Nurse Practitioner

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. Monogram Health is based in Nashville, Tennessee, operates throughout 37 states, and is privately held by Frist Cressey Ventures, Norwest Venture Partners, TPG Capital, as well as other leading strategic and financial investors.

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.

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