Transitions of Care Advanced Practice Provider; APP

Schedule:

Full-time, 5-day, 8‑hour position (8:30AM–5:00PM MST/PST). Candidates must be willing and able to consistently work within Mountain Standard Time (MST) or Pacific Standard Time (PST) hours.

About this role:

This position represents an amazing opportunity for an Advanced Practice Provider (NP/PA) to help build Devoted Medical’s Transitions of Care (TOC) Program. The TOC program provides virtual care in the 30‑day window after a patient is discharged from the acute setting (hospital or skilled nursing facility). The clinical team is highly interdisciplinary and composed of coordinators, guides, nurse case managers, nurse practitioners, and a medical director.

The program’s goal is to prevent readmissions by providing exceptional, comprehensive wrap‑around care in the post‑discharge period. The TOC APP will provide virtual clinical care for a wide range of diseases and across a wide spectrum of acuity.

• Perform initial TOC visits, including comprehensive post‑discharge assessment of patients’ medical conditions, medications, functional status, and psychosocial needs; complete a post‑discharge medication reconciliation; place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME); provide disease education and contingency plans for worsening symptoms; and comprehensively assess patients’ medical conditions.
• Perform acute symptom TOC/virtual urgent care visits focused on addressing a patient’s acute needs or new symptoms; diagnose, manage, and ensure appropriate level of care for the patient.
• Participate in interdisciplinary TOC rounds with RN, LPN, and clinical coordinators to discuss patients at highest risk of readmission.
• Assist in the clinical education of the overall team.
• Enhance team culture by facilitating safe, open communication across team roles.
• Utilize the home‑grown electronic health information system for visits and provide feedback to improve the interface.
• Regularly participate in quality improvement projects and pilots.
• Expand to include additional responsibilities such as supporting new clinical/organizational programs or initiatives and integrating innovative virtual care practices as the healthcare environment evolves.
• Adapt to change in a fast‑paced, dynamic setting and embrace new challenges.

• At least 3 years of experience in hospital, post‑hospital setting, or primary care setting, with a clear understanding of common hospital discharge diagnoses and post‑discharge needs to avoid readmissions.
• Ability to work full‑time, five 8‑hour days/week (Monday‑Friday, 8:30AM–5:00PM MST/PST).
• Strong team player with a desire to work in an interdisciplinary team to provide best care to patients.

• Experience in internal medicine, urgent care, emergency room, hospital medicine, post‑acute medicine, or geriatrics.
• Experience performing visits over telehealth video platforms.
• Experience managing post‑transitions patients and identifying need for immediate interventions.
• Experience managing acute/chronic disease exacerbations including CHF, diabetic emergencies, COPD, and hypertensive emergencies.

• Role licensure and good standing required in existing or future Devoted states; willing to obtain necessary state licenses within 90 days of hire.
• RN and APRN licenses active and in good standing or Physician Assistant license active and in good standing.
• Active BLS certification at time of hire and must be maintained while employed.

• Salary: $120K‑155K base range plus performance‑based bonus paid quarterly or annually ($10K‑$20K) for a total compensation range of $130K‑170K.
• Employer-sponsored health, dental, and vision insurance 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); commission eligibility for sales roles.
• Parental leave program.
• 401K program.
• Other benefits as part of the total rewards package for full‑time employees.

Devoted is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law.