Nurse Practitioner – Transitional Care Management (TCM)

A Nurse Practitioner at Legacy Community Health provides transitional care management for patients recently discharged from hospitals to ensure smooth recovery and reduce readmissions. The role involves conducting post-discharge visits, reviewing medical records, managing acute needs, and coordinating with interdisciplinary teams to maintain continuity of care. Candidates will document encounters in electronic health records and educate patients and caregivers on care instructions within a supportive community health environment.