Advanced Practice Provider - Float

Monogram Health; San Marcos (TX); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401k with employer match

CEU/CME expense reimbursement

Mileage reimbursement

Job summary

Monogram Health seeks an Advanced Practice Provider (NP/PA) to deliver in-home and telehealth care to patients with multiple chronic conditions in Texas. You will join an integrated care team, conduct comprehensive assessments, manage medications, and coordinate with PCPs and specialists to improve patient outcomes.

The role requires active NP/PA licensure (RN/NP or PA), board certification, two years of direct patient care, and willingness to travel to patient homes.

Qualifications

• Active and unrestricted RN and NP license, or PA license.
• Board certification for NP (ANCC/AANP) or PA (NCCPA).
• Current DEA certificate or eligible to obtain.
• Minimum of two years direct patient care experience.
• Field-based role requiring travel to patient homes and reliable transportation.
• BLS certification (on onboarding).
• Knowledge of HIPAA and OSHA regulations.
• Experience with EHR systems (Athena, Salesforce, Epic).
• Prior experience with annual wellness/comprehensive visits preferred.
• Background in managed care/population health/value-based care preferred.

Responsibilities

• Provide evidence-based, patient-focused care in patient homes.
• Perform comprehensive initial evaluations, wellness exams, follow-ups, and post-discharge visits.
• Educate patients and caregivers on disease management and preventive care.
• Participate in virtual integrated care team meetings.
• Engage in QA activities and maintain compliant documentation.
• May practice in SNFs/ALFs/hospitals and other affiliated settings.
• Perform point-of-care testing, prescribe medications, order tests, and collaborate with physicians.
• Coordinate care with PCPs, specialists, and ancillary services.
• Complete documentation accurately and timely.

Skills

RN license

NP license

PA license

Board certification

Two years direct patient care

Travel to patient homes

BLS certification

HIPAA compliance

OSHA compliance

EHR experience

Tools

Athena

Salesforce

Epic

Job description

Position: Advanced Practice Provider (NP/PA) Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high‑quality in‑home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs. This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long‑term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value‑based, patient‑centered care model, providing quality driven managed care with a population health focus.

Highlights

Schedule

The Float APP will be required to provide in‑home care to patients in the following locations: Austin, New Braunfels, and San Antonio. This role offers a clustered schedule, meaning you’ll see patients in one area per day rather than traveling long distances between cities.

• Patient visits occur 3-4 days/week in the patients’ home with 1-2 days/week telehealth visits (varies by market)
• No on‑call, overnights, weekends, including paid company holidays
• 30–90-minute visit lengths based on appointment type and patient needs
• *All schedule responsibilities may evolve with business needs

Total Rewards

• Earn a competitive base salarycommensurate with experience and education
• Grow your clinical skillsetandearn $2,500for every core and specialty competency you complete
• Invest in your longevitywith a$5,000 annual anniversary bonus
• Maximize your income potentialwithup to 15% inadditionalbonusesthatwillbe paid out on a quarterly or annual basis
• Start earning bonuses sooner— eligibility begins after just3 months
• From your driveway to the patient’shouse,we’vegot you covered with mileage reimbursement.
• Support yourprofessional growth and continued educationwith reimbursementfor your CEU/CMEexpenses.
• Because rest matters–15 PTO days, 7paidholidays, and1floating day to make your own.

Responsibilities

• Provide evidence‑based, patient‑focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient’s home
• Perform comprehensive assessments, including initial evaluations, annual wellnessexams,follow‑ups,acute urgent visits,andpost‑dischargevisits.
• Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing
• Participate inrecurringvirtual integrated care team meetings
• Engage in quality assurance activities, including audits and documentation reviews, to ensure compliance with state board requirements and clinical best practices
• May practice in a variety of care settings beyond the patient’s home, including skilled nursing facilities (SNFs), assisted living facilities (ALFs), hospitals, and other affiliated clinical settings, as applicable.
• Perform point‑of‑care testing (A1C and Spirometry), prescribe medications, order tests, and collaborate with patient’sMonogramphysician
• Coordinate care with PCPs, specialists, and ancillary services
• Complete documentation accurately andin a timely manner

Position Requirements

• Active and unrestricted RN and NP license, or Physician Assistant license
• Board certification (NP: ANCC/AANP | PA: NCCPA)
• Current and unrestricted DEA certificate, or eligibility to obtain
• Minimumof two (2)years of direct patient care experience
• Field‑based role requiringtravel to patient homes, reliable transportation, valid driver’s license, and auto insurance
• BLS certification (supported during onboarding)
• Demonstrated initiative and independent, critical thinking, and decision‑making skills
• Knowledge ofand compliance withfederal/state regulations (HIPAA, OSHA)
• Prior experience with EHR systems (e.g.Athena, Salesforce, Epic).
• Previousexperience conducting annual wellness or comprehensive visits preferred
• Background in managed care, population health, or value‑based carepreferred

Benefits

• Comprehensive Benefits- Medical, dental, and vision insurance, employeeassistanceprogram, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
• Financial&Retirement Support– Competitive compensation, 401k with employer match, and financial wellness resources
• Wellness &Growth– Work lifeassistanceresources, physical wellnessperks, mental health support, employee referral program, andBenefitHubfor employee discounts

About Monogram Health

Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, butall ofthe chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more.

Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model isproven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.