Bilingual Transitions of Care Advanced Practice Provider, NP/PA

🔥 12 hours ago

🌵 Arizona, California, +5 more states – Remote

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💵 $120k - $150k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

💬 Bilingual

👻 Ghost score 0%

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🗣️🇪🇸 Spanish Required

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Logo of Devoted Health

Devoted Health

1001 - 5000 employees

Founded 2017

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Healthcare • Healthcare Insurance • Wellness

Devoted Health is a healthcare company that offers Medicare Advantage plans designed to provide comprehensive health coverage with added benefits like dental, eyewear, gym memberships, and prescription drugs at competitive rates. The company emphasizes member support and service, ensuring that clients can easily navigate their benefits and access needed healthcare services. Devoted Health is committed to helping customers save money and enhance their health and wellness through a complete package of benefits and support.

📋 Description

• Perform comprehensive initial transitions-of-care visits after hospitalization • Assess medical conditions, medications, functional status, and psychosocial needs • Complete medication reconciliation and optimize guideline-directed medical therapy • Place prescriptions, lab, imaging, referral, home-health, and DME orders • Provide disease-specific education and contingency plans for worsening symptoms • Perform acute and virtual urgent-care transitions-of-care visits • Assess, diagnose, and manage new or worsening symptoms in medically complex patients • Determine appropriate care levels and escalate when needed • Manage each patient's clinical trajectory across the 30-day post-discharge window • Participate in interdisciplinary TOC rounds for high-readmission-risk patients • Collaborate with case managers, care coordinators, social work, pharmacy, PCPs, and specialists • Facilitate safe, open communication and clear patient escalations • Support clinical education, quality-improvement projects, pilots, and EHR improvements • Help build the TOC program, team culture, and evolving clinical initiatives

🎯 Requirements

• 5+ years of direct patient care managing primarily geriatric populations with multiple chronic, complex, comorbid conditions across acute and chronic presentations • Comfort with acute management of chronic illness and longitudinal outpatient chronic-disease management • Ability to work full-time, five 8-hour days per week, Monday-Friday, 8:30 AM-5:00 PM; CST/MST/PST preferred • Active and good-standing RN and APRN licenses, or active and good-standing Physician Assistant license • Role licensure and good standing required in existing or future Devoted states • Able and willing to obtain licenses in required states within 90 days of hire • Experience in internal medicine, urgent care, emergency room, hospital medicine, post-acute medicine, and/or geriatrics desired • Experience performing telehealth video visits desired • Experience managing post-transition patients and identifying the need for immediate interventions desired • Experience managing CHF exacerbations, diabetic emergencies, COPD exacerbations, and hypertensive emergencies desired • Strong interdisciplinary teamwork skills desired

🏖️ Benefits

• 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 • Performance-based bonus eligibility • Parental leave program • 401K program

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