Position: Palliative Care Nurse Practitioner - Birmingham, AL Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care. Your Impact Palliative Care NPs are quality-driven clinicians who apply their expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. They will collaborate with our interdisciplinary Pod teams and field clinicians to enhance care integration and optimize palliative care delivery to complex patients through Monogram Health's comprehensive polychronic care model. Highlights & Benefits Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care Flexible scheduling Competitive salary plus company bonus program Full benefits including medical, dental, vision and life insurance Paid time off and 401(k) with matching contributions Roles & Responsibilities Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient's goals Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc. Collaborate with pharmacists and other clinicians to manage medication panels for complex patients Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain Assist with transition to hospice care as appropriate Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication Minimum Qualifications Board certification as a Nurse Practitioner; Masters in Nursing Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed 2+ years working with patients in a palliative care setting Preferred Qualifications 2+ years working with patients in a palliative care setting Is certified in ACHPN or CHPN Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria Strong communication skills for sensitive conversations about prognosis and end-of life decisions including goals of care discussions and advance care planning Proficiency with electronic health record (EHR) systems to document complex case details 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. 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. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.<img src="https://www.jobg8.com/Tracking.aspx?rjkyZ%2bD7Ddw15YW9RezdhAc" width="0" height="0" />

**Palliative Care Nurse Practitioner**

Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care.

**Job Description**

- Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel.
- Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways.
- Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient's goals.
- Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc.
- Collaborate with pharmacists and other clinicians to manage medication panels for complex patients.
- Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles.
- Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms.
- Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain.
- Assist with transition to hospice care as appropriate.
- Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals.
- Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication.

**Requirements**

- Board certification as a Nurse Practitioner; Masters in Nursing.
- Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require.
- Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed.
- 2+ years working with patients in a palliative care setting.

**Preferred Qualifications**

- Is certified in ACHPN or CHPN.
- Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria.
- Strong communication skills for sensitive conversations about prognosis and end-of-life decisions including goals of care discussions and advance care planning.
- Proficiency with electronic health record (EHR) systems to document complex case details.

**Benefits**

- Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care.
- Flexible scheduling.
- Competitive salary plus company bonus program.
- Full benefits including medical, dental, vision and life insurance.
- Paid time off and 401(k) with matching contributions.

**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. 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 counseling 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 healthcare 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.

Palliative Advanced Practice Provider

Position: Palliative Care Nurse Practitioner - Jacksonville- FL Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care. Your Impact Palliative Care NPs are quality-driven clinicians who apply their expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. They will collaborate with our interdisciplinary Pod teams and field clinicians to enhance care integration and optimize palliative care delivery to complex patients through Monogram Health's comprehensive polychronic care model. Highlights & Benefits Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care Flexible scheduling Competitive salary plus company bonus program Full benefits including medical, dental, vision and life insurance Paid time off and 401(k) with matching contributions Roles & Responsibilities Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient's goals Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc. Collaborate with pharmacists and other clinicians to manage medication panels for complex patients Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain Assist with transition to hospice care as appropriate Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication Minimum Qualifications Board certification as a Nurse Practitioner; Masters in Nursing Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed 2+ years working with patients in a palliative care setting Preferred Qualifications 2+ years working with patients in a palliative care setting Is certified in ACHPN or CHPN Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria Strong communication skills for sensitive conversations about prognosis and end-of life decisions including goals of care discussions and advance care planning Proficiency with electronic health record (EHR) systems to document complex case details 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. 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. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.<img src="https://www.jobg8.com/Tracking.aspx?gTdVc7fwSznFgZf0%2bLmRrwu" width="0" height="0" />

**Palliative Care Nurse Practitioner**

Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care.

**Job Description**

- Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel.
- Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways.
- Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient's goals.
- Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc.
- Collaborate with pharmacists and other clinicians to manage medication panels for complex patients.
- Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles.
- Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms.
- Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain.
- Assist with transition to hospice care as appropriate.
- Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals.
- Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication.

**Requirements**

- Board certification as a Nurse Practitioner; Masters in Nursing.
- Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require.
- Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed.
- 2+ years working with patients in a palliative care setting.

**Preferred Qualifications**

- 2+ years working with patients in a palliative care setting.
- Is certified in ACHPN or CHPN.
- Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria.
- Strong communication skills for sensitive conversations about prognosis and end-of-life decisions including goals of care discussions and advance care planning.
- Proficiency with electronic health record (EHR) systems to document complex case details.

**Benefits**

- Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care.
- Flexible scheduling.
- Competitive salary plus company bonus program.
- Full benefits including medical, dental, vision and life insurance.
- Paid time off and 401(k) with matching contributions.

**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. 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 counseling 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 healthcare 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.

Position: Palliative Care Nurse Practitioner - Tampa, FL Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care. Your Impact Palliative Care NPs are quality-driven clinicians who apply their expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. They will collaborate with our interdisciplinary Pod teams and field clinicians to enhance care integration and optimize palliative care delivery to complex patients through Monogram Health's comprehensive polychronic care model. Highlights & Benefits Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care Flexible scheduling Competitive salary plus company bonus program Full benefits including medical, dental, vision and life insurance Paid time off and 401(k) with matching contributions Roles & Responsibilities Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient's goals Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc. Collaborate with pharmacists and other clinicians to manage medication panels for complex patients Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain Assist with transition to hospice care as appropriate Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication Minimum Qualifications Board certification as a Nurse Practitioner; Masters in Nursing Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed 2+ years working with patients in a palliative care setting Preferred Qualifications Is certified in ACHPN or CHPN Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria Strong communication skills for sensitive conversations about prognosis and end-of life decisions including goals of care discussions and advance care planning Proficiency with electronic health record (EHR) systems to document complex case details 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. 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. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.<img src="https://www.jobg8.com/Tracking.aspx?BKM8u3wy%2f%2b4XN6%2fOg%2f4mcAo" width="0" height="0" />

**Palliative Care Nurse Practitioner**

Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care.

**Job Description**

- Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel
- Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways
- Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient's goals
- Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc.
- Collaborate with pharmacists and other clinicians to manage medication panels for complex patients
- Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles
- Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms
- Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain
- Assist with transition to hospice care as appropriate
- Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals
- Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication

**Requirements**

- Board certification as a Nurse Practitioner; Masters in Nursing
- Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require
- Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed
- 2+ years working with patients in a palliative care setting

**Preferred Qualifications**

- Is certified in ACHPN or CHPN
- Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria
- Strong communication skills for sensitive conversations about prognosis and end-of-life decisions including goals of care discussions and advance care planning
- Proficiency with electronic health record (EHR) systems to document complex case details

**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. 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 counseling 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 healthcare 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.

Position: Palliative Care Nurse Practitioner - Pittsburgh, PA Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care. Your Impact Palliative Care NPs are quality-driven clinicians who apply their expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. They will collaborate with our interdisciplinary Pod teams and field clinicians to enhance care integration and optimize palliative care delivery to complex patients through Monogram Health's comprehensive polychronic care model. Highlights & Benefits Flexible scheduling Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care Competitive salary plus company bonus program Full benefits including medical, dental, vision and life insurance Paid time off and 401(k) with matching contributions Roles & Responsibilities Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient's goals Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc. Collaborate with pharmacists and other clinicians to manage medication panels for complex patients Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain Assist with transition to hospice care as appropriate Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication Minimum Qualifications Board certification as a Nurse Practitioner; Masters in Nursing Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed 2+ years working with patients in a palliative care setting Preferred Qualifications Is certified in ACHPN or CHPN Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria Strong communication skills for sensitive conversations about prognosis and end-of life decisions including goals of care discussions and advance care planning Proficiency with electronic health record (EHR) systems to document complex case details 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. 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. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.<img src="https://www.jobg8.com/Tracking.aspx?gTdVc7fwSznpIBbSWbYJkgu" width="0" height="0" />

**Palliative Care Nurse Practitioner**

Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care.

**Job Description**

- Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel
- Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways
- Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient's goals
- Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc.
- Collaborate with pharmacists and other clinicians to manage medication panels for complex patients
- Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles
- Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms
- Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain
- Assist with transition to hospice care as appropriate
- Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals
- Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication

**Requirements**

- Board certification as a Nurse Practitioner; Masters in Nursing
- Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require
- Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed
- 2+ years working with patients in a palliative care setting

**Preferred Qualifications**

- Is certified in ACHPN or CHPN
- Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria
- Strong communication skills for sensitive conversations about prognosis and end-of-life decisions including goals of care discussions and advance care planning
- Proficiency with electronic health record (EHR) systems to document complex case details

**Benefits**

- Flexible scheduling
- Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
- Competitive salary plus company bonus program
- Full benefits including medical, dental, vision and life insurance
- Paid time off and 401(k) with matching contributions

**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. 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 counseling 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 healthcare 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.

Job Description: Nurse Practitioner 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 model 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 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. 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. 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 Managed Care/IPA/Health Plan experience Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.<img src="https://www.jobg8.com/Tracking.aspx?8lNmzdcf6qtyujWlyiysrAv" width="0" height="0" />

**Nurse Practitioner**

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.

**Job Description**

- Deliver personalized compassionate medical care to individuals mainly with CKD and/or ESRD/ESKD.
- Care for patients, maintain accurate and current patient records, and schedule follow-up appointments as required.
- Strive to change the narrative in healthcare by putting patients and their quality of life at the forefront.
- Conduct assessments, including comprehensive annual wellness exams on patients both in their home and in the virtual environment.
- Counsel and educate patients and families about benefits and programs available to help them live healthier lives.
- Document items such as appropriate chief complaint, all applicable diagnosis, 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.
- 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 the patient's Monogram physician.
- Facilitate closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.
- Assist patients with enrolling to access educational videos.
- Participate in integrated care team meetings.
- Make assessments of patient's health status and develop treatment plans.
- Implement a plan consistent with appropriate plan of care and follow up to evaluate patient's status.
- Other duties as assigned.

**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.
- 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.
- Managed Care/IPA/Health Plan experience.
- Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home.

**Benefits**

- Flexible scheduling with a hybrid and in-home model.
- Value-based care that is 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.

**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. 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 counseling 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 healthcare 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.

Nurse Practitioner - Arcadia, FL

Job Description: Nurse Practitioner 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 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. 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. 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 Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding. 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 Managed Care/IPA/Health Plan experience Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.<img src="https://www.jobg8.com/Tracking.aspx?RRXJ85NbDFCxSwVI3He%2bows" width="0" height="0" />

**Nurse Practitioner**

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.

**Job Description**

- Deliver personalized compassionate medical care to individuals mainly with chronic kidney disease (CKD) and/or end-stage renal disease (ESRD/ESKD).
- Care for patients, maintain accurate and current patient records, and schedule follow-up appointments as required.
- Strive to change the narrative in healthcare by putting patients and their quality of life at the forefront.
- Conduct assessments, including comprehensive annual wellness exams on patients both in their home and in the virtual environment.
- Counsel and educate patients and families about benefits and programs available to help them live healthier lives.
- Document items such as appropriate chief complaint, all applicable diagnosis, 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.
- 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 the patient's Monogram physician.
- Facilitate closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.
- Participate in integrated care team meetings.
- Make assessments of patients' health status and develop treatment plans.
- Follow up and evaluate patients' status.

**Requirements**

- Bilingual (English/Spanish) highly preferred.
- Basic Life Support (BLS) certification is required; the company will support your certification completion through onboarding.
- 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.
- 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.
- Managed Care/IPA/Health Plan experience.
- Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home.

**Benefits**

- Flexible scheduling with a hybrid and in-home mode.
- Value-based care that is 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.

**About Monogram Health**

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex 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 counseling 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 healthcare 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.

Nurse Practitioner - Sierra Vista, AZ

Job Description: Nurse Practitioner 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 model 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 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. 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. 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 Managed Care/IPA/Health Plan experience Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.<img src="https://www.jobg8.com/Tracking.aspx?o3xhLuhj8oX2LUXlOEIn%2bgr" width="0" height="0" />

**Nurse Practitioner**

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.

**Job Description**

- Deliver personalized compassionate medical care to individuals mainly with CKD and/or ESRD/ESKD.
- Care for patients, maintain accurate and current patient records, and schedule follow-up appointments as required.
- Strive to change the narrative in healthcare by putting patients and their quality of life at the forefront of what we do.
- Conduct assessments, including comprehensive annual wellness exams on patients both in their homes and in the virtual environment.
- Counsel and educate patients and families about benefits and programs available to help them live healthier lives.
- Document items such as appropriate chief complaint, all applicable 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.
- 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 the patient's Monogram physician.
- Facilitate closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.
- Assist patients with enrolling to access educational videos.
- Participate in integrated care team meetings.
- Make assessments of patients' health status and develop treatment plans.
- Implement plans consistent with appropriate plans of care and follow up to evaluate patients' status.
- Other duties as assigned.

**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.
- 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.
- Managed Care/IPA/Health Plan experience.
- Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home.

**Benefits**

- Flexible scheduling with a hybrid and in-home model.
- Value-based care that is 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.

**About Monogram Health**

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex 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 counseling 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 healthcare 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.

Nurse Practitioner

Job Description: Nurse Practitioner 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 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. 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. 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 Managed Care/IPA/Health Plan experience Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.<img src="https://www.jobg8.com/Tracking.aspx?itu8SGyK00akoJYkqAY9%2fwl" width="0" height="0" />

**Nurse Practitioner**

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.

**Job Description**

- Deliver personalized compassionate medical care to individuals mainly with CKD and/or ESRD/ESKD.
- Care for patients, maintain accurate and current patient records, and schedule follow-up appointments as required.
- Strive to change the narrative in healthcare by putting patients and their quality of life at the forefront.
- Conduct assessments, including comprehensive annual wellness exams on patients both in their home and in a virtual environment.
- Counsel and educate patients and families about benefits and programs available to help them live healthier lives.
- Document items such as chief complaints, applicable diagnoses, past medical, family, and social history, review of systems, examinations, medications, allergies, assessments, and plans.
- 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.
- Deliver evidence-based, timely care to reduce avoidable hospitalizations, maximize quality of life, and prioritize patient health and satisfaction.
- Prescribe medications, order tests, and collaborate with the patient's Monogram physician.
- Facilitate closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing.
- Participate in integrated care team meetings.
- Develop treatment plans and implement plans consistent with appropriate care.
- Follow up and evaluate patients' status.

**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.
- 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.
- Managed Care/IPA/Health Plan experience.
- Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home.

**Benefits**

- Flexible scheduling with a hybrid and in-home mode.
- Value-based care that is 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.

**About Monogram Health**

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex 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 counseling 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 healthcare 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.

Nurse Practitioner - Alexandria, LA

Monogram Health is seeking a full-time physician, specialized in palliative care, to join the team due to continued nationwide growth.?This physician will be an in-market specialist and care for the seriously ill population in their community, including patients with CKD/ESRD, COPD, and CHF. The Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits. Your Impact Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. Highlights & Benefits?<ul><li> Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care </li><li> Hybrid schedule with In-home, in-person, and travel opportunities </li><li> Competitive salary plus company bonus program? </li><li> Full benefits including medical, dental, vision and life insurance? </li><li> Paid time off and 401(k) with matching contributions </li><li> Relocation assistance and sign on bonus on case-by-case? </li></ul>Roles & Responsibilities?<ul><li> Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel </li><li> Developing and presenting metrics to executive leadership, as requested? </li><li> Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below? </li><li> Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes? </li><li> Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.? </li><li> Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)? </li><li> Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms? </li><li> Support patients utilizing our IDT, including Palliative Care Chaplain? </li><li> Assist with hospice transitions as appropriate? </li><li> Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment </li><li> Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs? </li><li> Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication </li></ul>Position Requirements <ul><li> Desire to practice in a forward-looking renal care environment focused on population health management </li><li> Demonstrated experience applying evidence-based clinical criteria </li><li> Comfort and skill in goals of care discussions and advance care planning </li><li> Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations </li><li> Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers </li><li> Expertise in managing medication panels for complex patients </li><li> Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.? </li><li> Willingness to become licensed in multiple states as company and patient needs require </li><li> Doctorate Degree in Medicine </li><li> Board Certified in Hospice and Palliative Medicine </li><li> Must have reliable transportation? </li></ul>About Monogram Health? Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater 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. <img src="https://www.jobg8.com/Tracking.aspx?MYYD211ANHC6K1VgVEzRrgp" width="0" height="0" />

**Palliative Care Physician**

Monogram Health is seeking a full-time physician, specialized in palliative care, to join the team due to continued nationwide growth. This physician will be an in-market specialist and care for the seriously ill population in their community, including patients with CKD/ESRD, COPD, and CHF. The Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits.

**Job Description**

- Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
- Develop and present metrics to executive leadership, as requested
- Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below
- Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes
- Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.
- Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)
- Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms
- Support patients utilizing our IDT, including Palliative Care Chaplain
- Assist with hospice transitions as appropriate
- Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment
- Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs
- Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication

**Requirements**

- Desire to practice in a forward-looking renal care environment focused on population health management
- Demonstrated experience applying evidence-based clinical criteria
- Comfort and skill in goals of care discussions and advance care planning
- Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations
- Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers
- Expertise in managing medication panels for complex patients
- Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare
- Willingness to become licensed in multiple states as company and patient needs require
- Doctorate Degree in Medicine
- Board Certified in Hospice and Palliative Medicine
- Must have reliable transportation

**Benefits**

- Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
- Hybrid schedule with in-home, in-person, and travel opportunities
- Competitive salary plus company bonus program
- Full benefits including medical, dental, vision, and life insurance
- Paid time off and 401(k) with matching contributions
- Relocation assistance and sign-on bonus on a case-by-case basis

**About Monogram Health**

Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care, and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater 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.

Lead Palliative Care Physician

Monogram Health is seeking a full-time physician, specialized in palliative care, to join the team due to continued nationwide growth.?This physician will be an in-market specialist and care for the seriously ill population in their community, including patients with CKD/ESRD, COPD, and CHF. The Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits. Your Impact Monogram Health physicians are quality-driven physicians who apply their clinical expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making. Highlights & Benefits?<ul><li> Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care </li><li> Hybrid schedule with In-home, in-person, and travel opportunities </li><li> Competitive salary plus company bonus program? </li><li> Full benefits including medical, dental, vision and life insurance? </li><li> Paid time off and 401(k) with matching contributions </li><li> Relocation assistance and sign on bonus on case-by-case? </li></ul>Roles & Responsibilities?<ul><li> Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel </li><li> Developing and presenting metrics to executive leadership, as requested? </li><li> Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions outlined below? </li><li> Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes? </li><li> Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.? </li><li> Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)? </li><li> Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms? </li><li> Support patients utilizing our IDT, including Palliative Care Chaplain? </li><li> Assist with hospice transitions as appropriate? </li><li> Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment </li><li> Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs? </li><li> Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication </li></ul>Position Requirements <ul><li> Desire to practice in a forward-looking renal care environment focused on population health management </li><li> Demonstrated experience applying evidence-based clinical criteria </li><li> Comfort and skill in goals of care discussions and advance care planning </li><li> Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations </li><li> Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers </li><li> Expertise in managing medication panels for complex patients </li><li> Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.? </li><li> Willingness to become licensed in multiple states as company and patient needs require </li><li> Doctorate Degree in Medicine </li><li> Board Certified in Hospice and Palliative Medicine </li><li> Must have reliable transportation? </li></ul>About Monogram Health? Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater 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. <img src="https://www.jobg8.com/Tracking.aspx?gTdVc7fwSzk6Siz%2fN2BnWQu" width="0" height="0" />

**Palliative Care Physician**

Monogram Health is seeking a full-time physician, specialized in palliative care, to join the team due to continued nationwide growth. This physician will be an in-market specialist and care for the seriously ill population in their community, including patients with CKD/ESRD, COPD, and CHF. The Palliative Care physician will be integrated into their local market with the pod Medical Director and primarily renders care in the home and through telemedicine visits.

**Job Description**

- Collaborate with market Medical Director and the care team to proactively identify patients who qualify for palliative care services and build a patient panel
- Develop and present metrics to executive leadership, as requested
- Responsible for the outcomes for patient panel, driving both predetermined clinical and financial Key Performance Indicators (KPIs) through interventions
- Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes
- Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritis, depression, anxiety, insomnia, etc.
- Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)
- Conduct goals of care and family meetings as needed and document patient/family wishes in state AD/POLST forms
- Support patients utilizing our IDT, including Palliative Care Chaplain
- Assist with hospice transitions as appropriate
- Develop key relationships with local providers (PCP, nephrologists, specialists) to improve market alignment
- Participate in monthly meetings with RMD/CMO in areas of KPI and expectations around KPIs
- Educate and support team around palliative care, hospice care, advance directives, symptom assessment, and communication

**Requirements**

- Desire to practice in a forward-looking renal care environment focused on population health management
- Demonstrated experience applying evidence-based clinical criteria
- Comfort and skill in goals of care discussions and advance care planning
- Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations
- Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers
- Expertise in managing medication panels for complex patients
- Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare
- Willingness to become licensed in multiple states as company and patient needs require
- Doctorate Degree in Medicine
- Board Certified in Hospice and Palliative Medicine
- Must have reliable transportation

**Benefits**

- Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
- Hybrid schedule with in-home, in-person, and travel opportunities
- Competitive salary plus company bonus program
- Full benefits including medical, dental, vision, and life insurance
- Paid time off and 401(k) with matching contributions
- Relocation assistance and sign-on bonus on a case-by-case basis

**About Monogram Health**

Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care, and chronic condition treatment are delivered. Monogram's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater 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.

Monogram Health Jobs