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Monogram Health

Nurse Practitioner

Monogram Health, San Antonio, Texas, United States, 78208

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Job Description 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

Conduct assessments, including comprehensive annual wellness exams on patients both in the home and virtually

Counsel and educate patients and families about benefits and programs available to help them live healthier lives

Document items such as chief complaint, diagnoses, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan

Coordinate care with primary care providers, specialists, and appropriate ancillary services

Complete all documentation and paperwork in a timely manner

Maintain quality of care standards as defined by the practice

Position is remote, not office-based, and may require periodic training/meetings outside the state

Deliver evidence-based, timely care 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

Measure and report improved patient quality outcomes daily

Educate patients about preventive monitoring and work with physician practices to schedule diagnostic testing

Assist patients with enrolling to access educational videos

Participate in the integrated care team meetings

Knowledge of disease diagnosis and prevention

Perform assessments of patient health status, develop treatment plan, implement plan, and follow-up and evaluate status

Other duties as assigned

Position Requirements

Bilingual (English/Spanish) highly preferred

Basic Life Support (BLS) certification required

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, valid driver’s license, and car insurance

Proficient with medical instruments and equipment required by the work

Knowledge of computer-based data management programs and information systems, including medical records and point-of-interview technology

Strong communication skills in verbal and written form with patients, family, physicians and community partners

Sound understanding of 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. Our comprehensive and personalized approach treats not only diseases but all comorbid conditions such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

We employ 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, counseling on healthcare options; and assist with daily needs such as access to food, healthy eating, transportation, financial assistance, and more. We are available 24 hours a day, 7 days a week, and on holidays to support and treat patients in their home.

Our personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs.

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