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Nurse Practitioner, Care Transitions (Dual Board-Certified)

Company

Avail Health

Location

Rockville, United States

Type

Full-time

Role Overview You’ll serve as the billing provider for Avail Health’s 30-day TCM episode — conducting comprehensive post-discharge visits, primarily virtual, within 1–14 days of hospital discharge.


Your patients are Medicare-age adults navigating complex medical and behavioral health needs after a hospitalization.


Your job is to assess, stabilize, and connect them to the right next level of care before the window closes.


You’ll work inside a tight interdisciplinary team (RN Care Manager, SW Care Manager, Care Coordinator) supported by HIE integrations and an ambient AI scribe.


The workflow overhead is handled.


You focus on the clinical judgment.


This is a founding role in a newly launching program.


You’ll help build the model, not just run it.


What You'll Own •   The TCM billing encounter and CMS compliance for each patient’s 30-day episode ̶...

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