead VOS for all caseload management, complex patient escalations, and performance reviews. 4.

Ethical & Professional Compliance Command Unyielding Compliance

Adhere strictly and without exception to all company policies, procedures, the Code of Conduct, all clinical compliance frameworks, and HIPAA regulations.

Ethical Veto Power

While protocol-driven, you retain the professional and ethical obligation to immediately exercise sound clinical judgment and escalate any patient safety concerns to the Director of Clinical Outcomes.

Brand Representation

Represent the company in all external and internal interactions with the utmost professionalism, integrity, and positive conviction.

Key Performance Indicators (KPIs) Primary

VBC Outcome Success Rate (Healed + No Readmission).

Secondary

Protocol Adherence Rate (100% Mandatory).

Growth

Time-to-25 Census (Speed to Promotion).

Compensation Structure

The "Vanguard" Plan This is a performance-based W2 role.

You are an employee, not a freelancer, and you are paid for specific, authorized production. 1.

The Visit Rate (Piece Rate) Definition

Paid for face-to-face clinical encounters where a billable note is generated.

Guardrail 1 (No-Show/Drive Time)

Compensation is strictly for the clinical encounter.

The Company does not pay for drive time, mileage, administrative time, or visits where the patient is not home/refuses care ("No-Show").

Guardrail 2 (Utilization Control)

The authorized protocol is 1 Visit Per Week .

Any visits beyond this frequency must be pre-authorized by the Lead VOS.

Unauthorized visits are not compensable. 2.

The "VBC Healing Bonus" (The Upside) Bonus

$615.00 per Successful Episode Closure.

Metric

Paid when a patient episode under your management results in a confirmed "VBC Outcome" (Healed + Zero Readmissions).

Eligibility

The patient must be on service for a minimum of 30 days.

Readmissions within 30 days of discharge trigger a clawback.

Why this matters

You are paid to heal , not just to visit.

A 5-patient caseload that heals successfully generates $3,075 in bonuses on top of visit pay. 3.

The "Path to Senior" Promotion Trigger The Hook

This role is a bridge to the Senior VOS career track.

The Trigger

Upon reaching and maintaining an active, compliant census of 25 Engine 1 Patients for 30 consecutive days , the Associate Clinician will automatically convert to the Senior VOS Compensation Package. --- Benefits

Full Medical/Dental/Vision + 401(k). --- PTO

Unlimited Paid Time Off.

Qualifications Active, unrestricted Nurse Practitioner (NP) or Physician Assistant (PA) license in state of practice. "Wartime" mindset—you do not need hand-holding; you need a target.

Preferred prior experience in home health, wound care, or hospice Please Note Strict Protocol Adherence

"The Associate VOS acknowledges that despite the per-visit pay structure, they are a W2 employee required to follow strict clinical protocols.

Deviating from the formulary or visit frequency without authorization is grounds for immediate termination." Conversion Clause

"The Company commits to converting the Employee to full-time Senior status ($135k Base) effective the first pay period following the confirmation of the '25 Patient / 30 Day' census metric.

This conversion is guaranteed based on performance." Ready to Become a "Special Forces Vanguard?" Apply today by submitting your tailored resume via the LinkedIn platform.

Old Mission Wound Care is an Equal Opportunity Employer.

Seniority level Not Applicable Employment type Full-time Job function Health Care Provider Industries Medical Practices Inferred from the description for this job Medical insurance Vision insurance 401(k) #J-18808-Ljbffr