Advanced Practice Provider

Advanced Practice Provider

Monogram Health is seeking skilled Nurse Practitioners and Physician Assistants to join our integrated care team and deliver personalized, compassionate medical care primarily for patients with CKD and/or ESRD/ESKD.

Your Impact
:
In this position you will care for patients, maintain accurate records, schedule follow‑ups, and coordinate with primary care providers, specialists and ancillary services. Your expertise is urgently needed to improve patient quality outcomes and reduce avoidable hospitalizations.

• Conduct assessments, including comprehensive annual wellness exams in patients’ homes and in virtual environments.
• Counsel and educate patients and families about benefits and programs available to help them live healthier lives.
• Document items such as chief complaint, applicable diagnosis, past medical, family and social history, review of systems, examinations, medications, allergies, assessment, and plan.
• Coordinate care with primary care providers, specialists, and appropriate ancillary services.
• Complete all documentation and paperwork in a timely manner.
• Maintain quality of care standards as defined by the practice.
• Work remotely in the state of employment and attend periodic training/meetings outside of that state.
• Deliver evidence‑based, timely care that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first.
• Prescribe medications, order tests, and collaborate with patient’s Monogram physician.
• Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily.
• Facilitate closing gaps in care by educating patients about preventive monitoring and scheduling diagnostic testing with physician practices.
• Assist patients with enrolling to access educational videos.
• Participate in the integrated care team meetings.
• Apply knowledge of disease diagnosis and prevention.
• Make assessments of patient health status, develop treatment plans, implement plans consistent with the appropriate plan of care, and follow‑up on patient status.
• Perform other duties as assigned.

• Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Assistant license.
• Board certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA).
• Current and unrestricted DEA certificate.
• Ability to work without direct supervision and practice autonomously.
• Access to transportation, a valid driver’s license, and car insurance.
• Proficiency with medical instruments and equipment required by the work.
• Knowledge of computer‑based data management programs and information systems, as well as medical records and point‑of‑interview technology.
• Ability to communicate effectively in verbal and written form with retail and medical partners at various levels, patients, family members, physicians, and community representatives.
• Sound understanding of all federal and state regulations including HIPAA and OSHA.
• Two or more years of direct patient care required.
• Managed Care/IPA/Health Plan experience.
• Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home.

• 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, 401(k) with employer match, and financial wellness resources.
• Time Off & Leave – Paid holidays, flexible vacation time/PSSL, and paid parental leave.
• Wellness & Growth – Work‑life assistance resources, physical wellness perks, mental health support, employee referral program, and Benefit Hub for employee discounts.

Monogram Health is a leading multispecialty provider of in‑home, evidence‑based care for the most complex patients with multiple chronic conditions. Our clinicians leverage specialists across nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; and provide guidance, education, and counselling on healthcare options. Monogram Health is available 24 hours a day, 7 days a week and on holidays to support and treat patients in their homes.

Monogram Health’s personalized and innovative treatment model has proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum.