Transitional Care NP - Post-Discharge Care & Coordination

University of Maryland Medical System; Towson (MD); On-site; USD 110,000 - 150,000; Full time

Benefits offered by this job

Benefits package

Job summary

The University of Maryland Medical System seeks an Advanced Practice Provider (APP) for Transitional Care and Community Outreach to deliver primary and transitional care to recently discharged patients in Towson, MD. The role focuses on reducing readmissions, optimizing medications, and coordinating safe transitions to home.

You will evaluate post-discharge patients, manage chronic conditions, reconcile medications, and educate patients and families while collaborating with physicians, case

Qualifications

• Graduate of an accredited NP or PA program.
• Current and unrestricted state licensure as NP or PA.
• Current national certification (ANCC, AANP, or NCCPA).
• Current Basic Life Support (BLS) certification.
• Experience in primary care, hospital medicine, internal medicine, family medicine, or transitional care preferred.
• Bilingual candidates preferred.

Responsibilities

• Perform post-hospitalization evaluations including discharge review and treatment plans.
• Assess medical history, perform exams, and order/interpret tests as needed.
• Manage post-discharge conditions and adjust regimens accordingly.
• Coordinate safe care transitions with PCPs, specialists, and community resources.
• Educate patients and families about diagnoses, meds, and warning signs.
• Assist patients in establishing care with PCPs when not already in place.

Skills

Bilingual

Care coordination

Patient education

Medication reconciliation

Education

Graduate of an accredited Nurse Practitioner program

Graduate of an accredited Physician Assistant program

Job description

The University of Maryland Medical System seeks an Advanced Practice Provider (APP) for Transitional Care and Community Outreach to deliver primary and transitional care to recently discharged patients in Towson, MD. The role focuses on reducing readmissions, optimizing medications, and coordinating safe transitions to home.

You will evaluate post-discharge patients, manage chronic conditions, reconcile medications, and educate patients and families while collaborating with physicians, case