Advanced Practice Provider, Community Based $150k - $165k
Updated 3/26/26
Columbus, Ohio, United States
Physician Assistant
Family Practice/Primary Care
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Job at a glance
Degree Required
MPAS/MHS/MMSc/MPH
Position Type
Full-Time
Work Environment
Home Care/House Calls
Outpatient
Visa Sponsorship
No
Job description
Job description
This position will cover the south west portion of Columbus locations.
This role is community-based, focusing on providing both urgent and primary care to our members where they live. Working in partnership with the member’s primary care provider and interdisciplinary team, the community-based provider is responsible for seeing members recently discharged from the hospital and ensuring a smooth transition of care to prevent readmissions, seeing members who have urgent clinical needs and addressing them so they can avoid a trip to the Emergency Room, and performing chronic disease management and preventive care in conjunction with the center-based primary care team.
This role is community-based, focusing on providing both urgent and primary care to our members where they live. Working in partnership with the member’s primary care provider and interdisciplinary team, the community-based provider is responsible for seeing members recently discharged from the hospital and ensuring a smooth transition of care to prevent readmissions, seeing members who have urgent clinical needs and addressing them so they can avoid a trip to the Emergency Room, and performing chronic disease management and preventive care in conjunction with the center-based primary care team.
Job Responsibilities
Work closely with the transitional care manager and the member’s primary care team, following through on the discharge plan with the member.
Conduct patient/member assessments.
Review, monitor, adjust and discontinue medications.
Comprehensive Medication Review for adherence.
Patient/Member and family education.
Coordinate home care agencies and services.
Communicate patient’s medical, or mental conditions, substance abuse and social determinants of health needs.
Document appropriately in the Electronic Medical Record.
Support safe discharge transition and treatment in the community.
Intervene with at-risk members to avoid unnecessary hospitalizations.
Qualifications
Familiar with care transitions, strategies for reducing readmissions and chronic condition management interventions
Multiple settings experience (urgent care, ER, inpatient, office, or community based) preferred.
Experience working with high risk and medically complex patients with multiple comorbidities preferred.
Psychiatric and substance use disorder experience preferred
Knowledge and experience using Electronic Medical Records
Working Hours
By applying you agree to our Terms of Service