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

Responsibilities

• Conduct comprehensive initial post-discharge assessments, including medication reconciliation
• Assess and manage new or worsening symptoms of patients during virtual urgent-care visits
• Adjust and reinforce care plans for patients in their 30-day post-discharge window
• Collaborate with interdisciplinary teams during TOC rounds to minimize readmission risks
• Encourage open communication within the team and support patient escalation processes
• Participate in clinical education and quality improvement projects for the team
• Adept to evolving service needs by supporting new clinical initiatives

Qualifications

• 5+ years of direct patient care experience focusing on geriatric populations with multiple chronic conditions
• Demonstrated ability to manage both acute and chronic patient health issues effectively in a cohesive continuum
• Strong independent clinical decision-making skills, especially in virtual care settings
• Proficiency in complex medication reconciliation, particularly for heart failure, COPD, and diabetes

Compensation

$130,000 – $170,000 annually

Benefits

• Employer-sponsored health, dental, and vision insurance with low or no premium
• Generous paid time off package
• $100 monthly mobile or internet stipend
• Stock options available for employees
• 401K program and eligibility for bonuses