Home-Based NP/PA — Patient-Centric Chronic Care

Monogram Health; Brenham (TX); On-site; USD 90,000 - 130,000; Full time

Benefits offered by this job

Medical, dental & vision insurance

401(k) with company match

Paid time off & holidays

CEU/CME reimbursement

Job summary

Monogram Health is seeking clinicians to provide evidence-based, patient-centered care in patients' homes across Texas, with some telehealth visits. The role requires performing assessments, educating patients, and coordinating with the care team to reduce hospitalizations and improve quality of life.

Applicants should hold an active license (RN/NP/PA), DEA certificate, and state certification; field travel is required. Competitive compensation and comprehensive benefits are offered.

Qualifications

• Active and unrestricted RN, NP, or PA license.
• Board certification in NP or PA specialization.
• Current DEA certificate or eligibility.
• Minimum 2 years direct patient care experience.
• Travel to patient homes with reliable transportation.
• BLS certification.
• HIPAA and regulatory requirements knowledge.
• Experience with EHR systems (Athena, Salesforce, Epic).

Responsibilities

• Provide evidence-based, patient-focused care in the patient’s home.
• Perform comprehensive assessments including initial evaluations and follow-ups.
• Educate patients and caregivers on disease management and medications.
• Participate in recurring virtual integrated care team meetings.
• Engage in quality assurance activities and documentation reviews.
• Coordinate care with PCPs, specialists, and ancillary services.
• Complete timely, accurate documentation.

Skills

Direct patient care

Field-based travel

Critical thinking

Patient education

HIPAA compliance

Education

NP certification

Board certification (ANCC/AANP or NCCPA)

DEA certificate

Active unrestricted RN/NP/PA license

Tools

Athena

Salesforce

Epic

Job description

Monogram Health is seeking clinicians to provide evidence-based, patient-centered care in patients' homes across Texas, with some telehealth visits. The role requires performing assessments, educating patients, and coordinating with the care team to reduce hospitalizations and improve quality of life.

Applicants should hold an active license (RN/NP/PA), DEA certificate, and state certification; field travel is required. Competitive compensation and comprehensive benefits are offered.