Certified Nurse Practitioner

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 virtually 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. 

This role delivers real-time clinical oversight for Community Paramedics, 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. 

  This employer participates in E-Verify, a program that verifies an employee’s identity and employment authorization to work in the United States after hire.