NP/PA, Patient Connect - Full Time

About the Role

The Advanced Practice Clinician (APC) conducts comprehensive, one-time health assessments for patients transitioning from hospitalization to skilled nursing facilities or back home, supporting care coordination and improving patient outcomes.

Responsibilities

• Perform and document assessments in compliance with CMS regulations
• Ensure accurate ICD10 coding and complete documentation of diagnoses
• Conduct initial medication reviews and support quality measures
• Educate patients and families, communicate findings to providers and staff
• Travel between care sites as needed and participate in training
• Coordinate care by discussing medical concerns during visits
• Contribute to quality improvement initiatives and maintain proactive communication

Requirements

• Active, unrestricted licensure (NP or PA) in practicing state
• Relevant certifications (ANCC, AANP, NCCPA)
• Reliable transportation and ability to navigate varied environments
• Proficient in electronic medical records and documentation

Preferred Qualifications

• 1+ years clinical experience in geriatric or long-term care
• Familiarity with chronic illness and complex patient needs