Nurse Practitioner/Physician Assistant

Monogram Health Professional Services; Richmond (VA); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Competitive base salary

Competency attainment bonus

Annual anniversary bonus

Additional bonuses up to 15%

3 months eligibility for bonuses

Mileage reimbursement

CEU/CME reimbursement

20 PTO days

7 paid holidays

Floating day

Wellness resources

Job summary

Monogram Health is seeking compassionate Advanced Practice Providers (NPs or PAs) to deliver in-home care to patients with multiple chronic conditions in a value-based model. Work with a multidisciplinary team and provide long-term, quality care at patients’ homes and via telehealth.

The Float APP will cover Austin, New Braunfels, and San Antonio with 3–4 home visits weekly and 1–2 telehealth days; no on-call or weekend work.

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
• Knowledge of 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 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 SNFs, ALFs, hospitals, and other affiliated clinical settings
• 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

Skills

Independent decision-making

Critical thinking

Travel to patient homes

Willingness to travel

Education

RN/NP/PA license

Board certification (NP ANCC/AANP | PA NCCPA)

Current DEA certificate

Two years direct patient care experience

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, COPD, 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
  • The Float APP will be required to provide in-home care to patients in the following locations: Austin, New Braunfels, and San Antonio. This role offers a clustered schedule, meaning you’ll see patients in one area per day rather than traveling long distances between cities.
  • 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.
  • 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 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, 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

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.

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Equal Opportunity Employer
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