Role Description
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:
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Diabetes
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Hypertension
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Chronic kidney disease
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Heart failure
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COPD
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Depression
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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
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Schedule: Patient visits occur 3-4 days/week in the patients’ home with 1-2 days/week telehealth visits (varies by market)
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No on-call, overnights, weekends, including paid company holidays
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30–90-minute visit lengths based on appointment type and patient needs
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*All schedule responsibilities may evolve with business needs
Qualifications
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Active and unrestricted RN and NP license, or Physician Assistant license
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Board certification (NP: ANCC/AANP | PA: NCCPA)
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Current and unrestricted DEA certificate, or eligibility to obtain
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Minimum of two (2) years of direct patient care experience
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Field-based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance
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BLS certification (supported during onboarding)
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Demonstrated initiative and independent, critical thinking, and decision-making skills
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Knowledge of and compliance with federal/state regulations (HIPAA, OSHA)
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Prior experience with EHR systems (e.g. Athena, Salesforce, Epic)
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Previous experience conducting annual wellness or comprehensive visits preferred
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Background in managed care, population health, or value-based care preferred
Responsibilities
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Provide evidence-based, patient-focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient’s home
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Perform comprehensive assessments, including initial evaluations, annual wellness exams, follow-ups, acute urgent visits, and post-discharge visits
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Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing
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Participate in recurring virtual integrated care team meetings
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Engage in quality assurance activities, including audits and documentation reviews, to ensure compliance with state board requirements and clinical best practices
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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
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Perform point-of-care testing (A1C and Spirometry), prescribe medications, order tests, and collaborate with patient’s Monogram physician
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Coordinate care with PCPs, specialists, and ancillary services
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Complete documentation accurately and in a timely manner
Benefits
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Earn a competitive base salary commensurate with experience and education
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Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete
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Invest in your longevity with a $5,000 annual anniversary bonus
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Maximize your income potential with up to 15% in additional bonuses that will be paid out on a quarterly or annual basis
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Start earning bonuses sooner — eligibility begins after just 3 months
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Mileage reimbursement from your driveway to the patient’s house
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Support your professional growth and continued education with reimbursement for your CEU/CME expenses
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20 PTO days, 7 paid holidays, and 1 floating day to make your own
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Comprehensive Benefits: Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
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Financial & Retirement Support: Competitive compensation, 401k with employer match, and financial wellness resources
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Wellness & Growth: Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts