Devoted Health·Washington, District of Columbia
Perform comprehensive initial and acute virtual post-discharge visits to prevent hospital readmissions for medically complex geriatric patients. Collaborate with an interdisciplinary team to manage clinical trajectories and contribute to the development of the Transitions of Care program.
30 AM – 5:00 PM CST/MST/PST). Candidates must be able to consistently work within Central (CST), Mountain (MST), or Pacific (PST) time zone hours.
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.
This is an opportunity for an experienced APP to help build the TOC Program.
The TOC program provides virtual care during the 30-day window after a patient is discharged from a hospitalization.
Our goal is to prevent readmissions by delivering exceptional, comprehensive, wrap-around care during this high-risk period.
The team is highly interdisciplinary — care coordinators, nurse case managers, social workers, APPs, and physicians collaborating together.
This role demands two distinct skill sets in one provider.
Roughly 70% of your time is spent on comprehensive initial post-discharge visits, and 30% on follow-up and acute/urgent symptom visits.
That means you need the acute clinical judgment to recognize and manage a decompensating, medically complex patient in real time, and the longitudinal depth to build and adjust a whole-person, complex chronic-care plan over 30 days.
You should be equally comfortable deciding whether a patient needs an immediate intervention today and managing the slower arc of their chronic disease across the continuum.
You'll also help build the program itself — shaping team culture, fostering safe and open communication, contributing to quality-improvement work, and giving feedback on our homegrown EHR as we grow.
Perform comprehensive initial TOC visits. 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.
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. Reinforce and adjust each patient's plan of care in response to their evolving clinical picture, their priorities, and the barriers they face — including chronic disease management, symptom management, and timely changes to the medical regimen.
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.
Enhance team culture by facilitating safe, open communication across roles and supporting clear patient escalations.
Assist with clinical education of the broader team, participate in quality-improvement projects and pilots, and provide feedback to improve our EHR.
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.
active and in-good-standing RN and APRN licenses.
For
Physician
Assistants: an active and in-good-standing Physician Assistant license.
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. We are
Licensure in FL TX AZ OH and/or GA required to start.
$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.
Employer-sponsored health insurance and dental and vision plan with low or no premium
#LI-Remote
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. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family.
That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love.
Founded in 2017, we've grown fast and now serve members across the United States.
And we've just started.
So join us on this mission!
Devoted is an equal opportunity employer.
We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business.
We value diversity and collaboration.
Individuals are respected for their skills, experience, and unique perspectives.
This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Requires 5+ years of experience in geriatric patient care and bilingual proficiency in English and Spanish. Must hold an active RN/APRN or Physician Assistant license with licensure in FL, TX, AZ, OH, and/or GA to start.
Market context
Advanced-practice roles in the District of Columbia are often competitive because employers look for graduate-level preparation, active licensure, and current BLS certification, with experience in urgent care, emergency medicine, or primary care often preferred. New graduates may still be considered, so a strong application should clearly match the required credentials and any relevant clinical rotations. Job requirements and benefits here are AI-summarized from the original posting, helping candidates review the essentials faster before applying.
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