Nurse Practitioner/Physician Assistant

Monogram Health Professional Services; Lynchburg (VA); Hybrid; USD 110,000 - 140,000; Full time

Benefits offered by this job

Medical, dental, vision insurance

401k with employer match

PTO 20 days + 7 holidays + floating

Job summary

Monogram Health is seeking an Advanced Practice Provider (NP/PA) to deliver in-home and telehealth care for patients with multiple chronic conditions. You will join a multidisciplinary team and build long-term relationships through home visits and virtual care, supported by a value-based care model.

Role emphasizes comprehensive assessments, care coordination, and ongoing patient education, with generous benefits and performance bonuses aligned to quality and growth.

Qualifications

• Provide advanced clinical care to homebound patients with multiple chronic conditions.
• Deliver comprehensive assessments, wellness exams, and post-discharge visits.
• Maintain compliance with state/federal regulations and documentation standards.

Responsibilities

• Provide evidence-based, patient-focused care in the patient’s home.
• Perform comprehensive assessments and follow-up visits.
• Educate patients and caregivers on disease management and medications.
• Participate in virtual care team meetings and quality activities.
• Coordinate care with PCPs, specialists, and ancillary services.

Skills

Compassionate care

Independent decision-making

Critical thinking

Team collaboration

Education

RN/NP/PA license

Board certification (NP or PA)

DEA certificate

Tools

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, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs.

This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long‑term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value‑based, patient‑centered care model, providing quality driven managed care with a population health focus.

Highlights

• 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
• 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
• 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.

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.