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Complex Care

<div><h1 class="jobSectionHeader">Advanced Practice Provider (FNP) &ndash; Mobile Acute Care</h1>
Organization: Connected Healthcare Partners (CHP) &ndash; Mobile Acute Care Division 
Location: Pasadena, Texas<h2 class="jobSectionHeader">
About Connected Healthcare Partners</h2>
Connected Healthcare Partners (CHP) is redefining healthcare delivery by bringing high-acuity medical services directly into patients' homes throughout the Greater Houston area.
Our integrated model combines mobile acute care, transitional care management, chronic disease management, and nurse-supported telehealth services to deliver timely, high-quality care in the environment where patients often recover best &mdash; their own homes.
Our mission is simple: close the gap between hospital discharge and durable recovery by reducing unnecessary emergency department utilization, preventing avoidable readmissions, and improving continuity of care for medically complex patients.<h2 class="jobSectionHeader">
Position Summary</h2>
The Advanced Practice Provider (APP) &ndash; Mobile Acute Care serves as a primary clinical provider within CHP's rapidly growing mobile acute care division. This role delivers comprehensive in-home acute care, post-discharge transitional care services, and nurse-supported telehealth consultations for patients requiring urgent intervention in the home setting.
Providers begin each shift by obtaining a company vehicle and mobile clinical equipment before utilizing route optimization and scheduling technology to manage patient visits efficiently across the Greater Houston service area. APPs operate with a high degree of autonomy while remaining closely connected to an interdisciplinary team of physicians, nurses, care coordinators, and community partners.
This role is ideal for clinicians with backgrounds in emergency medicine, urgent care, hospital medicine, or other high-acuity settings who enjoy independent practice, problem solving, and delivering care outside traditional clinical environments.<h2 class="jobSectionHeader">
Key Responsibilities</h2><h3 class="jobSectionHeader">
Mobile Acute Care</h3><ul><li>
Perform comprehensive history and physical examinations in patients' homes across a broad range of acute and urgent presentations.</li><li>
Develop differential diagnoses and initiate evidence-based treatment plans for acute illnesses and injuries.</li><li>
Administer intravenous fluids and medications as clinically indicated.</li><li>
Perform and interpret CLIA-waived point-of-care testing in real time.</li><li>
Perform in-home procedures including:<ul><li>
Wound care and dressing changes</li><li>
Laceration repair</li><li>
Splinting and immobilization</li><li>
Urinary catheterization</li><li>
Other procedures within provider scope and competency</li></ul></li><li>
Identify clinical deterioration and coordinate escalation to emergency department or inpatient care when necessary.</li><li>
Maintain readiness and accountability for mobile medical equipment, supplies, medications, and diagnostic tools.</li></ul><h3 class="jobSectionHeader">
Complex Chronic Disease Management</h3><ul><li>
Provide longitudinal management of patients with complex chronic conditions including:<ul><li>
Congestive heart failure (CHF)</li><li>
Chronic obstructive pulmonary disease (COPD)</li><li>
Diabetes mellitus</li><li>
Chronic kidney disease (CKD)</li><li>
Hypertension</li><li>
Other medically complex conditions</li></ul></li><li>
Develop individualized care plans and adjust therapies based on clinical response and disease progression.</li><li>
Identify early signs of clinical decompensation and intervene proactively to prevent avoidable utilization.</li><li>
Coordinate care with specialists, home health agencies, caregivers, and community resources.</li><li>
Educate patients and caregivers regarding symptom monitoring, medication adherence, and disease self-management.</li></ul><h3 class="jobSectionHeader">
Transitional Care Management (TCM)</h3><ul><li>
Conduct post-discharge visits for patients transitioning from hospitals, emergency departments, skilled nursing facilities, and rehabilitation settings.</li><li>
Perform comprehensive medication reconciliation and identify high-risk discrepancies during care transitions.</li><li>
Evaluate patient and caregiver understanding of discharge diagnoses, instructions, and follow-up plans.</li><li>
Develop individualized recovery plans focused on reducing readmissions and improving functional outcomes.</li><li>
Coordinate care with primary care providers, specialists, hospitalists, home health agencies, and community organizations.</li><li>
Complete all required TCM documentation and billing requirements within established timelines.</li></ul><h3 class="jobSectionHeader">
Telehealth &amp; Clinical Support</h3><ul><li>
Respond to nurse-initiated telehealth consultations for patients currently receiving home health services.</li><li>
Conduct synchronous video visits as clinically appropriate.</li><li>
Provide remote assessment, triage, and treatment recommendations to support field clinicians and patients.</li><li>
Determine when escalation to an in-person evaluation or higher level of care is necessary.</li></ul><h3 class="jobSectionHeader">
Collaboration &amp; Care Coordination</h3><ul><li>
Collaborate closely with physicians, specialists, home health clinicians, social workers, pharmacists, and care coordinators.</li><li>
Communicate assessment findings, treatment plans, and clinical changes promptly and effectively.</li><li>
Serve as a trusted clinical resource for patients, caregivers, and interdisciplinary team members.</li><li>
Support continuity of care across all settings within the patient's healthcare journey.</li></ul><h3 class="jobSectionHeader">
Documentation &amp; Compliance</h3><ul><li>
Manage the clinical inbox within the electronic health record, including messages, laboratory results, refill requests, and care coordination tasks.</li><li>
Complete all documentation accurately and within 24 hours of each patient encounter.</li><li>
Maintain compliance with all applicable federal, state, and payer regulations including HIPAA and billing requirements.</li><li>
Adhere to CHP policies regarding mobile safety, vehicle operation, equipment handling, and in-home visit protocols.</li><li>
Participate in monthly clinical education sessions and ongoing quality improvement initiatives.</li><li>
Maintain active credentialing, licensure, and payer enrollment requirements.</li></ul><h2 class="jobSectionHeader">
Qualifications</h2><h3 class="jobSectionHeader">
Required Qualifications</h3><ul><li>
Active and unrestricted Texas licensure as a Family Nurse Practitioner (FNP).</li><li>
Master of Science in Nursing (MSN) from an accredited institution.</li><li>
Active Texas prescriptive authority.</li><li>
Current BLS certification.</li><li>
Valid driver's license and ability to travel throughout the Greater Houston area.</li><li>
Ability to lift and transport up to 50 pounds of clinical equipment and supplies.</li><li>
Ability to safely navigate stairs and varying home environments.</li><li>
Comfortable practicing independently in non-traditional, home-based settings.</li></ul><h3 class="jobSectionHeader">
Preferred Qualifications</h3><ul><li>
Emergency Nurse Practitioner certification (ENP-C) in addition to FNP certification.</li><li>
Active DEA registration.</li><li>
Current ACLS certification.</li><li>
Two or more years of experience in emergency medicine, urgent care, mobile acute care, hospital medicine, or high-acuity outpatient settings.</li><li>
Experience in transitional care management, home-based primary care, or post-acute care services.</li><li>
Experience conducting telehealth visits and remote patient assessments.</li><li>
Familiarity with CLIA-waived testing requirements and laboratory compliance standards.</li><li>
Multistate licensure or willingness to obtain additional licenses to support future telehealth expansion.</li></ul><h2 class="jobSectionHeader">
Work Environment &amp; Physical Requirements</h2><ul><li>
Daily travel throughout the Greater Houston service area.</li><li>
Frequent entry into residential homes and community-based settings.</li><li>
Regular lifting, carrying, and transportation of medical equipment and supplies.</li><li>
Extended periods of driving between patient visits.</li><li>
Ability to adapt quickly to changing schedules and clinical priorities.</li></ul><h2 class="jobSectionHeader">
Why Join Connected Healthcare Partners?</h2><ul><li>
Become a founding clinical provider within an innovative mobile acute care program.</li><li>
Help shape clinical workflows, protocols, operational processes, and team culture from the ground up.</li><li>
Practice with meaningful autonomy while remaining supported by a collaborative interdisciplinary team.</li><li>
Deliver care at the full scope of your training and licensure across acute care, transitional care, chronic disease management, and telehealth.</li><li>
Grow alongside a rapidly expanding organization with future leadership opportunities.</li><li>
Make a measurable impact by reducing preventable hospitalizations and improving outcomes for medically complex patients throughout the Houston community.</li></ul>
At Connected Healthcare Partners, we believe exceptional healthcare should meet patients where they are. If you are energized by autonomy, innovation, and high-impact patient care, we invite you to help build the future of mobile acute care.</div>

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