Bilingual Nurse Practitioner/Physician Assistant

About the role

Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) who are fluent in Spanish, Chinese, Russian, Yiddish, or Bengali to deliver high‑quality in‑home care to patients with multiple chronic conditions (diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs). The role works within an integrated multidisciplinary care team (clinical, behavioral health, pharmacy, administrative), establishing long‑term patient relationships and providing continuity of care via home visits and telehealth, within a value‑based, patient‑centered model focused on population health.

Responsibilities

• Provide 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 the patient’s Monogram physician.
• Coordinate care with PCPs, specialists, and ancillary services.
• Complete documentation accurately and in a timely manner.

Requirements

• Bilingual fluency in English and one of: Spanish, Chinese, Russian, Yiddish, or Bengali.
• 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.

Skills

• Point‑of‑care testing (A1C, Spirometry).
• Medication prescribing and test ordering.
• Patient and caregiver education.
• Care coordination across PCPs, specialists, and ancillary services.
• Documentation and quality assurance.
• Proficiency with EHR platforms (Athena, Salesforce, Epic).
• Strong communication and interpersonal abilities.

Benefits