Nurse Practitioner/Physician Assistant

Monogram Health•Holly Springs, MS

1d•Remote

About The Position

Monogram Health is seeking skilled Nurse Practitioners and Physician Assistants to join an integrated Care Team, which includes a Registered Nurse and a Social Worker. This role focuses on delivering personalized, compassionate medical care to patients, primarily those with Chronic Kidney Disease (CKD) and/or End-Stage Renal Disease (ESRD/ESKD), who often manage multiple serious chronic conditions. Monogram Health is a leading multispecialty provider of in-home, evidence-based care and benefit management services. The company aims to put patients and their quality of life first, addressing not only specific diseases but also other chronic conditions like diabetes, hypertension, heart failure, depression, and COPD. Practitioners will be responsible for patient care, maintaining accurate records, scheduling, and administering follow-up appointments. Monogram Health offers a robust compensation and incentive program, including bonuses for clinical competency completion, annual anniversary bonuses, and additional bonuses tied to quality, patient experience, chronic condition outcomes, visit cadence, wellness performance, and patient engagement. The company provides 24/7 support to patients in their homes, leveraging a robust clinical team across multiple disciplines to diagnose, treat, prescribe medication, provide guidance, and assist with daily needs.

Requirements

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

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

Benefits

Medical, dental, and vision insurance
Employee assistance program
Employer-paid and voluntary life insurance
Disability insurance
Health and flexible spending accounts
Competitive compensation
401k with employer match
Financial wellness resources
Paid holidays
Flexible vacation time/PSSL
Paid parental leave
Work life assistance resources
Physical wellness perks
Mental health support
Employee referral program
BenefitHub for employee discounts
Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete
Invest in your longevity with a $5,000 annual anniversary bonus
Maximize your income potential with up to 15% in additional bonuses, including: Quarterly bonuses for quality, patient experience, and chronic condition outcomes
Annual bonuses for visit cadence, wellness performance, and patient engagement
A company-wide 5% annual kicker bonus
Start earning bonuses sooner — eligibility begins after just 3 months