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Telehealth Nurse Practitioner (FNP/AGNP) – Complex Care

Location: Ohio | Primarily Remote
Job Type: Full-Time | 40 hours/week
Salary: $135,000/year
Benefits: Health Insurance

Position Overview

We are seeking an experienced Nurse Practitioner (FNP or AGNP) to join a growing healthcare organization expanding its innovative value-based care model into Ohio.

This is a primarily virtual position focused on managing medically complex adult and geriatric patients through telehealth, remote patient management, proactive clinical intervention, and interdisciplinary care coordination.

Rather than focusing on patient volume, the care model emphasizes identifying patient needs early, preventing avoidable hospitalizations, closing quality gaps, and helping vulnerable patients remain safely and independently at home.

What You'll Do

• Provide ongoing clinical care through telehealth and remote-care technologies
• Assess and manage medically complex adult and geriatric patients
• Manage Medicaid and Dual-Eligible patient populations
• Develop individualized care plans in collaboration with physicians and interdisciplinary team members
• Coordinate with patients, caregivers, PCPs, specialists, and health plans
• Identify clinical changes and intervene before conditions result in unnecessary ED visits or hospitalizations
• Manage transitions of care following hospitalization or other acute-care episodes
• Participate in advance-care planning and goals-of-care discussions
• Participate in shared clinical triage and support
• Maintain accurate and comprehensive clinical documentation
• Support HCC coding and risk-adjustment initiatives
• Address quality gaps and support STAR and HEDIS performance
• Help develop clinical best practices as the organization's Ohio operations expand

Required Qualifications

• Master's degree or higher
• 3+ years of Primary Care experience
• Active Family Nurse Practitioner (FNP) or Adult-Gerontology Nurse Practitioner (AGNP) certification
• Active Ohio NP license or ability to obtain Ohio licensure
• Appropriate prescriptive authority
• Experience independently managing adult and/or geriatric patients
• Strong clinical decision-making skills
• Strong communication and interdisciplinary collaboration abilities

Highly Desired Experience

Candidates with experience in one or more of the following areas are strongly encouraged to apply:

• Telehealth/Virtual Care
• Complex Care Management
• Value-Based Care
• Population Health
• Managed Medicaid
• Medicare/Dual-Eligible populations
• Home-Based Primary Care
• Geriatrics
• HCC Coding/Risk Adjustment
• STAR/HEDIS Quality Measures
• Advance-Care Planning
• Home Health
• Skilled Nursing
• Rehabilitation/Neuro-Rehabilitation
• Emergency Medicine/Triage

Work Environment

The position is primarily virtual. As the organization's Ohio presence expands, a collaborative office presence is expected to be established in one of Ohio's major metropolitan areas.

Candidates should therefore be comfortable working remotely while remaining flexible as the organization's Ohio clinical infrastructure develops.

Designed integrated care plans and delivers 24/7 support — improving qualify of life, outcomes, and efficiency for members and families.

Our members — including those with physical disabilities, frail elderly, intellectual or developmental disabilities, traumatic brain injuries, or technology dependence — must navigate care through a fragmented network of ancillary service providers. Today this care is largely delivered fee-for-service, with no unified oversight or real-time coordination. Client exists to change that — bringing integration, coordination, and support to those who need it most.

PROVIDERS
For ancillary providers, streamlines referrals and documentation, eases administrative load, and strengthens care coordination across nursing, therapy, DME, and PCS — while offering performance-based incentives tied to quality outcomes

A value-based care company that operates as a fully capitated, full-risk provider. The company partners with managed Medicaid health plans and Dual-Eligible Special Needs Plans (D-SNPs) to manage the care of members in waiver programs. These programs serve extremely complex individuals, including those with physical disabilities, traumatic brain injury (TBI), intellectual and developmental disabilities (IDD), and the frail elderly.