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+ Typical work schedule is Monday-Friday, 8:30am-4:30pm 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, Nmurray@carene.org.