Nurse Practitioner - In Home & Virtual Complex Care

About the role

Accompany Health Advanced Practice Clinicians (APCs) in our Complex Care model, partner with health advocates, physicians, nurses, behavioral health clinicians, and pharmacists to deliver coordinated, whole-person care for highly complex patients with often co-occurring medical, behavioral, and social needs.

As an APC in our Complex Care model, your primary goal is to help keep our patients healthy ’ll provide longitudinal care and build trusted relationships with your patients—delivering care independently or in collaboration with physicians across home, community, and virtual settings. You’ll diagnose and manage chronic diseases, ensure evidence-based preventive care, address urgent needs, and identify and help overcome any barriers or obstacles to their health.

With intentionally small panel sizes and robust multidisciplinary support, you’ll have the time and resources to deliver meaningful, patient-centered care. Our model emphasizes continuous adaptation of care plans based on what matters most to each patient, ensuring responsive, effective management of symptoms, chronic conditions, and overall well-being.

*$10,000 Sign-on Bonus for Qualified Candidates*

• Greater Boston/Quincy/Natick area

• Patient Care Delivery
• Delivers virtual and in-person visits for patients with significant physical, behavioral, and social complexity, meeting patients in their homes or other safe environments to ensure appropriate, patient-centered care
• Depending on market needs, may also deliver primarily virtual (video and video facilitated) visits for low and rising risk patients and a subset of higher risk patients in more distant geographies to ensure appropriate, patient-centered care
• Guarantees every patient is seen face-to-face annually and proactively completes additional visits when clinical needs or care gaps arise
• Onboard patients into our care model with a Health Advocate, including performing a comprehensive biopsychosocial assessment and medication reconciliation in order to ensure accurate and appropriate diagnosis and evidence-based treatment for chronic conditions as well as preventative care gaps
• Conduct follow-up visits with patients to guide and oversee the medical management of patients’ chronic and urgent conditions to maximize patients’ healthy days at home
• Conduct post-hospital / ED visits in order to ensure appropriate transition of care and reduce risk for avoidable readmission
• Create and adjust patient care plans in collaboration with other Accompany Health team members, ensuring appropriate referrals or delegation of key actions to address key barriers and obstacles to health
• Provide clinical coverage as needed, including home-based follow-up and urgent visits
• Participate in a rotating call schedule to manage patients’ urgent needs
• The assigned geographic area (subject to change) may include locations requiring variable drive times; however visit and travel times will be scheduled to fit within the standard workday

• Interdisciplinary Collaboration
• Work in close collaboration with Health Advocates - providing clinical support, coaching and guidance to their activities to help them coach and empower patients on successful self-management of their health
• Refer, collaborate and co-manage patients with our behavioral health, nursing and pharmacy teams
• Collaborate with external providers and community organizations to ensure care aligns with patient goals as well as social, home health, and DME needs

• Clinical Diagnosis and Documentation, Quality, and Compliance
• Ensure accurate and appropriate diagnosis, coding and documentation of chronic conditions with evidence-based treatment plans
• Maintain timely, accurate documentation in EMR and custom care platforms
• Own the quality of preventative care delivered by helping patients close HEDIS quality gaps

• Technical Fluency and Innovation
• Quickly learns and adapts to new tools, software, and systems—including AI-driven solutions that support patient engagement, care coordination, and clinical decision-making
• Understands the intersection of healthcare and technology, leveraging data-driven platforms,…