Nurse Practitioner

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Job Details

Description: 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. Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care and benefit management services for the most complex of patients who have multiple chronic conditions.

Your Impact: Using your skills in this position will allow you to deliver personalized compassionate medical care to individuals mainly with CKD and/or ESRD/ESKD. You will also be responsible for caring for patients, maintaining accurate and current patient records and scheduling, and administering follow‑up appointments to patients as required.

• Flexible scheduling with a hybrid and in‑home model
• Value‑based care, patient‑focused and allows you to spend time with those in your care
• Competitive compensation consistent 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

• Conduct assessments, which includes comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment
• Counsel and educate patients and families about benefits and programs available to help them live healthier lives
• Document appropriate chief complaint, all applicable diagnosis, 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 will not be office‑based but will be remote in state in which employed and will need to attend periodic training/meetings outside of that state
• Deliver evidence‑based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first
• Prescribe medications, order tests, and collaborate with patient’s Monogram physician
• Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily
• Facilitate closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing
• Assist patients with enrolling to access educational videos
• Participate in the integrated care team meetings
• Knowledge of disease diagnosis and prevention
• Make assessment of patient's health status
• Develop treatment plan
• Implement a plan consistent with appropriate plan of care
• Follow‑up and evaluate patient's status
• Other duties as assigned

• Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Assistant license
• Board certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA)
• Current and unrestricted DEA certificate
• Ability to work without direct supervision and practice autonomously
• Access to transportation, a 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 information systems, as well as medical records and point‑of‑interview technology
• Ability to communicate effectively in verbal and written form with retail and medical partners at various levels, patients, family members, physicians and representatives of the community
• Sound understanding of all federal and state regulations including HIPAA and OSHA
• 2 or more years of direct patient care required
• Managed Care/IPA/Health Plan experience
• Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home

Monogram Health is a leading multispecialty provider of…