Remote Nurse Practitioner — Transitional Care & Telehealth

American Academy of Family Physicians; Northern (KY); Hybrid; USD 105,000 - 145,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

PTO & Holidays

Retirement Plan with Employer Match

Tuition Assistance

Wellness Programs

Employee Referral Bonus

Life Insurance, Disability & more

Job summary

Luminis Health is seeking a Nurse Practitioner to join our Transitional Care Service in a fully remote role. The NP will provide virtual post-discharge care for medically complex patients transitioning from hospital to home or SNFs.

Responsibilities include telehealth assessments, medication reconciliation, care planning, and multidisciplinary coordination to prevent readmissions and improve outcomes.

Qualifications

• Current Maryland NP or PA license in good standing; additional state licensure as applicable.
• National certification through AANP/ANCC (NP) or NCCPA (PA-C).
• Minimum 2 years of experience in acute care, hospital medicine, transitional care, case management, or care coordination.
• Experience with medication reconciliation, discharge planning, and chronic disease management.
• Proficiency with Epic and telehealth platforms preferred.

Responsibilities

• Conduct post-discharge telephone and video assessments within 24-72 hours of hospital discharge.
• Provide telehealth follow-up visits for high-risk patients.
• Perform medication reconciliation and resolve medication discrepancies.
• Assess and manage acute clinical needs within APP scope of practice.
• Coordinate care with PCPs, specialists, SNFs, and community resources.
• Document patient encounters and care plans in Epic.

Skills

Strong clinical judgment

Independent decision-making

Communication skills

Time management

Collaboration

Education

Maryland NP license

National certification (AANP/ANCC)

Tools

Epic

Telehealth platforms

Job description

Luminis Health is seeking a Nurse Practitioner to join our Transitional Care Service in a fully remote role. The NP will provide virtual post-discharge care for medically complex patients transitioning from hospital to home or SNFs.

Responsibilities include telehealth assessments, medication reconciliation, care planning, and multidisciplinary coordination to prevent readmissions and improve outcomes.