Virtual Physician – Transitions of Care (Hospitalist / Post-Acute) in New York at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Virtual Physician – Transitions of Care (Hospitalist / Post-Acute) based in United States.

This is a full-time remote physician leadership opportunity focused on improving outcomes for patients recently discharged from hospitals or skilled nursing facilities.
You’ll provide comprehensive virtual care during the critical 30-day transition period, with a strong focus on preventing avoidable readmissions.
The role combines direct clinical care with clinical supervision, interdisciplinary collaboration, and quality improvement.
You’ll work alongside nurse practitioners, physician assistants, nurses, medical assistants, and clinical coordinators across a distributed care team.
Advanced technology and AI-enabled clinical tools support care delivery, clinical decision-making, and continuous improvement.
The position offers meaningful influence over care models, clinical excellence, and outcomes for complex and high-risk patients.
It is well suited to an adaptable physician who enjoys combining patient care, clinical leadership, innovation, and value-based healthcare.

• Deliver high-quality virtual care to recently discharged patients who are at elevated risk for hospital readmission, focusing on complex transitions of care.

• Serve as the final clinical escalation point for complex patient-management questions and challenging clinical decisions within the assigned interdisciplinary team.

• Monitor key clinical and quality metrics associated with improved transitions of care and reduced readmissions.

• Provide clinical supervision, teaching, and coaching to nurse practitioners through collaborative practice agreements across multiple states.

• Lead weekly interdisciplinary rounds and readmission conferences, reviewing high-risk patients, complex cases, and root causes of readmissions.

• Collaborate with nursing, medical assistant, clinical coordination, operations, and other clinical leaders to strengthen team-based care.

• Foster a patient-centered clinical culture built around trust, transparency, collaboration, empowerment, and high standards of care.

• Conduct root cause analyses, identify patterns contributing to readmissions, and develop strategies to improve clinical outcomes.

• Lead and participate in quality improvement initiatives designed to strengthen the transitions-of-care model.

• Use electronic health information systems and AI-enabled clinical tools, providing feedback that helps improve technology-supported care delivery.

• Support the development, training, and practical adoption of emerging AI technologies within the clinical workflow.

• Drive process improvements and help the organization adapt to evolving care models, technology, and business priorities.

• Advocate for equitable and accessible care, particularly for vulnerable patients at high risk for readmission.

• MD or DO degree from an accredited medical school.

• Board certification in Internal Medicine, Family Medicine, or a related specialty.

• At least 3 years of post-residency clinical experience.

• Strong inpatient-care background and a deep understanding of transitions between acute, post-acute, and outpatient settings.

• Experience managing chronic and acute conditions including heart failure, COPD, diabetes, hypertension, pneumonia, cellulitis, and urinary tract infections.

• Experience leading interdisciplinary rounds and performing detailed root cause analyses.

• Direct experience supervising nurse practitioners or other healthcare professionals.

• Active medical license in good standing, with the ability and willingness to obtain additional state licenses as the program expands.

• Strong analytical and problem-solving skills, including the ability to use clinical and operational data to drive improvements.

• Demonstrated ability to lead through change, translate strategy into frontline practice, and implement innovative care models.

• Strong communication and collaboration skills, with the ability to work effectively across interdisciplinary and business teams.

• Experience in hospital medicine, post-acute care, primary care, geriatrics, or complex care is highly relevant.

• Previous medical director or physician leadership experience within value-based care or Medicare Advantage environments is a plus.

• Experience delivering telehealth or virtual care is preferred.

• Familiarity with quality improvement methodologies and clinical program development is beneficial.

• Experience in high-growth healthcare organizations and with diverse patient populations is valued.

• An entrepreneurial, adaptable, and growth-oriented approach to improving transitional care delivery is strongly valued.

• Base salary range of $280,000–$338,000 per year.

• Eligibility for a discretionary annual performance-based bonus, with a target bonus of 10%, subject to the applicable bonus plan.

• Employer-sponsored medical, dental, and vision coverage with low or no employee premiums.

• Generous paid time off.

• $100 monthly mobile or internet stipend.

• Stock options for eligible employees.

• Parental leave program.

• 401(k) retirement program.

• Fully remote work environment.

• Support for obtaining additional medical licenses as the program expands.

• Opportunity to work with advanced data, technology, and AI-enabled clinical tools.

• Meaningful opportunity to influence clinical quality, care delivery, and outcomes for older and medically complex patients.

• Collaborative interdisciplinary environment with opportunities for clinical leadership, innovation, and professional growth.