Remote Primary Care APP: Discharge & Care Coordination

Sentara Health; Norfolk (VA); Remote; USD 101,000 - 312,000; Full time

Benefits offered by this job

Medical, Dental, Vision plans

Paid Time Off

401k with Employer Match

Education assistance

Job summary

Sentara Health is seeking an Advanced Practice Provider to deliver timely, virtual care to eligible patients following hospital discharge. The APP will address immediate clinical needs, support a safe transition, and hand off to primary care and other services.

This 100% remote position offers flexible hours, a closing shift, and the potential for incentive compensation. The role focuses on acute issues and chronic condition management, with no call requirements and a comprehensive benefits

Qualifications

• APP licensure and credentials required for the assigned service area.
• Minimum of five years of clinical APP experience in family/urgent/post-acute care.
• Strong communication, organization, care-coordination, and independent decision-making skills.
• Must obtain VA and NC licenses.
• Applicants may live in Indiana, Nevada, South Carolina, South Dakota, Tennessee, Texas, Virginia, West Virginia, or Wisconsin.

Responsibilities

• Review discharge records and complete focused assessments, medication reconciliation, and time-limited care plans.
• Manage lower-risk diagnoses and chronic conditions within program scope.
• Recognize red flags and escalate to higher-acuity care using established protocols.
• Coordinate referrals and services including home health, wound care, social work, behavioral health, pharmacy, and durable medical equipment.
• Complete timely documentation and clear handoffs for tests, referrals, and follow-up needs.

Skills

Communication skills

Care coordination

Independent decision-making

Education

APP licensure and credentials

Job description

Sentara Health is seeking an Advanced Practice Provider to deliver timely, virtual care to eligible patients following hospital discharge. The APP will address immediate clinical needs, support a safe transition, and hand off to primary care and other services.

This 100% remote position offers flexible hours, a closing shift, and the potential for incentive compensation. The role focuses on acute issues and chronic condition management, with no call requirements and a comprehensive benefits