Legacy Community Health is seeking a Nurse Practitioner for Transitional Care Management in Houston. You will provide advanced clinical care after hospital or facility discharge, focusing on post-discharge assessments, medication reconciliation, and individualized care planning in a team-based outpatient setting.
The role emphasizes reducing avoidable readmissions, coordinating with multiple care teams, and ensuring continuity of care for vulnerable patients in an FQHC environment.
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