Virtual TOC APP: Post-Discharge Care Leader

Devoted Health

California

On-site

USD 120,000 - 150,000

Full time

4 days ago
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Benefits offered by this job

Stock options for all employees
Bonus eligibility for most roles

Job summary

Devoted Health seeks an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to lead our Medical Transitions of Care program. You will perform initial post-discharge visits, manage follow-ups, and conduct virtual urgent-care visits for high-risk patients within a 30-day window.

You will help build the TOC program, drive quality-improvement efforts, and collaborate with care coordinators, RNs, pharmacists, and PCPs.

Qualifications

  • 5+ years of direct patient care with geriatric patients and multiple chronic conditions.
  • Comfort across acute management and longitudinal chronic-disease care.
  • Full-time availability; Mon-Fri 8:30 AM - 5:00 PM (CST/MST/PST preferred).
  • Active RN/APRN or PA licensure; ready to obtain required state licenses within 90 days.

Responsibilities

  • Perform comprehensive initial TOC visits and full post-discharge medication reconciliation.
  • Conduct acute/virtual urgent-care TOC visits with triage and appropriate escalation.
  • Guide the 30-day care trajectory, adjusting plans as clinical needs evolve.
  • Join interdisciplinary TOC rounds with nurses, care coordinators, pharmacists and PCPs.
  • Foster safe communication and contribute to EHR improvements and quality projects.
  • Support program development and adapt to evolving clinical initiatives.

Skills

Geriatrics care
Chronic disease management
Telehealth
Clinical judgment
Interdisciplinary teamwork
Licensure readiness

Education

Nurse Practitioner or Physician Assistant

Tools

Homegrown EHR

Job description

Devoted Health seeks an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to lead our Medical Transitions of Care program. You will perform initial post-discharge visits, manage follow-ups, and conduct virtual urgent-care visits for high-risk patients within a 30-day window.

You will help build the TOC program, drive quality-improvement efforts, and collaborate with care coordinators, RNs, pharmacists, and PCPs.

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