Remote Nurse Practitioner

An innovative healthcare organization is seeking an experienced Remote Nurse Practitioner (NP) to join a collaborativeclinical team providing care to medically complex patients in Delaware.

This is a remote, telehealth-focused Nurse Practitioner role that offers the opportunity to deliver patient-centered care from avirtual setting while working as part of an interdisciplinary care team.

The role focuses on value-based care, complex care management, proactive patient outreach, and care coordination
, with thegoal of helping vulnerable patients remain safely at home while reducing avoidable emergency department visits and hospitalizations.

The ideal candidate has experience in primary care,telehealth, virtual care, care management, value-based care, complex patient care coordination, and/or managed care
. Strong clinical judgment, excellent communication skills, and a passion for caring for medically complex populations are highly valued.

As a Remote Nurse Practitioner
, you will provide clinical care and ongoing management through telehealth and remote care technologies.

Through virtual care, remote patient management, and proactive care coordination, the team works with patients, families,caregivers, primary care providers, specialists, and health plans to:

• Identify and address changes in patient health early
• Provide ongoing clinical support through telehealth
• Coordinate care across providers and healthcare settings
• Prevent avoidable emergency department visits and hospitalizations
• Support patients during hospitalizations and transitions back home
• Develop individualized care plans based on patient needs and goals
• Improve health outcomes and quality of life
• Support patients with complex medical and social needs

As a Remote Nurse Practitioner
, responsibilities will include:

• Provide clinical assessments, treatment, and ongoing patient management throughtelehealth.
• Conduct virtual visits and clinical encounters using remote care technologies.
• Manage medically complex Medicaid and Dual Eligible patient populations.
• Monitor patient conditions and identify changes requiring clinical intervention.
• Develop and implement individualized care plans in collaboration with physicians and interdisciplinary team members.
• Coordinate care with patients, families, caregivers, primary care providers,specialists, and health plan partners.
• Provide proactive clinical outreach and follow-up for patients with complex needs.
• Support patients during hospital admissions, discharges, and transitions back tothe home.
• Help identify opportunities to prevent avoidable emergency department visitsand hospitalizations.
• Participate in advance care planning and goals-of-care discussions with patients and families.
• Participate in shared clinical triage and care-support processes.
• Maintain accurate and timely clinical documentation.
• SupportHCC coding, risk adjustment, and quality-gap closure initiatives.
• Contribute to clinical best practices and continuous improvement of care delivery.
• Collaborate with the broader care team to promote high-quality, patient-centered,value-based care.

• Master'sdegree or higher in Nursing or a related field.
• Active Nurse Practitioner license with eligibility to practice in Delaware.
• Atleast 1 year of experience in one or more of the following:
• Telemedicineor telehealth care
• Care management
• Experience caring for medically complex adult and/or geriatric populations.
• Abilityto practice independently with appropriate prescriptive authority.
• Strong clinical judgment and decision-making skills.
• Excellent communication and relationship-building skills.
• Comfort providing care through telehealth and remote technologies.

• 1year of managed care experience.
• Experience in value-based care.
• Recent primary care experience.
• Experience managing medically complex patients.
• Experience with telehealth, virtual care, or remote patient management.
• Experience with care coordination and transitions of care.
• Knowledge of HCC coding and risk adjustment.
• Familiarity with quality measures, including STAR and HEDIS.
• Experience with advance care planning and goals-of-care discussions.
• Experience working within an interdisciplinary or collaborative care model.
• Experience caring for Medicaid and/or Dual Eligible populations.

The ideal Remote Nurse Practitioner is a clinically strong, compassionate, and highly organized provider who is comfortable working independently while collaborating closely with a multidisciplinary care team.

The…