Acute Care Home Visits- Nurse Practitioner / Physician Assistant - Hybrid - 4 - 10s

Care New England•Warwick, RI

3d•Hybrid

About The Position

Care New England is seeking a Nurse Practitioner or Physician Assistant to join its Integra at Home program. The program provides 24/7 clinical oversight for a select group of high-risk patients through nurse care management, in-home NP/PA visits, community paramedicine, and remote patient monitoring, with the goal of preventing unnecessary emergency department visits and hospital admissions. This position uses a hybrid care model combining in-person visits and telehealth. The average patient age is 60 or older. The role is full-time, with either a five-day or four-day work week and rotational paid call. Compensation includes a competitive salary and benefits, including health coverage, malpractice coverage, and an employer retirement match.

Requirements

Licensed Nurse Practitioner or Physician Assistant in good standing with an active, unrestricted Rhode Island license.
Prior acute care experience in emergency medicine, inpatient hospital medicine, or high-acuity home-based care.
Strong clinical judgment and comfort independently managing medically complex patients in the home setting.
Ability to work effectively within a multidisciplinary, team-based care model.
Strong communication, organization, and documentation skills.

Responsibilities

Evaluate and treat acute and acute-on-chronic medical conditions in patients’ homes or through Mobile Integrated Health-supported virtual visits.
Manage common acute diagnoses, including COPD and CHF exacerbations, skin and soft tissue infections, pneumonia, viral upper respiratory infections, and urinary tract infections.
Deliver in-home diagnostic and treatment pathways, including laboratory testing, imaging, respiratory therapies, and IV medications.
Recognize clinical deterioration and escalate care to the emergency department when a patient cannot be safely managed at home.
Work with a multidisciplinary team that includes case managers, nurses, physicians, social workers, and pharmacy.
Provide early post-discharge and high-risk follow-up visits for patients recently discharged from a hospital or skilled nursing facility to help reduce readmissions.
Provide focused education to patients and caregivers about acute and chronic conditions.
Participate in interdisciplinary case reviews and quality improvement initiatives focused on acute care outcomes and avoiding hospitalization.