Population Health Nurse Practitioner / Physician Assistant

Bloom Healthcare is a physician-led, home-based care organization serving patients with complex medical needs. We integrate primary care, serious illness care, and hospice into one model focused on continuity and shared clinical judgment. As a high-needs ACO, Bloom consistently ranks among the highest-performing accountable care organizations.

The field-based Population Health Advanced Practice Provider completes patient visits across the territory with emphasis on gap closure and discovery of unidentified complex conditions. Technology-enabled chart review supports identification of clinical gaps while HEDIS and STAR metrics guide daily priorities. Visits occur on existing Bloom Primary Care panels rather than an independent caseload.

Providers collaborate daily with internal clinicians and external partners using population health data at the practice level. The Sr. Director of Population Health offers direct support for identifying improvement opportunities and executing process changes. Ongoing education keeps the team current on accountable care performance and home-based medicine.

Bloom maintains a culture grounded in Integrity, Commitment, Innovation, and Excellence while delivering on the Triple Aim. The organization serves over 10,000 patients across three states and is repeatedly recognized as a Top Place to Work. Professional growth occurs alongside meaningful work that improves time at home and quality of life for patients.