Texas Licensed Transitions of Care APP

Job Summary

To support a growing Transitions of Care program, the full-time Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider will provide virtual clinical care post-discharge, conducting assessments, developing care plans, and collaborating with an interdisciplinary team to prevent patient readmissions.

Key responsibilities

• Perform initial and acute symptom TOC visits, conducting comprehensive assessments and managing patient care
• Participate in interdisciplinary TOC rounds to discuss high-risk patients and enhance team communication
• Engage in quality improvement projects and provide clinical education to the team

Required qualifications

• At least 3 years of experience in a hospital, post-hospital, or primary care setting
• Active RN and APRN licenses or Physician Assistant license in good standing
• Ability to work full-time, including one weekend shift per month
• Active BLS certification at the time of hire
• Willingness to obtain licensure in required states within 90 days of hire