Nurse Practitioner/Physician Assistant

Monogram Health, Inc.; DuBois (Clearfield County); On-site; USD 110,000 - 140,000; Full time

Benefits offered by this job

Mileage reimbursement

CEU/CME reimbursement

401k with employer match

Health, dental, vision insurance

PTO and holidays

Job summary

Monogram Health is seeking an Advanced Practice Provider (NP/PA) to deliver high‑quality in‑home care to patients with multiple chronic conditions. You will join an integrated care team and support a patient‑centered, value‑based model through home visits and telehealth.

The role emphasizes long‑term patient relationships, comprehensive assessments, patient education, and collaboration with Monogram physicians. Expect competitive pay, mileage reimbursement, CEU/CME support, and robust benefits.

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 (2) years of direct patient care experience.
• Field-based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance.
• Demonstrated initiative and independent, critical thinking, and decision-making skills.
• Knowledge of and compliance with federal/state regulations (HIPAA, OSHA).
• Previous experience conducting annual wellness or comprehensive visits preferred.
• Background in managed care, population health, or value-based care preferred.

Responsibilities

• Provide evidence-based, patient-focused care delivered in the patient’s home.
• Perform comprehensive assessments, including initial evaluations and wellness exams.
• Educate patients and caregivers on disease management, preventive care, medications, and diagnostics.
• Participate in recurring virtual integrated care team meetings.
• Coordinate care with PCPs, specialists, and ancillary services.
• Complete documentation accurately and in a timely manner.
• May practice in SNFs, ALFs, hospitals, and other affiliated settings as applicable.
• Perform point-of-care testing (A1C and Spirometry), prescribe medications, order tests, and collaborate with patient’s Monogram physician.

Skills

NP/PA licensure

In-home care

Telehealth

Chronic disease management

EHR proficiency

Education

RN license

NP board certification (ANCC/AANP)

PA license

DEA certificate

Tools

Athena

Salesforce

Epic

Job description

Position: Advanced Practice Provider (NP/PA)

Monogram Health isseekingcompassionate and skilledAdvanced Practice Providers (Nurse Practitioners or Physician Assistants)to deliver high‑quality in‑home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, depression, and other complex health needs.

This role workswithin an integrated multidisciplinarycareteam (Clinical, Behavioral Health, Pharmacy, Administrative),establishinglong-term patient relationshipsandprovidingcontinuity of caretocomplex patients in their homesand via telehealth.The Advanced Practice Providerhas the opportunitytobe part of a value-based, patient-centered care model, providingquality driven managed care with apopulationhealth focus.

Highlights

• Schedule
  • Patient visits occur 3-4 days/weekinthe patients’ homewith 1-2 days/weektelehealthvisits(variesby market)
  • No on‑call, overnights, weekends, including paid company holidays
  • 30–90-minute visit lengthsbased onappointment type and patient needs
  • *Allschedule responsibilitiesmay evolve with business needs
• Total Rewards
  • Earn a competitive base salarycommensuratewith experience and education
  • Grow your clinical skillsetandearn $2,500for every core and specialty competency you complete
  • Invest in your longevitywith a$5,000 annual anniversary bonus
  • Maximize your income potentialwithup to 15% inadditionalbonusesthat will be paid out on a quarterly or annual basis
  • Start earning bonuses sooner— eligibility begins after just3 months
  • From your driveway to the patient’shouse,we’vegot you coveredwithmileage reimbursement.
  • Support yourprofessional growth and continued educationwith reimbursementfor your CEU/CMEexpenses.
  • 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
  • Time Off & Leave– 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave
  • Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

Responsibilities

• Provide evidence‑based, patient‑focused care that reduces avoidable hospitalizations and improves quality of lifedirectly in the patient’s home
• Perform comprehensive assessments, including initial evaluations, annual wellnessexams,follow‑ups,acute urgent visits,andpost‑dischargevisits.
• Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing
• Participate inrecurringvirtual 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 andin a timely manner

PositionRequirements

• 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
• Minimumof two (2)years of direct patient care experience
• Field‑based role requiringtravel to patient homes, reliable transportation, valid driver’s license, and auto insurance
• Demonstrated initiative and independent, critical thinking, and decision-making skills
• Knowledge ofand compliance withfederal/state regulations (HIPAA, OSHA)
• Prior experience with EHR systems (e.g.Athena, Salesforce, Epic)
• Previousexperience conducting annual wellness or comprehensive visits preferred
• Background in managed care, population health, or value‑based carepreferred
• Comprehensive Benefits- Medical, dental, and vision insurance, employeeassistanceprogram, 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 lifeassistanceresources, physical wellnessperks, mental health support, employee referral program, andBenefitHubfor 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, butall ofthe 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 modelisproven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.