Nurse Practitioner (Remote, PA License Required)
Core
Provide post-hospital discharge follow-up care via phone and video to underserved patients with complex medical needs.
Role type
Nurse Practitioner (Population Health)
Builds
Transitions of Care program for post-discharge patients
Domain
Healthcare / Digital Health
Deliverable
physical/clinical work
Required skills
Medication reconciliation, symptom screening, care coordination, motivational interviewing, virtual care delivery, complex case management
Preferred skills
Bilingual (English/Spanish), Skilled-Nursing facility experience, Google Suite/Slack proficiency
Responsibilities
Conduct telephonic outreach and scheduled video/phone visits for post-discharge patients, coordinate care across hospital/ED/pharmacy/community settings, build trust with patients, navigate care transitions
Seniority
Mid-Senior level (5+ years post-graduate experience required)