Job Description
Position: Palliative Care Nurse Practitioner - Jacksonville- FL
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
Flexible scheduling
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; 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
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 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 Employer
This 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.
Job Tags
Full time, Flexible hours,