Unique NP/PA Opportunity at LifeBridge Health's Post-Discharge Clinic

Company: LifeBridge Health
Location: Baltimore
Posted on: May 29, 2025

Job Description:

SummaryLifeBridge Health is 14,000-team-member healthcare system that Cares Bravely for over 1 million patients annually throughout Maryland. We are comprised of 5 main healthcare centers: Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital, and Grace Medical Center.Sinai Hospital, a regional medical campus for George Washington School of Medicine and Health Sciences (GWSMHS), serves the people of Greater Baltimore as well as national and international patients. As a nonprofit teaching hospital, Sinai provides training for more than 140 residents and 400 medical students yearly.Position SummaryWe are seeking a compassionate, highly skilled Nurse Practitioner (NP) or Physician Assistant (PA) to lead our post-discharge care services at Sinai Hospital of Baltimore. This role is responsible for providing follow-up care to patients recently discharged from the hospital, ensuring a smooth transition to outpatient management, preventing readmissions, and optimizing recovery outcomes. The NP/PA will serve as a key member of our multidisciplinary team, working closely with physicians, case managers, social workers, and care coordinators.

• Full-time, hospital-employed, outpatient opportunity with benefits
• Schedule: 40 Hours a week, at Sinai Hospital
• Hours: Monday - Friday, 8:00 am to 4:30 pm or 8:30 am to 5:00 pmKey Responsibilities
  • Conduct comprehensive post-discharge assessments for patients recently released from inpatient care/ ED or Observation.
  • Review, access, & develop individualized care plans in collaboration with the discharge attending, primary care provider, and/or specialists.
  • Evaluate treatment efficacy and modify plans as needed.
  • Evaluate & treat patients for potential signs of clinical deterioration or potential complications.
  • Educate patients and families on medication regimens, symptom management, and follow-up care instructions.
  • Work with support staff & social workers to supervise the coordination of appropriate follow-up appointments, labs, imaging, and referrals.
  • Communicate with hospital teams, skilled nursing facilities, and home health agencies as necessary.
  • Document all encounters and care plans in the electronic health record (EHR) in a timely and accurate manner.
  • Identify & recommend quality improvement initiatives related to reducing hospital readmissions and improving transitional care outcomes.
  • Responsible for developing practice workflow by working collaboratively with the practice manager, social worker, and division leaders to support clinic operations, related to post-discharge care.
  • Recommend process and procedure enhancements, and operational improvements related to methods for patient flow, patient scheduling, referral management, and follow-up care plans.Qualifications
    • Education: Master's in nursing from an accredited program.
    • Licensure: Current and unrestricted license in Maryland; national certification as a PA or NP (FNP, AGNP, or ACNP preferred).
    • Experience: Minimum 3 years of PA/ NP experience preferred, ideally in hospital medicine, primary care, or transitional care setting (TCM).
    • BLS/ACLS certification
    • Skills:
      • Strong clinical assessment and diagnostic skills
      • Excellent communication and interpersonal abilities
      • Comfortable working independently in a fast-paced environment
      • Proficient with EHR systems and care coordination processesBenefits
        • Competitive salary based on experience
        • Health, dental, and vision insurance
        • 403(b) with employer match
        • Paid time off, paid holidays, and CME allowance
        • Malpractice insurance coverage
        • Supportive team culture focused on patient-centered careJoin us in making a meaningful impact on patients' recovery journeys by delivering high-quality, compassionate post-discharge care.

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