Nurse Practitioner - Sierra Vista, AZ

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 appropriate chief complaints, 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 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.
• 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.
• Basic Life Support (BLS) certification is required; the company will support 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.

Community Overview

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's innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical 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.