Job Title

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 admission. Position Highlights: * Competitive salary plus robust benefits, including health, malpractice, and employer retirement match * This role utilizes a hybrid care model combining in-person visits and telehealth * Average Patient Age: 60+ * Full time- 5 day or 4 day work week with rotational paid call Job 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. Qualifications: * Licensed Nurse Practitioner or Physician Assistant in good standing with an active and unrestricted Rhode Island license. * Prior acute care experience emergency medicine, inpatient hospital medicine, or high-acuity home-based care. * Strong clinical judgment and comfort managing medically complex patients independently in the home setting. * Ability to work effectively within a multidisciplinary, team-based care model. * Strong communication, organization, and documentation skills. For more information, please email Nicole Murray,