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.

Qualifications

• Master of Science Degree with completion of an appropriate primary or acute care Nurse Practitioner program.
• Registered and currently recorded with the Maryland Board of Examiners of Nurses and Certified as a Nurse Practitioner in the State of Maryland. Certified in area of specialty. DEA and CDS eligible
• BCLS as required

Additional Information

Pay Range: $55.42 - $71.88

Review the 2024-2025 UMMS Benefits Guide