Devoted Studios

Bilingual (Spanish/English) Transitions of Care Advanced Practice Provider

Fully Remote - Texas · Internship

Sponsorship not specified$120k-$150kDetected 26 days ago

EHR/EMRPatient CareCommunicationAdaptability

About the role

Job Description Schedule This is a full-time, 5-day, 8-hour position (8:30 AM - 5:00 PM CST/MST/PST).
A bit about this role Our Devoted Medical Transitions of Care (TOC) Advanced Practice Provider (APP) roles include both Nurse Practitioners (APRNs) and Physician Assistants (PAs) - candidates for both will be considered.
The TOC program provides virtual care during the 30-day window after a patient is discharged from a hospitalization.

Perform acute / virtual urgent-care TOC visits. Independently assess, diagnose, and manage new or worsening symptoms in medically complex patients, determine the appropriate level of care, and escalate when needed - with a clear bias to action.
Participate in interdisciplinary TOC rounds to discuss patients at highest risk of readmission, and collaborate closely with RN case managers, care coordinators, social work case managers, pharmacy, and patients' PCPs and specialists.
Embrace a build environment. As our service needs evolve, this role may expand to support new clinical and organizational initiatives. We seek people who are adaptable, eager to learn, and comfortable in a fast-paced, dynamic setting where change is constant.
Perform comprehensive initial TOC visits.
Perform acute / virtual urgent-care TOC visits.
Independently assess, diagnose, and manage new or worsening symptoms in medically complex patients, determine the appropriate level of care, and escalate when needed - with a clear bias to action.
Manage the clinical trajectory across the 30-day window.
Embrace a build environment.
As our service needs evolve, this role may expand to support new clinical and organizational initiatives.

Comfort diagnosing, managing, and monitoring decompensating patients with common high-readmission conditions such as heart failure, COPD, diabetes, hypertension, pneumonia, cellulitis, and urinary tract infections.
Ability to work the full-time 5-day, 8-hour schedule (Monday-Friday 8:30 AM - 5:00 PM within CST/PST/MST hours).
Proficiency in English and Spanish is required.
Experience in internal medicine, hospital medicine, post-acute/SNF medicine, urgent care or emergency medicine, geriatrics, palliative care, and/or primary care with a strong chronic disease management focus.
Experience managing acute and chronic disease exacerbations, including CHF exacerbations, COPD exacerbations, diabetic emergencies, and hypertensive emergencies, and identifying the need for immediate intervention.
Experience performing visits over telehealth video platforms.
Experience working with frail, complex, or vulnerable populations, including in the skilled nursing facility (SNF) setting.
A continuous-improvement mentality, can-do attitude, and the ability to adapt quickly to new workflows and changes.
Licensure and good standing required in existing or future Devoted states
able and willing to obtain required state licenses within 60-90 days of hire.

$120,000-$150,000/year plus performance based bonus paid out quarterly or annually ($10K-$20K) for a total comp range of $130,000-$170,000/year.
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting.
Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package.

Conduct a thorough post-discharge assessment of the patient's medical conditions, medications, functional status, and psychosocial needs.
Complete a full post-discharge medication reconciliation - including identifying duplicate, inappropriate, or contraindicated therapy and optimizing guideline-directed medical therapy.
Place appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), provide disease-specific education, and communicate clear contingency plans and red flags for worsening symptoms.
Assist with clinical education of the broader team, participate in quality-improvement projects and pilots, and provide feedback to improve our EHR.
Employer-sponsored health insurance and dental and vision plan with low or no premium
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off

This listing is sourced directly from Devoted Studios's careers page and normalized into a canonical job model.