Float Nurse Practitioner / Physician Assistant

$122,000 - $158,600 / year

Position: Advanced Practice Provider (NP/PA)

Monogram Health is seeking compassionate and skilled Advanced Practice Providers (Nurse Practitioners or Physician Assistants) to deliver high‑quality in‑home care to patients living with multiple chronic conditions, including diabetes, hypertension, chronic kidney disease, heart failure, COPD, depression, and other complex health needs.

This role works within an integrated multidisciplinary care team (Clinical, Behavioral Health, Pharmacy, Administrative), establishing long-term patient relationships and providing continuity of care to complex patients in their homes and via telehealth. The Advanced Practice Provider has the opportunity to be part of a value-based, patient-centered care model, providing quality driven managed care with a population health focus.

Highlights

Schedule
- The Float APP will be required to provide in-home care to patients in the following locations: Austin, New Braunfels, and San Antonio. This role offers a clustered schedule, meaning you’ll see patients in one area per day rather than traveling long distances between cities.
- Patient visits occur 3-4 days/week in the patients’ home with 1-2 days/week telehealth visits (varies by market)
- No on‑call, overnights, weekends, including paid company holidays
- 30–90-minute visit lengths based on appointment type and patient needs
- *All schedule responsibilities may evolve with business needs

Total Rewards

Earn a competitive base salary commensurate with experience and education
Grow your clinical skillset and earn $2,500 for every core and specialty competency you complete
Invest in your longevity with a $5,000 annual anniversary bonus
Maximize your income potential with up to 15% in additional bonuses that will be paid out on a quarterly or annual basis
Start earning bonuses sooner — eligibility begins after just 3 months
From your driveway to the patient’s house, we’ve got you covered with mileage reimbursement.
Support your professional growth and continued education with reimbursement for your CEU/CME expenses.

Compensation

The base salary range for this role is $122,000 to $158,600 and reflects the range of experience and qualifications we may consider. Final compensation will be determined based on geographic location and job-related factors such as experience, skills, education, certifications, and internal compensation considerations. While a larger range is posted, most offers will typically fall within a narrower band based on these factors.

In addition to base salary, this role is eligible for additional compensation, including bonus opportunities and a comprehensive benefits package.

Responsibilities

Provide evidence‑based, patient‑focused care that reduces avoidable hospitalizations and improves quality of life directly in the patient’s home
Perform comprehensive assessments, including initial evaluations, annual wellness exams, follow‑ups, acute urgent visits, and post‑discharge visits.
Educate patients and caregivers on disease management, preventive care, medications, and diagnostic testing
Participate in recurring virtual integrated care team meetings
Engage in quality assurance activities, including audits and documentation reviews, to ensure compliance with state board requirements and clinical best practices
May practice in a variety of care settings beyond the patient’s home, including skilled nursing facilities (SNFs), assisted living facilities (ALFs), hospitals, and other affiliated clinical settings, as applicable.
Perform point-of-care testing (A1C and Spirometry), prescribe medications, order tests, and collaborate with patient’s Monogram physician 
Coordinate care with PCPs, specialists, and ancillary services
Complete documentation accurately and in a timely manner

Position Requirements

Active and unrestricted RN and NP license, or Physician Assistant license
Board certification (NP: ANCC/AANP | PA: NCCPA)
Current and unrestricted DEA certificate, or eligibility to obtain
Minimum of two (2) years of direct patient care experience
Field‑based role requiring travel to patient homes, reliable transportation, valid driver’s license, and auto insurance
BLS certification (supported during onboarding)
Demonstrated initiative and independent, critical thinking, and decision-making skills
Knowledge of and compliance with federal/state regulations (HIPAA, OSHA)
Prior experience with EHR systems (e.g. Athena, Salesforce, Epic)
Previous experience conducting annual wellness or comprehensive visits preferred
Background in managed care, population health, or value‑based care preferred

Benefits

Comprehensive Benefits - Medical, dental, and vision insurance, employee assistance program, employer-paid and voluntary life insurance, disability insurance, plus health and flexible spending accounts
Financial & Retirement Support – Competitive compensation, 401k with employer match, and financial wellness resources
Time Off & Leave – 20 PTO days, 7 paid holidays, and 1 floating day to make your own, and paid parental leave
Wellness & Growth – Work life assistance resources, physical wellness perks, mental health support, employee referral program, and BenefitHub for employee discounts

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.

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