Nurse Practitioner/Physician Assistant - Albany, GA

Nurse Practitioner/Physician Assistant - Albany, GA

Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high-quality in-home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs.

This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value-based, patient-centered care model, providing quality driven managed care with a population health focus.

Position: Advanced Practice Provider (NP/PA)

Responsibilities include providing evidence-based, patient-focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient's home. Perform comprehensive assessments, including initial evaluations, annual wellness exams, follow-ups, acute urgent visits, and post-discharge visits. Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing. Participate in recurring virtual integrated care team meetings. Engage in quality assurance activities, including audits and documentation reviews, to ensure compliance with state board requirements and clinical best practices. May practice in a variety of care settings beyond the patient's home, including skilled nursing facilities (SNFs), assisted living facilities (ALFs), hospitals, and other affiliated clinical settings, as applicable. Perform point-of-care testing (A1C and Spirometry), prescribe medications, order tests, and collaborate with patient's Monogram physician. Coordinate care with PCPs, specialists, and ancillary services. Complete documentation accurately and in a timely manner.

Position requirements include active and unrestricted RN and NP license, or Physician Assistant license. Board certification (NP: ANCC/AANP | PA: NCCPA). Current and unrestricted DEA certificate, or eligibility to obtain. Minimum of two (2) years of direct patient care experience. Field-based role requiring travel to patient homes, reliable transportation, valid driver's license, and auto insurance. BLS certification (supported during onboarding). Demonstrated initiative and independent, critical thinking, and decision-making skills. Knowledge of and compliance with federal/state regulations (HIPAA, OSHA). Prior experience with EHR systems (e.g. Athena, Salesforce, Epic). Previous experience conducting annual wellness or comprehensive visits preferred. Background in managed care, population health, or value-based care preferred.

Benefits include comprehensive benefits - medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts. Financial & retirement support – competitive compensation, 401k with employer match, and financial wellness resources. Wellness & growth – work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts.

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 health care continuum.