NP - Home and Geriatric Care Coordination

NPHire; San Diego (CA); Hybrid; USD 90,000 - 130,000; Full time

Benefits offered by this job

Flexible Schedule

Growth Opportunity

Supportive Team

Competitive Compensation

Equal Opportunity Employer

Job summary

NPHire is seeking an exceptional Nurse Practitioner to specialize in geriatric care coordination, providing in-home and virtual care services. This critical role ensures quality care for patients transitioning from hospital stays or managing chronic conditions.

Responsibilities include overseeing medical monitoring, developing collaborative care plans, and coordinating communication with multidisciplinary teams. Candidates must possess an active NP license and demonstrate experience with the geriatric population.

Enjoy a flexible schedule, growth opportunities, and competitive compensation in a supportive environment.

Qualifications

• Active Nurse Practitioner (NP) license in good standing.
• Experience with geriatric care and managing chronic conditions required.
• Familiarity with SNF care and home health protocols preferred.

Responsibilities

• Conduct detailed assessments of patient status and therapy goals.
• Collaborate with Physical Therapist to create personalized care plans.
• Monitor rehabilitation progress and adjust care plans as necessary.
• Oversee medication management for patient safety.
• Communicate with Primary Care Physician regarding patient progress.
• Provide care through both in-home and virtual visits.

Skills

Experience with geriatric population

Communication skills

Independence

Education

Active Nurse Practitioner (NP) license

Job description

Nurse Practitioner (NP): Skilled Nursing and Home Health Care Coordinator

Measured Wellness is seeking an exceptional Nurse Practitioner to specialize in geriatric care coordination, providing both in‑home and virtual care services. This critical role ensures continuity and quality of care for patients transitioning from hospital stays or managing complex chronic conditions, particularly those receiving services in a Skilled Nursing Facility (SNF) or Home Health setting.

Key Role: Geriatric Care Coordination

The NP serves as the central point of clinical contact for the patient and their multidisciplinary team within the Skilled Nursing Facility (SNF) environment. This coordination is essential for patients receiving Home Health Physical Therapy who require oversight of their comprehensive medical and recovery plan.

Primary Focus Areas

• SNF Care Oversight: Ensuring the patient’s overall medical monitoring, assistance with daily activities, and rehabilitation progress are integrated and aligned.
• Home Health PT Integration: Closely monitoring physical therapy (PT) to ensure therapeutic goals are safely integrated with the patient's medical status and medication regimen.
• Central Communication: Coordinating communication between the physical therapist, SNF nursing staff, and the patient's primary care provider (PCP).

Essential Responsibilities

• Comprehensive Assessment: Conduct detailed initial and ongoing assessments to identify the patient’s clinical status, functional limitations, and specific therapy goals.
• Collaborative Care Plan Development: Partner directly with the Physical Therapist to establish a personalized, realistic therapy plan that considers the patient’s current health needs and recovery potential.
• Progress Monitoring & Adjustment: Routinely review patient rehabilitation progress (PT updates and milestones) and make necessary, proactive adjustments to the overall care plan or medication regimen.
• Medication Management: Actively oversee medication administration to ensure accuracy and identify and mitigate any potential side effects that could negatively impact the patient's physical therapy sessions or mobility goals.
• PCP Communication: Maintain consistent and timely communication with the patient’s Primary Care Physician (PCP) regarding progress, acute changes in condition, and coordination of post‑SNF follow‑up care.
• In‑Home and Virtual Visits: Provide necessary clinical care through flexible scheduling, utilizing both in‑person, in‑home visits (where needed) and virtual telehealth sessions for check‑ins and monitoring.

Qualifications

• Active Nurse Practitioner (NP) license in good standing.
• Demonstrated experience or strong preference for working with the geriatric population and managing complex chronic conditions.
• Experience with or strong knowledge of Skilled Nursing Facility (SNF) care, home health protocols, and physical therapy integration is highly desirable.
• Excellent communication skills, both clinical and interdisciplinary.
• Ability to work independently and manage multiple, high‑priority patient cases.

Benefits

• Flexible Schedule: Enjoy flexible work hours that can be scheduled around your availability, supporting work‑life balance.
• Growth Opportunity: Opportunity to grow with a forward‑thinking, patient‑centered practice that integrates technology and data for superior outcomes.
• Supportive Team: Access to a supportive and collaborative team environment.
• Compensation: Competitive compensation package.
• Equal Opportunity Employer: We are an equal opportunity employer and welcome applications from all qualified individuals. We value diversity and are committed to creating an inclusive environment for all employees.

Join our team and make a difference in patients' lives by providing exceptional telehealth care focused on holistic, data‑driven wellness and effective chronic care management.