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Wound Care Certified Nurse Practitioner (NP)
Remote - USA · Remote · Utilization Management & Appeals
$130K – $150K
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About the role
Mentoring
At Clover Health, we are committed to providing high-quality, affordable, and easy-to-understand healthcare plans for America’s seniors. We prioritize preventive care while leveraging data and technology through the Clover Assistant, a powerful tool that helps physicians make informed health recommendations. By giving doctors a holistic view of each member’s complete health history, we ensure better care at a lower cost—delivering the highest value to those who need it most.
Our Clinical Wound Care & Home Health team combines technology and clinical judgment to provide coordinated, whole-person care that helps members heal and remain safely at home. As a Wound Care Certified Nurse Practitioner, you will oversee care for members with complex and chronic wounds from initial assessment through closure or transition of care. You will review high-definition wound images and clinical data through a secure, AI-enabled platform, independently apply clinical judgment, and address broader health and social needs affecting healing. As Clover expands its Home Health program, you will also support clinical review, care coordination, and program development.
As a Wound Care Certified Nurse Practitioner, you will:
- Manage wound care through closure. Develop individualized, evidence-based treatment plans, including dressings, monitoring frequency, and home-health interventions within scope of practice; reassess progress and determine when to close, extend, or revise care.
- Assess wounds using clinical data and technology. Review images, measurements, history, and healing trends, using AI-supported tools to inform assessments while independently determining diagnosis, treatment, and escalation.
- Recognize complications and escalate promptly. Identify stalled, worsening, or complicated wounds and coordinate timely evaluation by physicians, surgeons, podiatry, vascular services, infectious disease, or emergency care as indicated.
- Address the whole member. Evaluate mobility, pressure relief, nutrition, diabetes, vascular health, infection risk, medications, functional status, caregiver support, and social needs affecting healing or overall health.
- Maintain accurate documentation and diagnoses. Document assessments, clinical reasoning, treatment changes, escalation decisions, and outcomes promptly; ensure relevant diagnoses and coding are supported by clinical evidence and applicable standards.
- Coordinate care across providers. Partner with home-health clinicians, primary care, specialists, care managers, pharmacists, and social workers to review updates, respond to changes, and maintain a cohesive care plan.
- Support Home Health clinical oversight. Review clinical needs, appropriateness of services, progress against goals, and opportunities to improve coordination as the program evolves.
- Help build the program. Collaborate with clinical, operational, product, and technology teams to improve workflows, protocols, escalation criteria, documentation standards, and quality measures.
You will love this job if:
- You care for the whole person. You take ownership of addressing the clinical and social factors affecting healing.
- You value clinical judgment and technology. You enjoy tracking progress, coordinating care, and following members through to the best achievable outcome.
- You enjoy building programs. You are motivated to improve processes and help launch a new model of wound and home-based care.
You should get in touch if:
- Active, unrestricted NP license with ability to obtain licensure in applicable states, and current national NP board certification.
- Wound care certification or advanced specialty training in wound management.
- At least 3-5 years of clinical experience managing chronic and complex wounds, including pressure injuries and other wounds common in home-health settings, and developing longitudinal wound-care treatment plans.
- Strong clinical assessment and decision-making skills, including recognizing when physician or specialist escalation is needed.
- Experience reviewing diagnoses and clinical documentation, with working knowledge of coding and documentation practices.
- Strong communication skills, comfort collaborating remotely, and proficiency using technology in clinical care.
- Familiarity with remote assessment, digital wound imaging, telehealth, or AI-enabled clinical tools.
Benefits Overview:
- Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions.
- Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare.
- Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location.
- Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews.
Additional Perks:
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Reimbursement for office setup expenses
- Monthly cell phone & internet stipend
- Remote-first culture, enabling collaboration with global teams
- Paid parental leave for all new parents
- And much more!
About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most.
We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare.
From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility.
#LI-REMOTE
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company.
Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.
A reasonable estimate of the base salary range for this role is:
$130,000—$150,000 USD