Nurse Practitioner - Transitional Care Coordination

Posted on Sep 21, 2024 by UMMS Providers/Physicians
Baltimore, MD
Health Care
Immediate Start
Annual Salary
Full-Time
Job Description

The mission of the Transitional Care Coordination Program is to ensure intensive, coordinated, outpatient care for patients with complex chronic health problems that leave them medically vulnerable.  Our vision is to address our patients’ needs holistically; to improve health and well-being through coordinated medical services with emphasis on the social determinants that affect health such as housing, food and transportation.

We do this by providing coordination and support for complex, vulnerable patients whose chronic health conditions and psychosocial challenges place them at high risk for repeated hospital admission or frequent returns to the emergency room.  We provide comprehensive post hospital care coordination via telephone outreach, community visits and in-home visits as needed to ensure patient is supported in their health care needs/goals after they return to the community.

Reference: 202108101

https://jobs.careeraddict.com/post/95492745

Nurse Practitioner - Transitional Care Coordination

Posted on Sep 21, 2024 by UMMS Providers/Physicians

Baltimore, MD
Health Care
Immediate Start
Annual Salary
Full-Time
Job Description

The mission of the Transitional Care Coordination Program is to ensure intensive, coordinated, outpatient care for patients with complex chronic health problems that leave them medically vulnerable.  Our vision is to address our patients’ needs holistically; to improve health and well-being through coordinated medical services with emphasis on the social determinants that affect health such as housing, food and transportation.

We do this by providing coordination and support for complex, vulnerable patients whose chronic health conditions and psychosocial challenges place them at high risk for repeated hospital admission or frequent returns to the emergency room.  We provide comprehensive post hospital care coordination via telephone outreach, community visits and in-home visits as needed to ensure patient is supported in their health care needs/goals after they return to the community.

Reference: 202108101

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