Primary Care Provider - Transitional Care Management (TCM)
Primary Care Provider – Transitional Care Management (TCM) Focus
Location: Boise, ID
Employment Type: Full-Time / Part-Time options available
Compensation: Competitive Fee-for-Service model with ramp-up support
About Us
At Senior Doc, we redefine patient care by bridging the gap between skilled nursing facilities (SNFs) and the home or assisted living community. Through trusted relationships with partners like Ensign, we ensure patients receive seamless, compassionate care during critical transition periods — and beyond.
Position Overview
We’re seeking an experienced and patient-centered Primary Care Provider — Nurse Practitioner, Physician Assistant, or Physician — to lead our Transitional Care Management (TCM) services. You’ll be the trusted clinical partner for patients recently discharged from SNFs and continue to support them as they settle back home or into assisted living, building lasting relationships that extend into ongoing primary care.
What You’ll Do
- Lead TCM visits and serve as the primary point of contact for patients transitioning out of SNFs, leveraging established relationships (e.g., Ensign facilities).
- Build continuity of care by developing and maintaining patient panels in assisted living communities through the TCM process, evolving into regular primary care visits.
- Coordinate care with facility staff, families, and other providers to ensure timely follow-up, medication reconciliation, and preventive services.
- Promote wellness and address both acute and chronic conditions, providing a strong safety net post-discharge.
- Collaborate with an integrated care team with full administrative and clinical support.
Who You Are
- Licensed NP, PA, or MD/DO in Idaho
- Experienced in transitional care, geriatrics, primary care, or post-acute settings
- Skilled at relationship-building with patients, families, and facility partners
- Organized and comfortable practicing autonomously with flexible scheduling
- Compassionate, communicative, and dedicated to patient-centered outcomes
Why Join Us?
- Fee-for-Service with Ramp-Up Support: Your effort is rewarded while we help you build your panel.
- Autonomy and Flexibility: Balance your TCM visits and primary care practice in a schedule that works for you.
- Collaborative Team: Administrative and clinical support so you can focus on patients, not paperwork.
- Meaningful Impact: Play a vital role in reducing readmissions and improving quality of life for our senior community.
Ready to Make a Difference?
Be part of a growing program that connects hospital-to-home transitions with lasting primary care relationships.
Apply today and let’s talk about how you can shape transitional and primary care with us.
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