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Advanced Practice Provider, Community Based Baltimore
Job
ABC Health
Baltimore, MD (In Person)
$155,000 Salary, Full-Time
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Job Description
Job Summary We are seeking an Advanced Practice Provider, Nurse Practitioner or Physician Assistant, for a community-based position focusing on providing both primary care to our members where they live. The community provider is responsible for seeing members recently discharged from the hospital and ensuring a smooth transition of care to prevent readmissions, seeing members who have urgent clinical needs and addressing them so they can avoid a trip to the Emergency Room, and performing chronic disease management and preventive care in conjunction with the center-based primary care team. Responsibilities Conduct patient/member assessments. Review, monitor, adjust and discontinue medications. Patient/Member and family education. Coordinate home care agencies and services. Develop and implement plan of care. Communicate patient's medical, or mental conditions, substance abuse and social determinants of health needs. Document appropriately in EMR. Support safe discharge transition and treatment in the community. Intervene with at-risk members to avoid unnecessary hospitalizations.