Nurse Practitioner – Care Transitions Focus

Impact patient care as a Nurse Practitioner specializing in Community Health & Care Transitions with TCWGlobal in Edmonton, AB. Focus on reducing hospitalizations through strategic patient management.
This position offers a full-time or part-time opportunity to engage with high-risk patients in clinic, community, and virtual settings. You will lead initiatives aimed at improving care transitions, collaborating closely with social and healthcare teams to deliver effective, preventative care. This is a unique opportunity to blend direct patient interaction with community service outreach.
Key Responsibilities:
• Provide treatment and assessments aligned with best practices
• Develop proactive plans for at-risk patients to prevent hospitalization
• Facilitate smooth transitions from hospital to home care
• Collaborate with community partners supporting vulnerable populations
• Participate in quality improvement and program development efforts
Requirements:
• Mas...