Lead Nurse Practitioner Telehealth Ohio

Overview

This role offers an opportunity to lead clinical care and operations for medically complex Medicaid and Dual Eligible populations in Ohio. You will provide advanced practice care virtually while guiding an interdisciplinary team to improve patient outcomes and reduce hospital visits. The position combines clinical expertise with leadership and program development in a home-centered, value-based care model. Key Responsibilities ● Deliver high-quality virtual clinical care and ongoing management for medically complex Medicaid and Dual Eligible members ● Lead, mentor, and develop the Ohio interdisciplinary clinical team fostering collaboration, accountability, and a culture of excellence ● Build and scale local clinical operations establishing workflows, best practices, and performance standards ● Provide coaching, oversight, and performance management for team members supporting professional development ● Conduct patient assessments, medication management, care planning, and follow-up through telehealth and remote care technologies ● Coordinate care with primary care providers, specialists, managed care organizations, and community partners ● Lead and document advance care planning and goals-of-care conversations with patients and families ● Ensure accurate and compliant clinical documentation supporting HCC coding, risk adjustment, and quality initiatives including STAR and HEDIS gap closure ● Assist with hospital admission and discharge planning ensuring smooth transitions back to the home setting ● Contribute to development and continuous improvement of clinical protocols, operational processes, and value-based care strategies Schedule and Shift Details ● Participate in a rotating 24/7 triage and after-hours support model ● Must live in Ohio "Ideal Background" • Active Ohio Nurse Practitioner license (or ability to obtain licensure). • Family Nurse Practitioner (FNP) or Adult-Gerontology Nurse Practitioner (AGNP) certification required. • Minimum of 3–5 years of advanced practice clinical experience. • Comfortable practicing autonomously with full prescriptive authority. • Significant experience with telehealth, virtual care, or remote patient management. • Experience working with medically complex adults, elderly populations, individuals with disabilities, or home-based care models. • Demonstrated leadership experience is required, with previous roles such as Team Lead, Clinical Advisor, Clinical Services Manager, or similar leadership positions. • Proven experience building and leading clinical teams, including performance management and coaching of staff. • Experience leading or managing virtual and/or geographically dispersed clinical teams is strongly preferred. • Working knowledge of value-based care, HCC coding, risk adjustment, quality gap closure, STAR ratings, and HEDIS measures. • Experience conducting advance care planning and goals-of-care discussions with patients and families. • Entrepreneurial mindset with the ability to thrive in a dynamic, startup-like environment. At HarborWell Health, we believe some of the most vulnerable patients in our healthcare system deserve more than reactive care—they deserve proactive, coordinated support that helps them remain safe, healthy, and independent in their homes. The populations we serve often include frail older adults, individuals with physical disabilities, and those with intellectual or developmental disabilities. These patients frequently receive home and community-based services and rely on multiple caregivers and support systems to meet their daily needs. Yet too often, early warning signs of declining health go unnoticed or unaddressed until they become emergencies. A caregiver may notice a patient has missed several meals, is becoming increasingly weak, or is developing swelling in their legs. While these observations are critical, there is often no clear pathway for rapid clinical intervention. As a result, small issues can escalate into emergency department visits, hospitalizations, and preventable health crises. HarborWell Health was founded to change that. Our vision is to transform the home into an engine of care by creating a physician-led, interdisciplinary clinical team that works alongside patients, caregivers, primary care providers, health plans, and community-based organizations. We build trusted, longitudinal relationships with members and intervene early—before problems become emergencies. Rather than replacing a patient's primary care provider, HarborWell serves as an extension of the care team. We provide high-touch clinical support between office visits, helping patients navigate complex medical and social needs while ensuring primary care providers remain informed and engaged. Our model is built around frequent patient engagement, collaboration with caregivers, virtual care, care coordination, and proactive clinical oversight. We focus on the fundamentals that often determine whether a vulnerable patient remains stable at home: medication adherence, nutrition, hydration, activity, sleep, and timely intervention when concerns arise. By partnering closely with the organizations and caregivers already serving patients in their homes, we create a more connected and responsive care ecosystem. Together, we help identify issues earlier, coordinate care more effectively, and reduce avoidable emergency department visits and hospitalizations. Our ultimate goal is simple: maximize safe days at home for every member we serve. For clinicians who join HarborWell Health, this is an opportunity to practice medicine differently—to build meaningful relationships, intervene before crises occur, and help transform the way care is delivered to some of the nation's highest-need populations.

Qualifications

• Master's degree or higher
• 1+ years of experience in ANY of the following:
  • Allscripts Care Management
  • Telemedicine Care
  • Care Management
• ANY of the following valid licenses/certifications:
  • Nurse Practitioner (NP)
  • Family Nurse Practitioner (FNP)
  • Psychiatric-Mental Health Nurse Practitioner (PMHNP)
• ANY of the following valid licenses/certifications:
  • Adult Gerontology Nurse Practitioner (AGNP)
  • Gerontological Nurse Practitioner (GNP)

Company

At HarborWell Health, we believe some of the most vulnerable patients in our healthcare system deserve more than reactive care—they deserve proactive, coordinated support that helps them remain safe, healthy, and independent in their homes. The populations we serve often include frail older adults, individuals with physical disabilities, and those with intellectual or developmental disabilities. These patients frequently receive home and community-based services and rely on multiple caregivers and support systems to meet their daily needs. Yet too often, early warning signs of declining health go unnoticed or unaddressed until they become emergencies. A caregiver may notice a patient has missed several meals, is becoming increasingly weak, or is developing swelling in their legs. While these observations are critical, there is often no clear pathway for rapid clinical intervention. As a result, small issues can escalate into emergency department visits, hospitalizations, and preventable health crises. HarborWell Health was founded to change that. Our vision is to transform the home into an engine of care by creating a physician-led, interdisciplinary clinical team that works alongside patients, caregivers, primary care providers, health plans, and community-based organizations. We build trusted, longitudinal relationships with members and intervene early—before problems become emergencies. Rather than replacing a patient's primary care provider, HarborWell serves as an extension of the care team. We provide high-touch clinical support between office visits, helping patients navigate complex medical and social needs while ensuring primary care providers remain informed and engaged. Our model is built around frequent patient engagement, collaboration with caregivers, virtual care, care coordination, and proactive clinical oversight. We focus on the fundamentals that often determine whether a vulnerable patient remains stable at home: medication adherence, nutrition, h