
1001 - 5000 employees
Founded 2019
💼 Consulting
🛡️ Insurance
📦 Logistics
Consulting • Insurance • Logistics
Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.
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1001 - 5000 employees
Founded 2019
💼 Consulting
🛡️ Insurance
📦 Logistics
Consulting • Insurance • Logistics
Monogram Health is a leading multispecialty provider that delivers in-home, evidence-based care and benefit management for patients with complex, multiple chronic conditions, with a strong focus on chronic kidney disease and related metabolic, cardiovascular, pulmonary, and behavioral health needs. The company coordinates multispecialty clinical teams (nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care), provides 24/7 home-based support including home dialysis and medication management, and partners with payers and physician groups to improve outcomes, reduce hospitalizations, and lower costs.
• Provide comprehensive, personalized medical care to underserved patients, primarily with CKD through ESRD • Travel throughout the assigned territory to conduct in-home assessments, annual wellness exams, focused screenings, and virtual visits • Travel out of state for up to 2 weeks at a time as necessary • Counsel and educate patients and families about benefits, programs, preventative care, and prescribed treatments • Document chief complaints, diagnoses, medical histories, reviews of systems, examinations, medications, allergies, assessments, and care plans • Coordinate care with primary care providers, specialists, ancillary services, and the patient's Monogram physician • Complete documentation and paperwork in a timely manner • Maintain quality-of-care standards • Deliver evidence-based care to reduce avoidable hospitalizations and improve quality of life and patient satisfaction • Prescribe medications and order tests • Measure and report patient quality outcomes daily • Close gaps in care through preventive-monitoring education and coordination of diagnostic testing • Assist patients with enrolling to access educational videos • Participate in integrated care team meetings • Assess patients' health status, develop and implement treatment plans, and evaluate follow-up status • Perform other duties as assigned
• Active and unrestricted Registered Nurse and Nurse Practitioner licensure • Board certified for appropriate licensure (NP: ANCC/AANP) • Current and unrestricted DEA certificate • Ability to travel up to 75% of the time • Ability to work without direct supervision and practice autonomously • Access to transportation, a valid driver's license, and car insurance • Proficiency with required medical instruments and equipment • Knowledge of computer-based data management programs and information systems, medical records, and point-of-interview technology • Effective verbal and written communication with retail and medical partners, patients, family members, physicians, and community representatives • Understanding of federal and state regulations including HIPAA and OSHA • 2 or more years of direct patient care required • Bilingual in Spanish is a plus; but not required • Managed Care/IPA/Health Plan experience • Experience conducting wellness visits, focused assessments, or similar comprehensive visits virtually or in the home
• Medical, dental, and vision insurance • Employee assistance program • Employer-paid and voluntary life insurance • Disability insurance • Health and flexible spending accounts • 401k with employer match • Financial wellness resources • 20 PTO days • 7 paid holidays • 1 floating day • Paid parental leave • Work life assistance resources • Physical wellness perks • Mental health support • Employee referral program • BenefitHub employee discounts
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