Hybrid NP/PA: In-Home Care & Value-Based Medicine

Monogram Health Professional Services; Dalton (GA); Hybrid; USD 122,000 - 159,000; Full time

Benefits offered by this job

Mileage reimbursement

CEU/CME reimbursement

Annual anniversary bonus

Job summary

Monogram Health is seeking Advanced Practice Providers (NP/PA) to deliver high-quality in-home care to patients with multiple chronic conditions. You will join an integrated care team and provide care in patients’ homes and via telehealth, with a value-based, patient-centered model.

Highlights include 3–4 in-home visits per week, 1–2 telehealth visits, no on-call, and 30–90 minute visits. Competitive base salary plus bonuses and mileage reimbursement support professional growth.

Qualifications

• 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.
• Minimum of two years of direct patient care experience.
• Field-based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance.

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 wellness exams, follow-ups, acute urgent visits, and post-discharge visits.
• Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing.
• Participate in recurring virtual 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 SNFs, ALFs, hospitals, and other affiliated clinical settings.
• Perform point-of-care testing (A1C and Spirometry), prescribe medications, order tests, and collaborate with patient’s Monogram physician.
• Coordinate care with PCPs, specialists, and ancillary services
• Complete documentation accurately and in a timely manner

Skills

Home health care

Patient-centered care

Telehealth

Care coordination

Evidence-based practice

Education

RN license

NP license

Physician Assistant license

Board certification ANCC/AANP | NCCPA

Tools

Athena

Salesforce

Epic

Job description

Monogram Health is seeking Advanced Practice Providers (NP/PA) to deliver high-quality in-home care to patients with multiple chronic conditions. You will join an integrated care team and provide care in patients’ homes and via telehealth, with a value-based, patient-centered model.

Highlights include 3–4 in-home visits per week, 1–2 telehealth visits, no on-call, and 30–90 minute visits. Competitive base salary plus bonuses and mileage reimbursement support professional growth.