VA - Nurse Practitioner (NW/SW Region)

Ponos Care; Grundy (VA); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Ponos Management Inc. in Virginia seeks a Certified Nurse Practitioner to oversee a chronic disease management program for hematology, rheumatology and gastroenterology patients, in a hybrid model with telehealth and in-home visits within a 30-mile radius of targeted counties.

You will collaborate with physicians, social workers, nurses and care coordinators to deliver patient-centered care, develop individualized care plans, prescribe medications, monitor outcomes and ensure accurate EHR

Qualifications

• Active Virginia NP license and unrestricted authority to practice.
• Minimum of three years clinical experience, preferably in chronic diseases.
• Experience in hematology, rheumatology, or gastroenterology preferred.
• Strong clinical assessment and diagnostic capabilities.
• Ability to work independently within a multidisciplinary team.

Responsibilities

• Provide comprehensive chronic disease management for hematology, rheumatology and GI conditions.
• Conduct health assessments, history reviews, and diagnostic evaluations.
• Develop and implement individualized care plans for chronic disease management.
• Conduct telehealth consultations and in-home visits within 30-mile radius of targeted VA areas.
• Prescribe medications and treatment plans per state licensing requirements.
• Monitor patient progress and follow up to ensure treatment effectiveness.
• Educate patients and families on disease management, medication adherence and self-care.
• Promote preventative care and patient engagement in long-term health management.

Skills

Clinical assessment

Communication skills

Independent work

Team collaboration

Telehealth

Education

Nurse Practitioner license (Virginia)

Tools

Electronic Health Records

Job description

Ponos Management Inc.,specializes in providing compassionate value-based care through a physician-driven, home- and mobile-based model. Our comprehensive approach integrates social, mental, physical, and economic solutions, addressing the unique needs of patients with chronic conditions such as sickle cell disease, ulcerative colitis, Crohn's disease, and severe rheumatoid arthritis.

Our mission is to reduce emergency room visits and improve the quality of life for our patients through comprehensive, holistic coordinated care. We provide services currently on a national level.

Position Overview

The Nurse Practitioner (NP) will have oversight of a unique membership population requiring specialized chronic disease management. This position requires clinical expertise supporting patients with hematology, rheumatology, and gastrointestinal conditions.

The Nurse Practitioner serves as a key clinical leader within the Ponos Care model, delivering patient centered care through a hybrid environment that includes telehealth services and in home patient visitswithin a 30-mile radius of the Northwest/Southwest counties/cities areas in the state of Virginia.

The NP collaborates closely with physicians, social workers, nurses, and care coordinators to ensure patients receive comprehensive and coordinated care.

Core Responsibilities

• Provide comprehensive clinical care to patients with conditions such as Sickle Cell Disease, Crohn's Disease, and severe rheumatoid arthritis.
• Conduct comprehensive health assessments including physical examinations, medical history reviews, and diagnostic evaluations.
• Develop and implement individualized care plans for chronic disease management.
• Conduct telehealth consultations and in-house visits to evaluate patient progress and clinical outcomes.
• Prescribe medications and treatment plans in accordance with state licensing requirements.
• Provide ongoing monitoring and follow up care to ensure treatment effectiveness.
• Educate patients and their families on disease management, treatment plans, medication adherence, and self-care strategies.
• Promote preventative care practices and patient engagement in long term health management.

Care Coordination

• Collaborate with physicians, nurses, social workers, and partner healthcare organizations to ensure seamless care coordination.
• Work closely with the Chief Medical Officer and clinical leadership team to support clinical program development and care delivery models.

Documentation

• Maintain accurate and timely documentation within the electronic health record system.
• Ensure patient documentation aligns with regulatory requirements and organizational policies.
• Participate in quality improvement initiatives to enhance patient outcomes and care delivery processes.

QUALIFICATIONS AND EDUCATION

• Certified Nurse Practitioner with an unrestricted license to practice in the Commonwealth of Virginia.
• Minimum of three years of clinical experience, preferably supporting chronic disease populations.
• Clinical experience in hematology, rheumatology, or gastroenterology populations preferred.
• Strong clinical assessment and diagnostic capabilities.
• Excellent communication and interpersonal skills.
• Ability to work independently and within a multidisciplinary team environment.
• Proficiency in electronic health records and healthcare technology platforms.
• Commitment to delivering high quality patient-centered care.
• Bilingual skills are a plus.
• Must reside in the State of Virginia
• Must be able to travel to Pulaski, Floyd, Franklin, Giles, Grayson, Henry Lee, Montgomery, Patrick and Wythe Counties in the state of Virginia.

EEO STATEMENT

We are an Equal Opportunity Employer and are committed to fostering an inclusive and diverse workplace. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation, gender identity or expression), national origin, age, disability, genetic information, veteran status, or any other protected characteristic in accordance with applicable federal, state, and local laws.

We believe inclusion strengthens our organization and enhances our ability to serve members and communities nationwide. We are committed to providing reasonable accommodation for qualified individuals with disabilities throughout the recruitment and employment process.