Transitional Care Management Nurse Practitioner Remote

Nurse Practitioner (NP) — Transitional Care Management (TCM) Provider (Remote) Position Overview We are seeking a licensed Nurse Practitioner (NP) to provide Transitional Care Management (TCM) services for patients discharged from our partner skilled nursing facilities. This role focuses exclusively on conducting post-discharge patient visits via telehealth (video or phone) to support continuity of care, improve outcomes, and reduce readmissions. Key Responsibilities • Conduct Transitional Care Management (TCM) visits for patients following discharge from skilled nursing facilities • Perform patient encounters via video or phone (fully remote role) • Review and synthesize clinical data from hospital and post-acute care stays • Assess patient status, address clinical needs, and provide appropriate care guidance • Document visits accurately and efficiently within the designated platform • Communicate clearly with patients, caregivers, and care teams • Manage and maintain a full patient schedule based on availability • Navigate clinical situations appropriately and escalate when necessary • Utilize technology platforms to deliver care and manage workflows • Deliver high-quality patient care exclusively in a virtual environment Visit Structure & Work Environment • Visits typically last up to 20 minutes per patient • Flexible patient volume based on provider schedule and availability • 100% remote — no field work, bedside care, or in-person clinical responsibilities • Fully technology-enabled care delivery model Required Qualifications • Active and unrestricted Nurse Practitioner license • Experience reviewing and synthesizing clinical information from hospital and post-acute care settings • Strong clinical judgment and patient care skills • Excellent communication and patient engagement abilities • Highly tech-savvy and comfortable using digital health platforms • Ability to manage schedules independently and maintain productivity • Comfortable working exclusively in a remote, telehealth-based environment Preferred Qualifications (Optional) • Prior experience with Transitional Care Management (TCM) services • Experience in skilled nursing, post-acute care, or care coordination • Telehealth or virtual care delivery experience