Nurse Practitioner/Physician Assistant

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.

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for patients with multiple chronic conditions. The organization takes a comprehensive and personalized approach to health, treating not only individual diseases but all chronic conditions 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 disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care. The team diagnoses and treats health issues, reviews and prescribes medication, provides guidance and education, and assists with daily needs such as access to food, healthy eating, transportation, and financial assistance. Monogram Health is available 24/7 to support and treat patients in their homes, improving outcomes and quality of life while reducing medical costs.

Schedule

• Float role covering Austin, New Braunfels, and San Antonio with a clustered schedule (one area per day).
• Patient visits occur 3-4 days/week in the patient’s home with 1-2 days/week telehealth visits (varies by market).
• No on-call, overnights, or weekends; includes paid company holidays.
• 30–90-minute visit lengths based on appointment type and patient needs.

Pay

• Competitive base salary.
• $2,500 for each core and specialty competency completed.
• $5,000 annual anniversary bonus.
• Up to 15% in additional quarterly or annual bonuses (eligibility begins after 3 months).
• Mileage reimbursement from your driveway to the patient’s house.
• Reimbursement for CEU/CME expenses.

Benefits

• Comprehensive medical, dental, and vision insurance.
• Employee assistance program.
• Employer-paid and voluntary life insurance.
• Disability insurance.
• Health and flexible spending accounts.
• 401k with employer match.
• Financial wellness resources.
• Work-life assistance resources and physical wellness perks.
• Mental health support.
• Employee referral program.
• BenefitHub for employee discounts.
• 15 PTO days, 7 paid holidays, and 1 floating day.

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.
• 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

• 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 required.
• 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.