What are the responsibilities and job description for the Palliative Advanced Practice Provider position at Monogram Health?
Job Details
Description
Position: Palliative Care Nurse Practitioner - Birmingham, AL
Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care.
Your Impact
Palliative Care NPs are quality-driven clinicians who apply their expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making.
They will collaborate with our interdisciplinary Pod teams and field clinicians to enhance care integration and optimize palliative care delivery to complex patients through Monogram Health’s comprehensive polychronic care model.
Highlights & Benefits
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 seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management 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.
At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.
Description
Position: Palliative Care Nurse Practitioner - Birmingham, AL
Monogram Health is seeking a full-time Palliative Care Nurse Practitioner (NP) to join the team to support our rapid nationwide growth. This Palliative Care NP will be an in-market provider delivering in-home care for a highly complex patient population in their community, including end-of-life patients with CKD/ESRD, diabetes, COPD, and CHF. The Palliative Care NP will support the Market Physician Executive and an interdisciplinary team to provide palliative care, clinical guidance to patients and their families, including pain and symptom management, develop appropriate care plans and document advance directives to ensure patient-centered care.
Your Impact
Palliative Care NPs are quality-driven clinicians who apply their expertise in a managed care, population health context. They also engage in population health management in a sophisticated, outcomes-driven manner that promotes palliative care where clinically appropriate and focuses on patient quality of life, education, and shared-decision making.
They will collaborate with our interdisciplinary Pod teams and field clinicians to enhance care integration and optimize palliative care delivery to complex patients through Monogram Health’s comprehensive polychronic care model.
Highlights & Benefits
- Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
- Competitive salary plus company bonus program
- Full benefits including medical, dental, vision and life insurance
- Paid time off and 401(k) with matching contributions
- Collaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panel
- Develop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathways
- Provide compassionate, patient-centric palliative care primarily through in-home visits, with virtual care as needed, to support outcomes and care in alignment with patient’s goals
- Evaluate and treat symptoms that may interfere with quality of life, like pain, pruritus, depression, anxiety, insomnia, etc.
- Collaborate with pharmacists and other clinicians to manage medication panels for complex patients
- Provide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principles
- Help families navigate complex medical decisions and improve understanding of prognosis, including advance care planning to discuss values, goals of care, and document patient/family wishes in state AD/POLST forms
- Support patients utilizing our interdisciplinary team, including Palliative Care Chaplain
- Assist with transition to hospice care as appropriate
- Participate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goals
- Educate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communication
- Board certification as a Nurse Practitioner in Palliative Care; Masters in Nursing
- Active state-specific licensure and willingness to become licensed in multiple states as company and patient needs require
- Must possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed
- 2 years working with patients in a palliative care setting
- Is certified in ACHPN or CHPN
- Demonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteria
- Strong communication skills for sensitive conversations about prognosis and end-of life decisions including goals of care discussions and advance care planning
- Proficiency with electronic health record (EHR) systems to document complex case details
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 seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management 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.
At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.
