Advanced Practice Provider – Transitional Care Management

The Advanced Practice Provider – Transitional Care Management role at Legacy Community Health focuses on providing advanced clinical care to patients following hospital, emergency department, or skilled nursing facility discharges. This position involves conducting post-discharge assessments, managing medication reconciliation, and developing personalized care plans to ensure continuity of care and reduce avoidable readmissions. The role requires collaboration with interdisciplinary teams to support patient recovery and promote well-being in an outpatient setting.