Transitional Care Manager Jobs in Minnesota (NOW HIRING)

Job Title: Physician (MD) – Mobile Primary Care | Geriatric Rounding & Post-Acute Care

Company: Twin Cities Physicians

Compensation: $250,000 to $325,000+ Total Compensation (Base Salary + Productivity Incentive Program) + Mileage Reimbursement

Benefits: Full Benefits Package, PTO, Paid Holidays, CME Allowance, Malpractice Coverage, DEA Reimbursement, and More

Location: Greater Twin Cities Metro Area

Schedule: Full-Time | On-Site Community Rounding

To Apply: Email Tom Lecy at tom.lecy@hhcare.net with a summary of your qualifications and why you are interested in joining a rounding physician group.

Twin Cities Physicians is a provider-led medical group delivering on-site primary care, chronic disease management, and post-acute care across 300+ senior living communities throughout Minnesota. Our physicians serve residents in assisted living, memory care, skilled nursing, and long-term care settings, bringing healthcare directly to patients while improving access, continuity, and outcomes.

Our model is built around proactive intervention, early identification of clinical concerns, and reducing avoidable hospital utilization.

The most impactful medical decisions often happen before a patient ever reaches the emergency room.

A medication adjustment.

An early diagnosis.

A timely intervention.

A physician who recognizes subtle changes before they become major problems.

As a Mobile Primary Care Physician with Twin Cities Physicians, you'll focus on identifying risks early, managing medically complex patients, and helping seniors remain healthier within the communities they call home.

You'll work across assisted living, memory care, skilled nursing, and long-term care environments, helping prevent avoidable hospitalizations while improving quality of life for a highly vulnerable patient population.

This is an opportunity to practice medicine where proactive care truly matters.

• $250,000 to $325,000+ total compensation opportunity through salary and productivity incentives.

• Work directly with medically complex geriatric and post-acute patient populations.

• Focus on preventative medicine, chronic disease management, and reducing avoidable hospital utilization.

• Become a trusted clinical partner within senior living communities throughout Minnesota.

• Collaborate with experienced Nurse Practitioners, Physician Assistants, nurses, therapists, and interdisciplinary teams.

• Receive mileage reimbursement, CME support, malpractice coverage, DEA reimbursement, PTO, and comprehensive benefits.

• Provide on-site primary care and geriatric rounding throughout assisted living, memory care, skilled nursing, and long-term care communities.

• Manage chronic conditions, transitional care needs, preventative care initiatives, and medically complex patient populations.

• Identify clinical concerns early and implement interventions that improve outcomes.

• Reduce hospitalizations and emergency room utilization through proactive care delivery.

• Perform diagnostics, treatment planning, medication management, and follow-up care.

• Collaborate with Nurse Practitioners, Physician Assistants, nursing staff, therapists, and case managers.

• Maintain accurate EMR documentation, care coordination, and ongoing clinical oversight.

• Active Minnesota Physician (MD or DO) license in good standing.

• Experience in geriatrics, internal medicine, family medicine, hospital medicine, post-acute care, or related specialties preferred.

• Familiarity with chronic disease management, transitional care, or value-based care models is beneficial.

• Strong clinical judgment and confidence managing medically complex patient populations.

• Valid driver's license and reliable transportation.

We proudly encourage active duty, reserve, National Guard, and veterans to apply.

• Army: 61H – Family Medicine Physician | 61G – Internal Medicine Physician | 60F – Primary Care Physician

• Navy: 210X – Medical Corps Officer (Physician)

• Air Force: 44FX – Physician

• Marines: Physician (via Navy Medical Corps 210X)

• Coast Guard: Medical Officer (Physician)

Some physicians treat the consequences of healthcare gaps.

Others help prevent those gaps from becoming crises.

If you're looking for an opportunity to improve outcomes, reduce unnecessary hospitalizations, and help seniors receive the right care at the right time, Twin Cities Physicians offers a model where your clinical expertise can have a measurable impact every day.

Email Tom Lecy at tom.lecy@hhcare.net with a summary of your qualifications and why you're interested in joining Twin Cities Physicians.