In-Home Advanced Practice Provider: Complex Care & Transitions

COPE Health Solutions; Los Angeles (CA); Hybrid; USD 150,000 - 200,000; Full time

Job summary

COPE Health Solutions seeks a full-time Advanced Practice Provider (NP or PA) to deliver autonomous in-home clinical care for Medicare beneficiaries in California. The APP will perform AWVs, manage transitions of care after hospital discharge, and provide longitudinal care for high-acuity patients within Complex Care Management, including accurate HCC coding and documentation.

The role reports to the Medical Director and requires California licensure, national certification, DEA registration,

Qualifications

• Master’s or Doctoral degree from an accredited Nurse Practitioner program or PA program.
• Active, unrestricted California RN/NP or PA license.
• National certification (AANP/ANCC or NCCPA).
• Active California furnishing/prescribing authority and DEA registration.

Responsibilities

• Deliver in-home comprehensive clinical assessments.
• Conduct post-discharge TOC home visits and medication reconciliation.
• Manage a panel of high-acuity beneficiaries in CCM.
• Perform Medicare AWVs in the home and close care gaps.
• Collaborate with Care Navigation team in IDT meetings.
• Maintain compliant EHR documentation per California guidelines.

Skills

Home-based care

Autonomous practice

EHR documentation

Telehealth

Education

MS/NP or Doctoral in NP

ARC-PA accredited PA program

Tools

EHR systems

DEA registration

Job description

COPE Health Solutions seeks a full-time Advanced Practice Provider (NP or PA) to deliver autonomous in-home clinical care for Medicare beneficiaries in California. The APP will perform AWVs, manage transitions of care after hospital discharge, and provide longitudinal care for high-acuity patients within Complex Care Management, including accurate HCC coding and documentation.

The role reports to the Medical Director and requires California licensure, national certification, DEA registration,