[Remote] Advanced Practice Provider NP/PA - Transitions of Care (Eastern Time Zone) at Devoted Health

United States

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Not SpecifiedCompensation

Mid-level (3 to 4 years), Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

At least 3 years of experience in hospital, post-hospital setting, or primary care setting, with clear understanding of common hospital discharge diagnoses, post-discharge needs, and the medical management required to avoid readmissions
Ability to work full-time in a 5-day, 8-hour position (8:30 AM - 5:00 PM EST preferred), including one weekend shift per month, consistently within Eastern Standard Time (EST) hours
Adaptable, eager to learn, and comfortable working in a fast-paced, dynamic setting with constant change
Flexibility in scope of practice and willingness to embrace new challenges

Responsibilities

Perform initial TOC visits, including comprehensive post-discharge assessment of patients’ medical conditions, medications, functional status, and psychosocial needs; complete post-discharge medication reconciliation; place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME); provide disease education; communicate contingency plans for worsening symptoms
Perform acute symptom TOC / virtual urgent care visits, including diagnosing and managing patients and ensuring they receive the appropriate level of care
Participate in interdisciplinary TOC rounds to discuss patients at highest risk of readmission
Work in an interdisciplinary fashion with RNs, LPNs, and clinical coordinators
Assist with the clinical education of the overall team
Enhance team culture by facilitating safe, open communication across team roles
Utilize the electronic health information system for visits and provide feedback on improving the interface
Regularly participate in quality improvement projects and pilots
Support new clinical/organizational programs/initiatives and integrate innovative virtual care practices as the role evolves

Skills

Key technologies and capabilities for this role

Nurse PractitionerPhysician AssistantVirtual CarePost-Discharge AssessmentCare Plan DevelopmentPatient EducationHeart Failure ManagementCOPD ManagementDiabetes ManagementHypertension ManagementPneumonia ManagementCellulitis ManagementUTI ManagementInterdisciplinary Collaboration

Questions & Answers

Common questions about this position

What is the work schedule for this position?

This is a full-time, 5-day, 8-hour position from 8:30 AM to 5:00 PM EST preferred, including one weekend shift per month. Candidates must consistently work within Eastern Standard Time hours.

What salary or compensation does this role offer?

This information is not specified in the job description.

What key responsibilities define success in this role?

Key responsibilities include performing initial TOC visits with comprehensive post-discharge assessments, medication reconciliation, and orders; conducting acute symptom visits for diagnosis and management; participating in interdisciplinary rounds; collaborating with RNs, LPNs, and coordinators; and enhancing team culture.

What is the team structure like for this position?

The clinical team is highly interdisciplinary, composed of coordinators, guides, nurse case managers, nurse practitioners, and a medical director, with significant collaboration across roles including RNs, LPNs, and clinical coordinators.

What makes a strong candidate for this Transitions of Care APP role?

Strong candidates should be comfortable with virtual clinical care across a wide range of diseases and acuity levels, conducting comprehensive post-discharge assessments, developing individualized care plans, diagnosing and managing common readmission conditions like heart failure and COPD, and fostering interdisciplinary collaboration and team culture.

Devoted Health

Medicare Advantage plans with personalized support

About Devoted Health

Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.

Waltham, MassachusettsHeadquarters

2017Year Founded

$2,194.5MTotal Funding

SERIES_ECompany Stage

HealthcareIndustries

1,001-5,000Employees

Benefits

Comprehensive health plan

401(k) retirement plan

Generous vacation and holiday time

Lyra mental health resources

Time off to vote

Risks

Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.

Potential regulatory changes affecting Medicare Advantage plans by CMS.

Rising healthcare costs could impact the affordability of Devoted Health's plans.

Differentiation

Devoted Health offers personalized assistance through Devoted Health Guides for member support.

The company emphasizes preventive care with its Devoted Dollars rewards program.

Devoted Health integrates virtual and in-home care with top local providers.

Upsides

Devoted Health raised $287 million in Series E funding in 2024.

The company expanded Medicare Advantage plans to eight new states in 2023.

Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.

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