Community-Based NP: Transitional Care & Home Visits

AbsoluteCARE Medical Center & Pharmacy; Baltimore (MD); On-site; USD 110,000 - 150,000; Full time

Job summary

AbsoluteCARE Medical Center & Pharmacy in Baltimore, MD is seeking a Nurse Practitioner to provide community-based care coordinating with primary care teams. You will see recently discharged members, perform medication reviews, and manage chronic conditions in collaboration with the inter-disciplinary team.

The role emphasizes preventing readmissions, transitioning care from hospital to home, and educating patients and families.

Qualifications

• 2+ years of Nurse Practitioner experience.
• Experience in urgent care, ER, inpatient, office, or community-based settings preferred.
• Familiar with care transitions and strategies to reduce readmissions.

Responsibilities

• Provide community-based medical and care-coordination services for recent hospital discharges.
• Work with care teams to follow discharge plans and ensure smooth transitions.
• Conduct patient assessments and perform medication reviews.
• Coordinate home care services and develop care plans.
• Educate patients and families and document in EMR.

Skills

Nurse Practitioner

Care transitions

Readmissions reduction

Communication

EMR proficiency

Education

NP degree (MSN/Provide NP credential)

Tools

EMR systems

Microsoft Office

Job description

AbsoluteCARE Medical Center & Pharmacy in Baltimore, MD is seeking a Nurse Practitioner to provide community-based care coordinating with primary care teams. You will see recently discharged members, perform medication reviews, and manage chronic conditions in collaboration with the inter-disciplinary team.

The role emphasizes preventing readmissions, transitioning care from hospital to home, and educating patients and families.