Advanced Practice Provider

Overview

Monogram Health is looking for skilled Nurse Practitioners and Physician Assistants eager for the opportunity to make a difference in patients' lives. The Advanced Practitioner at Monogram Health is a key member of an integrated Care Team which includes a Registered Nurse and a Social Worker. The patients we serve often struggle with multiple serious diseases. Our Nurse Practitioners and Physician Assistants help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.

Your impact includes delivering personalized compassionate medical care to individuals mainly with CKD and/or ESRD/ESKD, maintaining accurate patient records and scheduling, and administering follow-up appointments as required.

• Conduct assessments, including comprehensive annual wellness exams on patients in the home and in the virtual environment
• Counsel and educate patients and families about benefits and programs available to help them live healthier lives
• Document items such as chief complaint, diagnoses, past medical, family and social history, review of systems, examinations, medications, allergies, assessment, and plan
• Coordinate care with primary care providers, specialists, and appropriate ancillary services
• Complete all documentation and paperwork in a timely manner
• Maintain quality of care standards as defined by the practice
• This position is remote in the state of employment and requires periodic training/meetings outside that state
• Deliver evidence-based, timely care to reduce avoidable hospitalizations, maximize quality of life, and prioritize patient health and satisfaction
• Prescribe medications, order tests, and collaborate with the patient’s Monogram physician
• Monitor and report patient outcomes to improve quality of care
• Close gaps in care by educating patients about preventive monitoring and coordinating diagnostic testing
• Assist patients with enrolling to access educational videos
• Participate in integrated care team meetings
• Know disease diagnosis and prevention; develop and implement treatment plans; follow up and evaluate patient status
• Other duties as assigned

• Bilingual (English/Spanish) highly preferred
• Basic Life Support (BLS) certification required; company supports certification on onboarding
• Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Assistant license
• Board certification for appropriate licensure (NP: ANCC/AANP; PA: NCCPA)
• Current and unrestricted DEA certificate
• Ability to work autonomously without direct supervision
• Access to transportation, valid driver's license, and car insurance
• Proficiency with medical instruments and equipment required by the work
• Knowledge of computer-based data management programs and medical records/point-of-interview technology
• Effective verbal and written communication with patients, families, physicians, and community representatives
• Solid understanding of federal and state regulations including HIPAA and OSHA
• Two or more years of direct patient care experience
• Managed Care/IPA/Health Plan experience
• Experience conducting annual wellness visits or similar comprehensive visits virtually or in home

• Flexible scheduling with hybrid and in-home mode
• Value-based care, patient-focused, enabling time with those in your care
• Competitive compensation aligned with MGMA guidelines
• Comprehensive medical, dental, vision and life insurance
• Paid vacation and holiday time
• 401(k) plan with matching contributions
• Paid relocation assistance – location and case dependent

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for patients with multiple chronic conditions. We treat not only a disease but all chronic conditions present. Monogram Health employs a robust clinical team across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues, review and prescribe medication, provide guidance and education, and assist with daily needs such as access to food, transportation, and financial assistance.

Monogram Health operates 24/7/365 to support and treat patients in their home. Our model aims to improve patient outcomes and quality of life while reducing medical costs across the health care continuum.