Remote Nurse Practitioner: Complex Care & Telehealth

Dreams 2 Reality Recruitment; Kentucky; Hybrid; USD 100,000 - 135,000; Full time

Job summary

Dreams 2 Reality Recruitment is seeking an experienced Nurse Practitioner to join a growing organization delivering home-centered, value-based care in Ohio. The role emphasizes proactive care management, telehealth, and coordination for medically complex adults and geriatric patients.

You will work with an interdisciplinary team and leverage telehealth to keep patients safely at home, with potential hybrid office presence as the organization expands in Ohio.

Qualifications

• Master’s degree or higher in Nursing or a related field.
• Current and active Nurse Practitioner license in Ohio, or ability to obtain Ohio licensure.
• Current Family Nurse Practitioner (FNP) or Adult/Adult-Gerontology Nurse Practitioner (AGNP) certification.
• Minimum 3 years of primary care experience; 3–5 years preferred.
• Ability to practice autonomously within scope of practice and prescriptive authority.
• Experience caring for medically complex adult and/or geriatric patients.
• Experience with telehealth, virtual care, remote patient monitoring, or remote care management.
• Knowledge of or experience with HCC coding and risk adjustment.
• Familiarity with STAR and HEDIS quality measures.
• Experience participating in advance care planning and goals-of-care discussions.
• Strong clinical judgment, communication, collaboration, and relationship-building skills.
• Ability to work independently while collaborating within an interdisciplinary care team.

Responsibilities

• Provide clinical care and ongoing patient management through telehealth and remote care technologies.
• Manage and coordinate care for medically complex adult and geriatric patients.
• Partner with physicians and an interdisciplinary team to develop and implement individualized care plans.
• Build strong relationships with patients, families, caregivers, and health plan partners.
• Monitor changes in patient health and intervene to reduce hospitalizations.
• Support patients through hospital admissions, discharges, and transitions home.
• Participate in advance care planning and goals-of-care discussions.
• Participate in shared clinical triage and team-based support processes.
• Identify and address barriers to care and adherence.
• Support quality improvement with accurate clinical documentation.
• Contribute to HCC coding, risk adjustment, STAR, and quality-gap initiatives.
• Help develop clinical best practices within an evolving care model.
• Promote patient independence, safety, and quality of life through care coordination.

Skills

Telehealth

HCC coding

STAR/HEDIS

Advance care planning

Interdisciplinary care

Care coordination

Autonomy

Communication

Education

Master’s degree or higher

Ohio NP license

FNP or AGNP certification

Job description

Dreams 2 Reality Recruitment is seeking an experienced Nurse Practitioner to join a growing organization delivering home-centered, value-based care in Ohio. The role emphasizes proactive care management, telehealth, and coordination for medically complex adults and geriatric patients.

You will work with an interdisciplinary team and leverage telehealth to keep patients safely at home, with potential hybrid office presence as the organization expands in Ohio.