Nurse Practitioner Transitional Care Coordination

University of Maryland Medical System; Baltimore (MD); On-site; USD 120,000 - 160,000; Full time

Job summary

University of Maryland Medical System seeks a Senior Nurse Practitioner for Transitional Care to lead clinical care and innovative coordination efforts. You will drive patient transitions from hospital to home, collaborate with physicians and interdisciplinary teams, and mentor staff in evidence-based practices.

The role emphasizes improving patient outcomes, reducing readmissions, and shaping care models that enhance safety and efficiency within a highly collaborative academic-hospital

Qualifications

• MSN with accredited NP program.
• Current Maryland NP license and national certification in specialty area.
• DEA and CDS eligibility.
• ACLS/BLS certification (as applicable).
• Minimum of three years of Nurse Practitioner experience.

Responsibilities

• Provide comprehensive, patient-centered care in collaboration with physicians and interdisciplinary teams.
• Coordinate seamless transitions of care from admission through discharge.
• See patients in a Coordinated Care Center, guiding transition to ambulatory setting.
• Educate patients and families on disease management, medications, prevention, and healthy lifestyles.
• Advocate for patients by addressing medical, social, and behavioral health needs while coordinating referrals and community resources.
• Facilitate timely, safe discharges that reduce readmissions.
• Partner with multidisciplinary teams to improve patient safety, length of stay, cost of care, and patient satisfaction.

Skills

Leadership

Communication

Clinical judgment

Patient-centered care

Education and mentoring

Education

MSN with accredited NP program

Maryland NP license

National certification in specialty area

DEA and CDS eligibility

ACLS/BLS certification

Job description

Senior Nurse Practitioner – Transitional Care

Make a lasting impact where exceptional clinical care meets innovative leadership. Are you a passionate Nurse Practitioner who thrives on improving patient outcomes, reducing hospital readmissions, and leading high-performing teams? Join our Transitional Care Program and become a driving force in transforming how patients transition safely from hospital to home.

What You'll Do

• Provide Exceptional Patient Care: Deliver comprehensive, patient-centered care in collaboration with physicians and interdisciplinary teams.
• Coordinate seamless transitions of care from admission through discharge.
• See patients in a Coordinated Care Center, providing steppingstones to successful transition to the ambulatory setting.
• Educate patients and families on disease management, medications, prevention, and healthy lifestyles.
• Advocate for patients by addressing medical, social, and behavioral health needs while coordinating specialty referrals and community resources.
• Facilitate timely, safe discharges that improve patient experience and reduce readmissions.

Drive Quality & Innovation

• Partner with multidisciplinary teams to improve patient safety, length of stay, cost of care, and patient satisfaction.
• Help shape organizational policies and innovative models of care that improve healthcare delivery.

Required Qualifications

What We're Looking For

• Master of Science in Nursing with completion of an accredited Nurse Practitioner program.
• Current Maryland Nurse Practitioner license and national certification in specialty area.
• DEA and CDS eligibility.
• ACLS/BLS certification (as applicable).
• Minimum of three years of Nurse Practitioner experience.

Preferred Strengths

• Proven leadership and team development experience.
• Strong clinical judgment and exceptional communication skills.
• Passion for improving transitions of care and population health.
• Experience with quality improvement, evidence-based practice, and interdisciplinary collaboration.
• Commitment to patient-centered, equitable, and compassionate care.

Why Join Our Team?

You'll Become Part Of An Organization Committed To Innovation, Collaboration, And Excellence In Patient Care. Here, You'll Have The Opportunity To

• Practice in a highly collaborative academic healthcare environment.
• Influence clinical practice and organizational strategy.
• Lead meaningful quality improvement initiatives.
• Mentor the next generation of advanced practice providers.
• Advance your professional growth through leadership, research, and education.
• Improve the lives of patients during one of the most vulnerable moments in their healthcare journey.

If you're looking for more than a clinical position—if you're ready to lead, innovate, and transform transitional care—we invite you to join our team and make a difference every day.

Work Experience

• Master of Science in Nursing with completion of an accredited Nurse Practitioner program.
• Current Maryland Nurse Practitioner license and national certification in specialty area.
• DEA and CDS eligibility.
• ACLS/BLS certification (as applicable).
• Minimum of three years of Nurse Practitioner experience.