Nurse Practitioner/Physician Assistant

Monogram Health; Fresno (CA); On-site; USD 139,500 - 170,500; Full time

Benefits offered by this job

Comprehensive medical, dental, and vision insurance

401k with employer match

PTO and paid holidays

Job summary

Monogram Health is looking for Advanced Practice Providers (NP/PA) to provide high-quality in-home care to patients with chronic conditions in Fresno, California. This role emphasizes comprehensive patient assessments and direct care in the patient’s home to improve quality of life.

The ideal candidate will possess an active NP or PA license, with a minimum of two years of patient care experience. Benefits include competitive salary, bonuses, and comprehensive health insurance.

Qualifications

• Active and unrestricted RN and NP license, or Physician Assistant license.
• Minimum of two years of direct patient care experience.
• Prior experience with EHR systems preferred.

Responsibilities

• Provide evidence-based, patient-focused care in patient’s home.
• Perform comprehensive assessments and follow-up visits.
• Engage in quality assurance activities and documentation.

Skills

Patient care

Critical thinking

Care coordination

Knowledge of regulations

Education

Active NP or PA license

Board certification

Tools

EHR systems (e.g., Athena, Salesforce, Epic)

Job description

Position: Advanced Practice Provider (NP/PA)
Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high‑quality in‑home care to patients living with multiple chronic conditions.

Schedule

• Patient visits occur 3-4 days/week in the patient’s home, with 1-2 days/week of 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.

Total Rewards

Earn a competitive base salary commensurate with experience and education. The mid‑range salary for this position is approximately $155,000, with final compensation dependent on experience and qualifications.

• Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete.
• Earn 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.
• Bonus eligibility begins after just 3 months.
• Mileage reimbursement from your driveway to the patient’s house.
• Reimbursement for CEU/CME expenses to support professional growth and continued education.
• 15 PTO days, 7 paid holidays, and 1 floating day.

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 additional care settings such as SNFs, ALFs, hospitals, and other affiliated clinical settings as applicable.
• Perform point‑of‑care testing, 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) preferred.
• Previous experience conducting annual wellness or comprehensive visits preferred.
• Background in managed care, population health, or value‑based care preferred.

Benefits

• Comprehensive medical, dental, and vision insurance; employee assistance program; employer‑paid and voluntary life insurance; disability insurance; health and flexible spending accounts.
• Competitive compensation; 401k with employer match; financial wellness resources.
• Work‑life assistance resources; physical wellness perks; mental health support; employee referral program; BenefitHub for employee discounts.