In-Home NP/PA: Chronic Care & Telehealth Expert

Monogram Health; Madison (GA); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Mileage reimbursement

CEU/CME reimbursement

20 PTO days

7 paid holidays

Floating day

Annual anniversary bonus $5,000

Bonuses up to 15% quarterly/annual

Mileage reimbursement

Job summary

Monogram Health seeks compassionate Advanced Practice Providers (NPs or PAs) to deliver in-home, evidence-based care to patients with multiple chronic conditions. You will join an integrated care team and support a value-based, population health model through home visits and telehealth.

Responsibilities include comprehensive assessments, patient and caregiver education, medication management, and coordination with PCPs and specialists.

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 and reliable transportation.
• BLS certification; knowledge of HIPAA and OSHA regulations.
• Experience with EHR systems (Athena, Salesforce, Epic).
• Experience with annual wellness/comprehensive visits preferred.

Responsibilities

• Provide in-home, evidence-based care to reduce hospitalizations and improve quality of life.
• Conduct comprehensive assessments, wellness exams, and follow-ups.
• Educate patients and caregivers on disease management and medications.
• Participate in recurring virtual integrated care team meetings.
• Coordinate care with PCPs, specialists, and ancillary services; document timely.
• May practice in SNFs, ALFs, hospitals, and other clinical settings as applicable.
• Perform point-of-care testing (A1C, Spirometry) and prescribe medications.
• Order tests and collaborate with Monogram physicians.

Skills

Compassionate care

Critical thinking

Communication

Time management

Education

RN license

NP license

PA license

Tools

Athena

Salesforce

Epic

Job description

Monogram Health seeks compassionate Advanced Practice Providers (NPs or PAs) to deliver in-home, evidence-based care to patients with multiple chronic conditions. You will join an integrated care team and support a value-based, population health model through home visits and telehealth.

Responsibilities include comprehensive assessments, patient and caregiver education, medication management, and coordination with PCPs and specialists.