Palliative Advanced Practice Provider

Monogram Health • Full-time • Birmingham, Alabama, United States • 2m ago

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

Roles & Responsibilities 

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

Minimum Qualifications

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

Preferred Qualifications

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

About Monogram Health 

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. 

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