Advanced Practice Provider (App)

Position: Advanced Practice Provider
“Working at Monogram Health has reignited my passion as a Nurse Practitioner. Finally, I can spend the right amount of time with a patient to develop an individualized care plan, without the pressure to maximize volume. I’m developing deeper relationships with patients and breaking down barriers to care.” - Dylan Lempp, DNP, APRN, FNP-C
As an Advanced Practice Provider, you are a Nurse Practitioner or Physician Assistant who provides compassionate care to a small panel of patients. The panel size and our value-based model allows you to build trusting relationships and care plans that improve the quality of life for our patients.
Monogram Health is a rapidly growing company that employs hundreds of clinicians across the country. Our mission is to transform the way health care is delivered for those with kidney disease so they can lead healthier, happier, and more fulfilling lives.
This transformation is urgently needed. In our healthcare system, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term.
The Advanced Practice Provider 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. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.
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
• 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
• Bilingual in Spanish is preferred
• Managed Care/IPA/Health Plan experience
• Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home

Benefits

• Comprehensive medical, dental, vision and life insurance
• Paid vacation and holiday time
• 401(k) plan with matching contributions (employer match vested 100% from day 1)
• Pet Insurance
• Company paid life insurance
• FSA & HSA

About Monogram Health
Monogram Health is a value-based chronic condition organization serving patients with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to transform the way nephrology, primary care and chronic condition treatment is delivered. Monogram’s in-home approach utilizes a national nephrology practice supported by case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs. By increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.
At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.
NP
PA
Physician Assistant