NP Full-time

Job Description: Nurse Practitioner

Monogram Health is looking for skilled Nurse Practitioners and Physician Assistants eager for the opportunity to make a difference in patients' lives. The Advanced Practitioner at Monogram Health is a key member of an integrated Care Team which includes a Registered Nurse and a Social Worker. The patients we serve often struggle with multiple serious diseases. Our Nurse Practitioners and Physician Assistants help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.

Your Impact

Using your skills in this position will allow you to deliver personalized compassionate medical care to individuals mainly with CKD and/or ESRD/ESKD. You will also be responsible for caring for patients, maintaining accurate and current patient records and scheduling, and administering follow-up appointments to patients as required.  Your gifts as a healthcare professional are urgently needed. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do.

Highlights & Benefits  

  • Flexible scheduling with a hybrid and in-home mode
  • Value-based care, patient-focused and allows you to spend time with those in your care
  • Competitive compensation consistent with MGMA guidelines
  • Comprehensive medical, dental, vision and life insurance
  • Paid vacation and holiday time
  • 401(k) plan with matching contributions
  • Paid relocation assistance- location and case dependent

Roles and Responsibilities

  • Conducts assessments, which includes comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment 
  • Counsels and educates patients and families about benefits and programs available to help them live healthier lives
  • Documents items such as: appropriate chief complaint, all applicable diagnosis, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan
  • Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services
  • Completes all documentation and paperwork in a timely manner
  • Maintains quality of care standards as defined by the practice
  • This position will not be office-based but will be remote in state in which employed and will need to attend periodic training/meetings outside of that state
  • Deliver evidence-based, timely care in a manner 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
  • Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing
  • Assists patients with enrolling to access educational videos
  • Participates in the integrated care team meetings
  • Knowledge of disease diagnosis and prevention
  • Make assessment of patient's health status
  • Develop treatment plan
  • Implement a plan consistent with appropriate plan of care
  • Follow-up and evaluate patient's status
  • Other duties as assigned  

Position Requirements

  • Bilingual (English/Spanish) highly preferred
  • Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding. 
  • 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
  • Must be proficient 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 representatives of the community 
  • Sound understanding of all federal and state regulations including HIPAA and OSHA
  • 2 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 

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. 

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Job Requirements APP – Nurse Practitioner Qualifications Master’s Degree, Nursing with focus on Family Nurse Practitioner, Adult Nurse Practitioner, Geriatric Nurse Practitioner or Adult-Geriatric Nurse Practitioner from an accredited, Nurse Practitioner program (required) Active, unencumbered Nurse Practitioner license in the state of job posting and must reside in state (required) Current board certification in your field with either ANCC (American Nurses Credentialing Center) or AANP (American Association of Nurse Practitioners) (required) BLS certified and an active NPI# as an NP (required) CPR certification (required) Active, unencumbered DEA licensure or eligibility to obtain (required) Have a valid driver’s license, car insurance, have access to a car and willingness to drive to patient homes as site of care delivery Requires proof of an active auto insurance policy (required) APP – Nurse Practitioner Skills We Value 3+ years Nurse Practitioner experience (preferred), will consider new grads Prior healthcare experience in areas of medical assistant, certified nursing assistant, EMT/paramedic, lab assistant, registered nurse, or similar health care related roles (preferred) Previous experience in value-based care, home care, primary care, hospice, palliative care, or geriatrics strongly preferred, other complex patient health care experience also beneficial (preferred) Additional experience with telehealth care delivery (preferred) Requires homes visits to patients in a variety of residential settings Ability to conduct in- home setting visits and have previous experience on a telehealth platform Demonstrated role proficiency with Microsoft Office; Excel, Word, G-suite, etc. Proficient with office software, including Electronic Health Records, Scheduling Software and Ring Central applications Safety-Sensitive Statement :This position has been designated as safety-sensitive. As such, the employee must be able to perform job duties in a manner that ensures the safety of themselves, coworkers, patients, and the public. The role requires full cognitive and physical functioning at all times. Employees in safety-sensitive positions are subject to drug and alcohol testing, including for substances that may impair judgment or motor function, in accordance with applicable federal and state laws and company policy. Due to the safety-sensitive nature of this role and in alignment with federal law and workplace safety standards, the use of marijuana—including medical or recreational use—is prohibited. WellBe Senior Medicalwill comply with applicable state laws regarding medical marijuana and reasonable accommodations, where such laws do not conflict with safety requirements or federal regulations. Drug Screening Requirement :As a condition of employment, WellBe Senior Medical requires all candidates to successfully complete a pre-employment drug screening. Ongoing employment may also be contingent upon compliance with the company’s Drug-Free Workplace Policy, which includes random, post-accident, and reasonable suspicion drug testing. The company reserves the right to test for substances that may impair an employee’s ability to safely and effectively perform their job duties. Americans with Disabilities Act: WellBe Senior Medical is committed to complying with the Americans with Disabilities Act (ADA) and applicable state and local laws. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the job. If you require an accommodation during the application or employment process, please contact Human Resources at HRPeopleLine@wellbe.com Supervisory Responsibility : This position will have supervisory responsibility. Travel requirements : Travel may be required up to 100% locally to deliver patient care. Work Conditions: Ability to lift up to 30 lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assisting with weights of more than 100lbs. Ability to stand for extended periods. Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/Visual acuity. The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodation so that a qualified employee(s) can perform the essential functions of this role