Palliative Advanced Practice Provider

Monogram Health; Houston (TX); Remote; USD 125,000 - 162,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401k with employer match

PTO 20 days

7 paid holidays

Floating day

Parental leave

Bonus opportunities

Job summary

Monogram Health is seeking a full-time Palliative Care Advanced Practice Provider to deliver in-home palliative care for a highly complex patient population, including CKD/ESRD, diabetes, COPD, and CHF. The role is remote with periodic training and meetings outside of the home state.

You will partner with clinical leadership to identify patients, build evidence-based care plans, and guide families through prognosis and advance care planning while coordinating with a multidisciplinary team.

Qualifications

• Active and unrestricted NP or PA license.
• Board certification for NP (ANCC/AANP) or PA (NCCPA).
• Current and unrestricted DEA certificate.
• Minimum 2 years in a palliative care setting.
• Ability to work autonomously.
• Willingness to travel within the region to meet patient needs.
• Active state licensure and willingness to multi-state licensure.
• ACHPN or CHPN preferred.
• Experience with evidence-based care plans.
• Strong communication for end-of-life discussions.

Responsibilities

• Identify eligible patients and build panels with individualized care plans.
• Deliver in-home palliative care, with occasional virtual visits.
• Prescribe medications and manage regimens with the Monogram physician.
• Conduct follow-up and adjust plans as needed.
• Educate patients and families on prognosis and advance care planning.
• Guide families through complex medical decisions including AD/POLST forms.
• Support hospice transitions as appropriate.
• Coordinate care with PCPs, specialists, and the interdisciplinary team.
• Complete timely documentation and close care gaps.
• Meet daily-tracked quality outcome metrics.

Skills

Clinical assessment

Care plan design

EHR documentation

Autonomous practice

In-home care delivery

Education

Nurse Practitioner license

Physician Assistant license

DEA certificate

Board certification (NP or PA)

Tools

EHR systems

Job description

Position: Palliative Advanced Practice ProviderMonogram Health is seeking a full-time Palliative Care Advanced Practice Provider (APP) to join the team to support our rapid nationwide growth. This Palliative Care APP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care APP will support the Market Physician Executive, the Palliative Care Lead Physician, and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care. This position will be remote and will need to attend periodic training/meetings outside of home state.

Responsibilities

• Partner with Market Physician Executive and clinical leaders (including Palliative Care physician) to identify eligible patients, build panels, and develop individualized, evidence-based care plans aligned with patient goals
• Deliver compassionate, patient-centered palliative care primarily via in-home visits (virtual as needed), including assessments, annual wellness exams, symptom management (pain, pruritus, depression, anxiety, insomnia, etc.), and treatment planning
• Prescribe medications, order tests, and manage medication regimens in collaboration with pharmacists and the patient's Monogram physician
• Conduct ongoing follow-up and evaluation of patient status, adjusting plans as needed
• Educate patients and families on disease progression (CKD, ESKD, related conditions), treatment options, and palliative/hospice principles
• Guide families through complex medical decisions, prognosis discussions, and advance care planning, including documentation of AD/POLST forms
• Support hospice transitions as appropriate
• Coordinate care with primary care providers, specialists, ancillary services, and the interdisciplinary team (including Palliative Care Chaplain)
• Participate in integrated care team meetings and monthly clinical leadership meetings to drive program KPIs
• Complete timely, comprehensive documentation (chief complaint, diagnoses, history, ROS, exam, assessment/plan)
• Close care gaps through preventive monitoring education and diagnostic scheduling
• Meet daily-tracked quality outcome metrics
• Educate patients/families on available benefits and programs to support healthier living
• Train team members on palliative/hospice care, advance directives, symptom assessment, and communication
• Support patient enrollment in educational resources

Position Requirements

• Active and unrestricted Nurse Practitioner or Physician Assistant license
• Board certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA)
• Current and unrestricted DEA certificate
• Minimum of two (2) years working with patients in a palliative care setting; other relevant experience will be considered
• Ability to work without direct supervision and practice autonomously
• Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed. Access to transportation, a valid driver's license, and car insurance
• Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require
• Certification in ACHPN or CHPN is preferred
• Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria is preferred
• Communication skills for sensitive conversations about prognosis and end-of life decisions including goals of care discussions and advance care planning is preferred
• Proficiency with electronic health record (EHR) systems to document complex case details is preferred

Compensation

The base salary range for this role is $125,000 to $162,000 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package.

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
• 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, 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.