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Transitions LifeCare

Nurse Practitioner - Transitions Medical Partners - Primary Care

raleigh, NC

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Job description

Nurse Practitioner - Transitions Medical Partners - Primary Care

Requisition Number : NURSE

Posted : May 18, 2026

Full-Time

On-site

Locations

Showing 1 location

Description

The schedule for this role is Monday-Friday 8:30 am to 5:00 pm.

This role delivers direct patient care to individuals with acute, chronic, complex, and serious illness; supports continuity of care across settings; and collaborates closely with interdisciplinary teams. The Nurse Practitioner functions under the guidance of the Chief Medical Officer, Medical Director, referring physicians, and established plans of care, while practicing to the full scope of advanced practice nursing.

The position also supports provider, staff, and community education related to primary care, chronic disease management, pain and symptom management, serious illness communication, advanced care planning, and available services across the Transitions LifeCare continuum.

Responsibilities

Clinical Care – Primary Care

Provide comprehensive primary care services, including health maintenance, preventive care, and management of acute and chronic medical conditions

Perform patient assessments, physical examinations, and diagnostic evaluations

Diagnose and manage common primary care conditions (e.g., hypertension, diabetes, COPD, CHF, dementia, depression, and other chronic illnesses)

Order, review, and interpret diagnostic tests and laboratory studies

Prescribe medications and therapeutic interventions consistent with scope of practice, collaborative agreements, and regulatory requirements

Provide patient and caregiver education focused on disease management, health promotion, and self-care

Participate in on-call rotation schedule with MD / Medical Director and team

Palliative Care and Hospice Services

Provide palliative care consultation and hospice visits in residential facilities, home settings, hospice inpatient facilities, and hospitals

Deliver pain and symptom management interventions based on established hospice and palliative care guidelines and standards

Conduct goals‑of‑care discussions, advance care planning, and shared decision‑making with patients and families

Provide attending provider services for hospice patients when assigned

Complete face‑to‑face visits to ensure compliance with Medicare/Medicaid hospice regulations

Attend Interdisciplinary Group (IDG) meetings as appropriate

Care Coordination and Collaboration

Collaborate with physicians, nurses, social workers, chaplains, care managers, and other interdisciplinary team members

Coordinate transitions of care across inpatient, outpatient, home‑based, and residential settings

Communicate effectively with referring providers, facility staff, and community partners to ensure continuity and quality of care

Documentation, Quality, and Education

Document accurately and timely in the patient medical record in accordance with federal, state, regulatory, and agency requirements

Assist with data collection, quality metrics, forms, and outcome evaluation tools for primary care, palliative care, and hospice programs

Work with the Chief Medical Officer and Associate Medical Director to educate hospital staff, residential facility staff, and community physicians on:Primary care integration

Chronic disease management

Palliative care principles

Pain and symptom management

End‑of‑life communication

Available Transitions LifeCare programs

Participate in on‑call rotation as required by contract agreement

Perform other duties as assigned by supervisor

Demonstrate professionalism, compassion, respect, teamwork, and accountability in all interactions

Adhere to all Transitions LifeCare policies, procedures, and organizational guidelines

Deliver care in accordance with ACHC Standards and Medicare Conditions of Participation as applicable

Comply with all state and federal laws, regulations, and professional standards within defined scope of practice

Communicate concerns, risks, or quality/safety issues promptly to leadership

Requirements

Nurse Practitioner with current North Carolina license

Minimum 3 years of clinical experience preferred

Experience in primary care, internal medicine, geriatrics, hospice, palliative care, and/or home health preferred

ACHPN certification preferred

Maintain continuing education requirements for Nurse Practitioner licensure

Knowledge of reimbursement sources, Medicare regulations, licensing laws, and accreditation standards

Computer proficiency preferred

Current CPR certification

Valid North Carolina Driver’s License, active automobile insurance, and access to reliable transportation

Potential exposure to bloodborne pathogens

Possible exposure to communicable diseases or bodily fluids

Equal Opportunity Employer

This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.

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Worksite address

raleigh, NC, 27601, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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