Transitions Of Care Advanced Practice Provider (Medtech)

TL;DR

Transitions of Care Advanced Practice Provider (Medtech): Delivering comprehensive virtual care to geriatric patients during the 30-day post-discharge window with an accent on preventing readmissions and managing complex chronic conditions. Focus on performing initial assessments, medication reconciliation, and acute symptom management within an interdisciplinary team.

Location: Must be based in the United States (specifically within CST, MST, or PST time zones).

Salary: $120,000–$150,000/year (plus performance bonus).

Company

hirify.global is an all-in-one healthcare company dedicated to improving the well-being of older Americans through integrated clinical care, insurance, and technology.

What you will do

• Conduct comprehensive initial post-discharge visits, including medication reconciliation and assessment of psychosocial needs.
• Perform acute virtual urgent-care visits to diagnose and manage new or worsening symptoms in medically complex patients.
• Manage clinical trajectories over a 30-day window, adjusting care plans based on evolving clinical pictures.
• Collaborate with an interdisciplinary team including RN case managers, social workers, and physicians.
• Contribute to program development, quality-improvement projects, and EHR feedback.

Requirements

• 5+ years of direct patient care managing geriatric populations with complex, comorbid conditions.
• Proficiency in English and Spanish is required.
• Active and in-good-standing APRN or PA license (must be willing to obtain licenses in FL, TX, AZ, OH, and GA).
• Ability to work a full-time 5-day, 8-hour schedule within CST, MST, or PST time zones.
• Strong clinical decision-making skills for both acute and longitudinal chronic disease management.

Culture & Benefits

• Employer-sponsored health, dental, and vision plans with low or no premiums.
• 401K program and stock options for all employees.
• Generous paid time off and parental leave program.
• $100 monthly mobile or internet stipend.
• Collaborative, interdisciplinary work environment focused on compassionate care.