Acute Home Visits- Nurse Practitioner / Physician Assistant - Hybrid

Care New England, a fully integrated health system serving residents throughout Rhode Island, is seeking a Nurse Practitioner or Physician Assistant to work as a member of their Integra at Home program. Integra at Home provides 24/7 clinical oversight of a select group of high-risk patients through nurse care management, in-home NP/PA visits, community paramedicine, and remote patient monitoring, all with the aim of preventing unnecessary emergency department visits or hospital admissions.

About the role

This role utilizes a hybrid care model combining in-person visits and telehealth. Average patient age is 60+.

Responsibilities

• Provide evaluation and treatment of acute and acute-on-chronic medical conditions in the home or via MIH (Mobile Integrated Health) supported virtual visits.
• Manage common acute diagnoses including COPD and CHF exacerbations, skin and soft tissue infections, pneumonia, viral upper respiratory infections, and urinary tract infections.
• Deliver intensive in-home diagnostic and treatment pathways, including laboratory testing, imaging, respiratory therapies, and IV medications.
• Recognize clinical deterioration and escalate care to the emergency department when patients cannot be safely managed in the home.
• Work closely with a multidisciplinary team including case managers, nurses, physicians, social workers, and pharmacy.
• Provide early post-discharge and high-risk follow-up visits for patients recently discharged from the hospital or skilled nursing facility to reduce readmissions.
• Provide focused patient and caregiver education related to acute and chronic conditions.
• Participate in interdisciplinary case reviews and quality improvement initiatives focused on acute care outcomes and hospitalization avoidance.

Requirements

• Graduate of an accredited Physician Assistant or Nurse Practitioner program.
• Certified by NCCPA or ANCC or AANPCB.
• Active Rhode Island PA, CSR, and DEA license or eligible.

Schedule

Full time - 5 (8hr days) or 4 (10hr day) work week with rotational paid call.

Pay

Competitive salary.

Benefits

• Health benefits
• Malpractice coverage
• Employer retirement match

About Us

Care New England Health System (CNE) and its member institutions—Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group—is a trusted, integrated health care organization that fuels the latest advances in medical research, attracts the nation’s top specialty-trained doctors, hones renowned services and innovative programs, and engages in the important discussions people need to have about their health and end-of-life wishes. Care New England is helping to transform the future of health care, providing a leading voice in the ongoing effort to ensure the health of the individuals and communities we serve.