Job Title

Position: Palliative Care Nurse Practitioner - Houston, TXMonogram 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 ImpactPalliative 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 & BenefitsFlexible schedulingOpportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease careCompetitive salary plus company bonus programFull benefits including medical, dental, vision and life insurancePaid time off and 401(k) with matching contributionsRoles & ResponsibilitiesCollaborate with the Market Physician Executive and clinical leaders to proactively identify patients who qualify for palliative care services and build a patient panelDevelop individualized care plans in collaboration with Market Physician Executive and other clinical leaders to ensure patients are placed on appropriate evidence-based interventions and pathwaysProvide 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 goalsEvaluate 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 patientsProvide resources and educate patients and their families on the progression of CKD, ESKD, and related conditions, including treatment options and palliative care principlesHelp 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 formsSupport patients utilizing our interdisciplinary team, including Palliative Care ChaplainAssist with transition to hospice care as appropriateParticipate in monthly meetings with clinical leadership to drive Program KPIs and support execution of clinical and financial goalsEducate and support team members on palliative care, hospice care, advance directives, symptom assessment, and communicationMinimum QualificationsBoard certification as a Nurse Practitioner; Masters in NursingActive state-specific licensure and willingness to become licensed in multiple states as company and patient needs requireMust possess reliable transportation and the ability to travel within the designated region to meet patient needs including in-home and clinic visits as needed2+ years working with patients in a palliative care settingPreferred QualificationsIs certified in ACHPN or CHPNDemonstrated experience in clinical assessment, care plan design, and evaluating patients using evidence-based clinical criteriaStrong communication skills for sensitive conversations about prognosis and end-of life decisions including goals of care discussions and advance care planningProficiency with electronic health record (EHR) systems to document complex case detailsAbout Monogram HealthMonogram 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 counselling 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. Monogram Health is based in Nashville, Tennessee, operates throughout 37 states, and is privately held by Frist Cressey Ventures, Norwest Venture Partners, TPG Capital, as well as other leading strategic and financial investors. To learn more about Monogram Health, ranked by Inc. Magazine as 2024’s No. 3 fastest growing private company in the United States, please visit here.Equal Opportunity EmployerThis employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.