Certified Nurse Practitioner

Job Description

Job Description

About Total Care Connect
Total Care Connect (TCC) is a mobile integrated health organization delivering in-home clinical and preventive care to members across Ohio and surrounding regions. We support health plans, health systems, and value-based organizations by reaching members where they are — in their homes and communities — to improve access, close care gaps, and reduce avoidable utilization. 

As a tech-enabled, field-based care delivery organization, our teams provide a range of services including preventive care, chronic condition support, transition-of-care visits, member engagement, and navigation. We operate with a focus on high-quality member experience, operational excellence, and coordinated care across clinical and administrative. 

Job Summary 
The Nurse Practitioner provides advanced clinical evaluation, diagnosis, and management of patients through telehealth platforms in support of Total Care Connect’s Mobile Integrated Healthcare (MIH) programs. 

This role delivers real-time clinical oversight for Community Paramedics in the field, conducts virtual post-discharge assessments, manages acute and chronic conditions remotely. The NP ensures high-quality, evidence-based care while maintaining regulatory compliance and value-based performance standards. 



 

Core Responsibilities 

Virtual Clinical Assessment & Management 

• Conduct comprehensive telehealth evaluations. 

• Diagnose and manage acute and chronic conditions. 

• Provide treatment plans, medication management, and follow-up recommendations. 

• Order diagnostics and laboratory testing as appropriate. 

• Ensure medical necessity documentation aligns with payer requirements. 

Field Clinical Support (Community Paramedicine Integration) 

• Provide real-time telehealth consultation to Community Paramedics during in-home visits. 

• Escalate care appropriately when higher acuity is identified. 

• Collaborate on care plan adjustments. 

• Support protocol-driven interventions and standing orders. 

Clinical Documentation & Compliance 

• Maintain timely, complete, and defensible EMR documentation. 

• Ensure documentation supports billing and medical necessity. 

• Adhere to licensure, telehealth regulations, CMS guidelines, and HIPAA standards. 

• Participate in internal chart audits. 

Quality & Performance Participation 

• Contribute to Quality Improvement initiatives. 

• Support reduction in 30-day readmissions and ED utilization. 

• Participate in case reviews. 

• Support development of evidence-based care pathways. 

Interdisciplinary Collaboration 

• Collaborate with Community Paramedics, Clinical Services Supervisor, Quality Coordinator, Operations Coordinator, and Care Coordination teams. 

• Participate in interdisciplinary conferences. 

• Communicate clinical updates to referring providers. 
  
  
  
   

Qualifications

Required

• Licensed Nurse Practitioner (Ohio) with an active, unrestricted license. 

• National board certification (FNP, AGNP, or similar). 

• Prescriptive authority in Ohio. 

• 3–5 years of clinical experience. 

• Experience with telehealth delivery. 

• Proficiency with EMR systems. 

Preferred 

• Experience in Mobile Integrated Healthcare or home-based care. 

• Experience with Medicare Advantage populations. 

• Experience in value-based care models. 

• Acute care or emergency medicine background. 

• DEA registration. 

Core Competencies 

• Advanced clinical judgment. 

• Strong telehealth communication skills. 

• Risk stratification capability. 

• Regulatory and billing literacy. 

• Interdisciplinary collaboration. 

• High accountability and documentation discipline. 

• Comfort with technology-driven care delivery. 

Work Environment 

• Hybrid. 

• Collaboration with field-based paramedics. 

• Scheduled shifts aligned to operational coverage needs. 

• Occasional evening or weekend shifts depending on program demand. 

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