Transitional Care Management Nurse Practitioner Remote
Nurse Practitioner (NP) ā Transitional Care Management (TCM) Provider (Remote)
Position Overview
We are seeking a licensed Nurse Practitioner (NP) to provide Transitional Care Management (TCM) services for patients discharged from our partner skilled nursing facilities. This role focuses exclusively on conducting post-discharge patient visits via telehealth (video or phone) to support continuity of care, improve outcomes, and reduce readmissions.
Key Responsibilities
ā¢ Conduct Transitional Care Management (TCM) visits for patients following discharge from skilled nursing facilities
ā¢ Perform patient encounters via video or phone (fully remote role)
ā¢ Review and synthesize clinical data from hospital and post-acute care stays
ā¢ Assess patient status, address clinical needs, and provide appropriate care guidance
ā¢ Document visits accurately and efficiently within the designated platform
ā¢ Communicate clearly with patients, caregivers, and care teams
ā¢ Manage and maintain a full patient schedule based on availability
ā¢ Navigate clinical situations appropriately and escalate when necessary
ā¢ Utilize technology platforms to deliver care and manage workflows
ā¢ Deliver high-quality patient care exclusively in a virtual environment
Visit Structure & Work Environment
ā¢ Visits typically last up to 20 minutes per patient
ā¢ Flexible patient volume based on provider schedule and availability
ā¢ 100% remote ā no field work, bedside care, or in-person clinical responsibilities
ā¢ Fully technology-enabled care delivery model
Required Qualifications
ā¢ Active and unrestricted Nurse Practitioner license
ā¢ Experience reviewing and synthesizing clinical information from hospital and post-acute care settings
ā¢ Strong clinical judgment and patient care skills
ā¢ Excellent communication and patient engagement abilities
ā¢ Highly tech-savvy and comfortable using digital health platforms
ā¢ Ability to manage schedules independently and maintain productivity
ā¢ Comfortable working exclusively in a remote, telehealth-based environment
Preferred Qualifications (Optional)
ā¢ Prior experience with Transitional Care Management (TCM) services
ā¢ Experience in skilled nursing, post-acute care, or care coordination
ā¢ Telehealth or virtual care delivery experience
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Apply To this Job
Position Overview
We are seeking a licensed Nurse Practitioner (NP) to provide Transitional Care Management (TCM) services for patients discharged from our partner skilled nursing facilities. This role focuses exclusively on conducting post-discharge patient visits via telehealth (video or phone) to support continuity of care, improve outcomes, and reduce readmissions.
Key Responsibilities
ā¢ Conduct Transitional Care Management (TCM) visits for patients following discharge from skilled nursing facilities
ā¢ Perform patient encounters via video or phone (fully remote role)
ā¢ Review and synthesize clinical data from hospital and post-acute care stays
ā¢ Assess patient status, address clinical needs, and provide appropriate care guidance
ā¢ Document visits accurately and efficiently within the designated platform
ā¢ Communicate clearly with patients, caregivers, and care teams
ā¢ Manage and maintain a full patient schedule based on availability
ā¢ Navigate clinical situations appropriately and escalate when necessary
ā¢ Utilize technology platforms to deliver care and manage workflows
ā¢ Deliver high-quality patient care exclusively in a virtual environment
Visit Structure & Work Environment
ā¢ Visits typically last up to 20 minutes per patient
ā¢ Flexible patient volume based on provider schedule and availability
ā¢ 100% remote ā no field work, bedside care, or in-person clinical responsibilities
ā¢ Fully technology-enabled care delivery model
Required Qualifications
ā¢ Active and unrestricted Nurse Practitioner license
ā¢ Experience reviewing and synthesizing clinical information from hospital and post-acute care settings
ā¢ Strong clinical judgment and patient care skills
ā¢ Excellent communication and patient engagement abilities
ā¢ Highly tech-savvy and comfortable using digital health platforms
ā¢ Ability to manage schedules independently and maintain productivity
ā¢ Comfortable working exclusively in a remote, telehealth-based environment
Preferred Qualifications (Optional)
ā¢ Prior experience with Transitional Care Management (TCM) services
ā¢ Experience in skilled nursing, post-acute care, or care coordination
ā¢ Telehealth or virtual care delivery experience
Apply tot his job
Apply To this Job