Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider

🕒 Junho 26

⛰️ Colorado – Remoto

⛰️ Colorado – Remote

💵 $120.000 - $150.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

💬 Bilíngue

👻 Score fantasma 35%

O que significa: quão provável esta vaga está aberta sem contratação ativa.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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Devoted Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2017

🏥 Saúde

⚕️ Seguro de Saúde

🧘 Bem-estar

Healthcare • Healthcare Insurance • Wellness

A Devoted Health é uma empresa de saúde que oferece planos Medicare Advantage projetados para fornecer cobertura de saúde abrangente com benefícios adicionais como cuidados dentários, óculos, associações a academias e medicamentos prescritos a preços competitivos. A empresa enfatiza o suporte e serviço ao membro, garantindo que os clientes possam navegar facilmente por seus benefícios e acessar os serviços de saúde necessários. A Devoted Health está comprometida em ajudar os clientes a economizar dinheiro e melhorar sua saúde e bem-estar por meio de um pacote completo de benefícios e suporte.

Descrição

• Perform comprehensive initial TOC visits. • Conduct a thorough post-discharge assessment of the patient's medical conditions, medications, functional status, and psychosocial needs. • Complete a full post-discharge medication reconciliation — including identifying duplicate, inappropriate, or contraindicated therapy and optimizing guideline-directed medical therapy. • Place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), provide disease-specific education, and communicate clear contingency plans and red flags for worsening symptoms. • Perform acute / virtual urgent-care TOC visits. • Independently assess, diagnose, and manage new or worsening symptoms in medically complex patients, determine the appropriate level of care, and escalate when needed — with a clear bias to action. • Manage the clinical trajectory across the 30-day window. • Reinforce and adjust each patient's plan of care in response to their evolving clinical picture, their priorities, and the barriers they face — including chronic disease management, symptom management, and timely changes to the medical regimen. • Participate in interdisciplinary TOC rounds to discuss patients at highest risk of readmission, and collaborate closely with RN case managers, care coordinators, social work case managers, pharmacy, and patients' PCPs and specialists. • Enhance team culture by facilitating safe, open communication across roles and supporting clear patient escalations. • Assist with clinical education of the broader team, participate in quality-improvement projects and pilots, and provide feedback to improve our EHR. • Embrace a build environment. As our service needs evolve, this role may expand to support new clinical and organizational initiatives.

🎯 Requisitos

• 5+ years of direct patient care managing primarily geriatric populations with multiple chronic, complex, comorbid conditions — across both acute and chronic presentations. • Demonstrated comfort across the continuum: acute management of chronic illness and longitudinal outpatient chronic-disease management, with a strong understanding of how the two connect. • Strong, independent clinical decision-making and bias to action in a virtual setting — comfortable being the clinician who recognizes deterioration and decides the next best step. • Proficiency with complex medication reconciliation and guideline-directed medical therapy , especially for heart failure, COPD, diabetes, atrial fibrillation/anticoagulation, and hypertension — including recognizing duplicate, inappropriate, or contraindicated medications and adjusting regimens safely. • Comfort diagnosing, managing, and monitoring decompensating patients with common high-readmission conditions such as heart failure, COPD, diabetes, hypertension, pneumonia, cellulitis, and urinary tract infections. • Ability to work the full-time 5-day, 8-hour schedule (Monday-Friday 8:30 AM – 5:00 PM within CST/PST/MST hours). • A strong, collaborative team player who thrives in an interdisciplinary environment. • Proficiency in English and Spanish is required.

🏖️ Benefícios

• Employer-sponsored health insurance and dental and vision plan with low or no premium • Generous paid time off • $100 monthly mobile or internet stipend • Stock options for all employees • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles • Parental leave program • 401K program • And more....