Pulmonary 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. To learn more about Monogram Health, ranked by Inc. Magazine as 2024’s No. 3 fastest growing private company in the United States, please visit here.

The Monogram Pulmonary Nurse Practitioner will be responsible for the delivery of personalized compassionate medical care to patients primarily with COPD and other pulmonary conditions. The Nurse Practitioner will be responsible for caring for patients, maintaining accurate and current patient records and scheduling, and administering follow-up appointments to patients as required. The successful candidate will work as a team with our physician specialists, field-based nurses, community health workers, and physicians and assist in delivering premium care to every patient. Primary duties include patient health assessment, creating strategies to improve or manage a patient health for cardiac conditions, and introduce habits for health promotion. He/she may also conduct physical exams, order tests, prescribe medications, and serve as a coordinator with the patient's primary healthcare provider and their specialists.

Work with COPD patients to ensure medication compliance, monitoring dietary and lifestyle changes, regular follow ups and care coordination. Deliver evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first. Work collaboratively with the Pulmonologist and staff to provide high quality, patient centered care. Work closely with pulmonology team, other specialist teams, and clinical care teams. Conducts assessments 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. 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. Prescribe medications, order tests, and collaborate with patient’s Monogram pulmonologist and physician. Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily. 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.