Chronic Care APN — Outpatient Specialist

AbsoluteCARE Medical Center & Pharmacy; Baltimore (MD); Presencial; USD 110.000 - 140.000; Jornada completa

Descripción de la vacante

AbsoluteCARE Medical Center in Baltimore seeks an experienced Complex Care Advance Practice Provider to guide chronic care patients through the outpatient system. You’ll counsel patients, perform assessments, coordinate with a multidisciplinary team, and advance PCMH-based care with evidence-based protocols.

You will manage 250–300 chronic ambulatory patients, collaborate with physicians, social work, nursing, and pharmacy, and implement transitional care plans across hospital, ER, SNFs, and

Formación

• Must be a Licensed Advanced Practice Provider in the practicing state.
• Minimum 2 years of APC experience required.
• Experience with Medicare/Medicaid and commercial populations.
• Strong organization and communication skills.

Responsabilidades

• Counsel patients on the appropriate care setting and perform assessments.
• Coordinate with a multidisciplinary team to implement plans of care.
• Develop transitional care plans and track patients across the continuum of care.
• Collaborate with hospitals, ER, SNFs, and home care for disposition planning.
• Provide outpatient management of acutely ill patients with supervision as needed.
• Participate in quality improvement and use EMR to support care.
• Report to Medical Director.

Conocimientos

Chronic disease management

Interdisciplinary teamwork

Outpatient care

Educación

APN license

ACLS certification

Herramientas

eClinicalWorks

Descripción del empleo

AbsoluteCARE Medical Center in Baltimore seeks an experienced Complex Care Advance Practice Provider to guide chronic care patients through the outpatient system. You’ll counsel patients, perform assessments, coordinate with a multidisciplinary team, and advance PCMH-based care with evidence-based protocols.

You will manage 250–300 chronic ambulatory patients, collaborate with physicians, social work, nursing, and pharmacy, and implement transitional care plans across hospital, ER, SNFs, and