Nurse Practitioner (NP) – Virtual Primary Care (Ohio) at T.L. Johnson Agency LLC

Job OverviewValue-Based / Home-Centered Care (Medicaid & Dual-Eligible Populations) | Full-TimePosition SummaryCares for and manages medically complex Medicaid and Dual-Eligible populations in Ohio, providing advanced practice care virtually while guiding an interdisciplinary team to improve patient outcomes and reduce hospital visits. Combines clinical expertise with leadership and program development in a home-centered, value-based care model.DutiesDeliver high-quality virtual clinical care and ongoing management for medically complex Medicaid and Dual Eligible membersConduct patient assessments, medication management, care planning, and follow-up via telehealth and remote care technologiesCoordinate care with primary care providers, specialists, managed care organizations, and community partnersLead and document advance care planning and goals-of-care conversations with patients and familiesEnsure accurate, compliant clinical documentation supporting HCC coding, risk adjustment, and quality initiatives (STAR/HEDIS gap closure)Assist with hospital admission and discharge planning, ensuring smooth transitions back to the home settingContribute to the development and continuous improvement of clinical protocols, operational processes, and value-based care strategiesParticipation in a rotating 24/7 triage and after-hours support modelIdeal BackgroundComfortable practicing autonomously with full prescriptive authoritySignificant experience with telehealth, virtual care, or remote patient managementExperience working with medically complex adults, elderly populations, individuals with disabilities, or home-based care modelsWorking knowledge of value-based care, HCC coding, risk adjustment, quality gap closure, STAR ratings, and HEDIS measuresExperience conducting advance care planning and goals-of-care discussions with patients and familiesEntrepreneurial mindset, comfortable in a dynamic, startup-like environmentJoin us to be part of a forward-thinking healthcare organizationQualifications Required:Must live in OhioEducation: Master's degree or higherExperience: Primary Care (3+ years)Licenses/Certifications: ANY of the following valid licenses/certifications: Family Nurse Practitioner (FNP) in Ohio (OH); Adult Gerontology Nurse Practitioner (AGNP) in Ohio (OH)Minimum of 3–5 years of advanced practice clinical experience

Nurse Practitioner (NP) – Virtual Primary Care (Ohio)

Emma

Responsibilities

Skills wanted:

Language(s) required:

About T.L. Johnson Agency LLC:

mission:

www.tljohnie.com/

Admin access needed