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.

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 

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 – 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 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.

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Legacy Community Health

Internal Med (Adult Patients Only) - Nurse Practitioner/Physician Assistant (LDC)

Benefits Paid Time Off & Paid Company Holidays Medical, Dental, Vision & Life Insurance Flexible Spending Account (FSA) 403(b) Retirement Plan with Company Match Short-Term & Long-Term Disability $0 Copay for Legacy Provider visits $0 Copay for prescriptions filled at Legacy Pharmacies Travel Insurance & Pet Insurance Subsidized Gym Membership And much more! Apply today in less than 3 minutes using your phone, tablet, or computer! Location: Legacy Deer Park - 3430 Center St. Deer Park, TX 77536 Internal Med (Adult Patients Only) - Nurse Practitioner/Physician Assistant (LDC) - Job Overview Schedule: Monday-Friday Are you ready to step into a role where your passion for medicine meets the heart of community health? At Legacy Community Health, we invite you to join our family as a Nurse Practitioner or Physician Assistant, where you'll not only practice medicine but also pioneer change in community health. Engage autonomously in shaping the future of patient care. Be part of a hub of innovation dedicated to improving wellness and quality of life for all. Work in an environment that values personal growth and work-life balance. Make a meaningful impact on community health at its core. Our Deer Park clinic is more than just a workplace; it's a thriving community where relationships are built, and lives are transformed. Key Responsibilities Deliver comprehensive healthcare services autonomously with a focus on high-quality patient care and community health improvement. Coordinate with multi-disciplinary teams to integrate services that enhance patient wellness and support proactive healthcare management. Engage in continuous professional development to remain at the forefront of medical advancements and community health strategies. Promote health education and preventive care strategies to improve healthcare outcomes within diverse communities. Minimum Qualifications Completion of a program from an accredited institution. Current and valid license from the Texas Board of Nursing or Texas Physician Assistant Board. Active DEA certification. Minimum of two years of paid experience in Adult Medicine (Internal Medicine). Bilingual capabilities (Spanish-speaking) are preferred to better serve our diverse community. About Legacy Community Health As the largest Federally Qualified Health Center (FQHC) in Southeast Texas, Legacy Community Health has been delivering comprehensive, high-quality, and affordable health care for nearly 40 years. With more than 50 clinics across the Greater Houston and Gulf Coast region, we continue to grow strategically and invest in our communities. By innovating how care is delivered, we've stayed at the forefront of connecting our communities to health—every day, in every way. At Legacy, we know our success is powered by our people. We're always looking for talented, passionate individuals who want more than a job—they want a meaningful career that makes a real impact. Explore our open positions and see if a career at Legacy is right for you. At Legacy Community Health, our mission—Driving healthy change in our communities—guides everything we do. To fulfill this mission, every team member is expected to embody the following core attributes in their daily work, regardless of role or department: Approachable & Collaborative We bring our expertise without ego. In a collaborative healthcare environment, humility fosters trust and teamwork. Our employees value diverse perspectives, seek input from others, and are unafraid to acknowledge when they need help. We stay grounded in our purpose: to serve patients and communities with compassion and humility. Driven & Committed We are driven by a deep commitment to excellence in patient care and organizational improvement. Our employees take initiative, embrace challenges, and go the extra mile to support our mission. Whether improving patient outcomes, streamlining processes, or stepping up in times of need, we are always striving to drive healthy change—within ourselves, our teams, and the communities we serve. Perceptive & Thoughtful Communicators We value emotional intelligence as much as clinical or technical skill. Our team members demonstrate sound judgment, cultural sensitivity, and the ability to navigate complex situations with empathy and professionalism. They communicate clearly and respectfully with patients, families, and colleagues, building trust and fostering a safe, inclusive environment for all. #INDHP1