Transitions of Care Advanced Practice Provider – NP, PA

🔥 4 minutes ago

🌵 Arizona, California, +4 more states – Remote

🌵 Arizona – Remote 🏄 California – Remote 🐊 Florida – Remote 🌶️ New Mexico – Remote 🏈 Ohio – Remote 🤠 Texas – Remote

💵 $120k - $150k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

👻 Ghost score 0%

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Devoted Health

WebsiteLinkedInAll Job Openings

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

• Build and support the Transitions of Care program providing virtual care during the 30-day period after hospital discharge • Perform comprehensive initial post-discharge visits, including medical, medication, functional, and psychosocial assessments • 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 TOC visits for new or worsening symptoms • Assess, diagnose, manage, and escalate medically complex patients to the appropriate level of care • Manage each patient's clinical trajectory throughout the 30-day window • Participate in interdisciplinary TOC rounds for patients at highest risk of readmission • Collaborate with RN case managers, care coordinators, social work case managers, pharmacy, PCPs, specialists, and patients • Facilitate safe, open communication and support patient escalations • Assist with clinical education, quality-improvement projects, and pilots • Provide feedback to improve the homegrown EHR • Support evolving clinical and organizational initiatives in a fast-paced, dynamic build environment

🎯 Requirements

• 5+ years of direct patient care managing primarily geriatric populations with multiple chronic, complex, comorbid conditions across acute and chronic presentations • Demonstrated 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 in-good-standing RN and APRN licenses, or active and in-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 visits over telehealth video platforms desired • Experience managing post-transitions patients and identifying the need for immediate interventions desired • Experience managing CHF exacerbations, diabetic emergencies, COPD exacerbations, and hypertensive emergencies 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 • Bonus eligibility for all roles excluding Director and above • Parental leave program • 401K program