Acute Care Nurse Practitioner​/Physician Assistant Integra

Position: Acute Care Nurse Practitioner / Physician Assistant for Integra at Home
Care New England, a fully integrated health system serving residents throughout Rhode Island is seeking a Nurse Practitioner or Physician Assistant to work as a member of their Integra at Home program. Integra at Home provides 24/7 clinical oversight of a select group of high-risk patients through nurse care management, in home NP/PA visits, community paramedicine, and remote patient monitoring, all with the aim of preventing unnecessary emergency department visits or hospital admission.

Position Highlights:

* Competitive salary plus robust benefits, including health, malpractice, and employer retirement match

* This role utilizes a hybrid care model combining in-person visits and telehealth

* Average Patient Age: 60+

* Typical work schedule is Monday Friday, 8:30am 4:30pm with rotational paid call

Job Responsibilities:

* Provide evaluation and treatment of acute and acute-on-chronic medical conditions in the home or via MIH (Mobile Integrated Health) supported virtual visits.

* Manage common acute diagnoses including COPD and CHF exacerbations, skin and soft tissue infections, pneumonia, viral upper respiratory infections, and urinary tract infections.

* Deliver intensive in-home diagnostic and treatment pathways, including laboratory testing, imaging, respiratory therapies, and IV medications.

* Recognize clinical deterioration and escalate care to the emergency department when patients cannot be safely managed in the home.

* Work closely with a multidisciplinary team including case managers, nurses, physicians, social workers, and pharmacy.

* Provide early post-discharge and high-risk follow-up visits for patients recently discharged from the hospital or skilled nursing facility to reduce readmissions.

* Provide focused patient and caregiver education related to acute and chronic conditions.

* Participate in interdisciplinary case reviews and quality improvement initiatives focused on acute care outcomes and hospitalization avoidance.

Qualifications:

* Licensed Nurse Practitioner or Physician Assistant in good standing with an active and unrestricted Rhode Island license.

* Prior acute care experience emergency medicine, inpatient hospital medicine, or high-acuity home-based care.

* Strong clinical judgment and comfort managing medically complex patients independently in the home setting.

* Ability to work effectively within a multidisciplinary, team-based care model.

* Strong communication, organization, and documentation skills.

For more information, please email Nicole Murray,