Home Visit APRN​/PA - Henry and Glades County

Home Visit APRN or PA

As a day-to-day clinical leader, you will provide support and care during patient transitions from acute to home, directing the multidisciplinary team.

Primary functions include:

• Performing 6-8 preventive visits daily to optimize chronic conditions, assess home environment, educate patients and caregivers, and develop proactive care plans.
• Performing timely new care visits and follow up care as needed in the home, with a focus on avoiding unnecessary ED transfers and hospital admissions.
• Assuming responsibility as interim provider and driving care and continuity for patients when there is no existing PCP.
• Co-managing patients with existing PCPs and serving as an extension of clinical care into the home.
• Coordinating with other physicians across the continuum of care, including PCP, hospitalist, and SNF providers to smooth transitions and prevent readmissions.
• Coordinating and offering medical direction to community-based organizations, including housing and caregiver agencies, health plan contracted social work services, home health, adult day health centers, and behavioral health.

Education, training, and experience required:

• Active FL medical license in good standing