In-Home NP/PA: Chronic Care Expert

Monogram Health; Acworth (GA); On-site; USD 122,000 - 159,000; Full time

Benefits offered by this job

Mileage reimbursement

CEU/CME reimbursement

Annual anniversary bonus

Quarterly/annual bonuses

Job summary

Monogram Health is seeking an Advanced Practice Provider (NP/PA) to deliver in-home, evidence-based care for patients with multiple chronic conditions. You’ll work within an integrated team to establish long-term relationships and provide continuity of care in patients’ homes and via telehealth.

Responsibilities include comprehensive assessments, disease education, and care coordination across settings. Competitive compensation with bonuses and a full benefits package are offered.

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, as applicable.
• 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

Job description

Monogram Health is seeking an Advanced Practice Provider (NP/PA) to deliver in-home, evidence-based care for patients with multiple chronic conditions. You’ll work within an integrated team to establish long-term relationships and provide continuity of care in patients’ homes and via telehealth.

Responsibilities include comprehensive assessments, disease education, and care coordination across settings. Competitive compensation with bonuses and a full benefits package are offered.