Nurse Practitioner/ Physician Assistant

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

Schedule

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 salary commensurate with experience and education
• Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete
• Invest in your longevity with a $5,000 annual anniversary bonus
• Maximize your income potential with up to 15% in additional bonuses that will be paid out on a quarterly or annual basis
• Start earning bonuses sooner — eligibility begins after just 3 months

From your driveway to the patient’s house, we’ve got you covered with mileage reimbursement.

Support your professional growth and continued education with reimbursement for your CEU/CME expenses.

Because rest matters – 20 PTO days, 7 paid holidays, and 1 floating 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 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 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’s Monogram physician

Coordinate care with PCPs, specialists, and ancillary services

Complete documentation accurately and in 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
• Minimum of two (2) years of direct patient care experience
• Field‑based role requiring travel 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 of and compliance with federal/state regulations (HIPAA, OSHA)
• Prior experience with EHR systems (e.g. Athena, Salesforce, Epic)
• Previous experience conducting annual wellness or comprehensive visits preferred
• Background in managed care, population health, or value‑based care preferred

Benefits

Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, 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 life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for 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, but all of the 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 is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.