Integrated Care Nurse Practitioner (Fresno, California)

About the job Integrated Care Nurse Practitioner (Fresno, California)

Job Title: Integrated Care Nurse Practitioner
Location: Candidates should be located in Fresno (also open to Clovis)
Salary: $120,000 - $145,000

Job Overview:
The Advanced Practice Provider delivers personalized, value-based medical care to patients living with chronic kidney disease and end-stage renal disease. This is a field-based role providing in-home and virtual comprehensive assessments, care coordination, and preventative management. The APP works closely with field nurses, community health workers, and physicians to improve outcomes, reduce avoidable hospitalizations, and enhance quality of life.

This is not an office-based position. The provider must reside within 30 miles of Fresno, California, and be comfortable traveling within their assigned territory. The role also includes occasional travel (approximately every other month) to the San Luis Obispo or Santa Barbara areas for in-home patient visits. These trips may last up to three days (two nights). For travel requiring drives of two hours or more, approved expenses such as rental car and hotel accommodations are covered.

Key Responsibilities:

• Conduct comprehensive annual wellness exams in the home and virtual settings
• Perform health assessments and develop individualized treatment plans
• Prescribe medications and order diagnostic testing as appropriate
• Educate patients and families on disease management and preventive care
• Coordinate care with primary care providers, specialists, and ancillary services
• Complete documentation accurately and timely, including full history, assessment, and care plan
• Identify and close gaps in care through preventive monitoring and collaboration
• Participate in integrated care team meetings
• Deliver evidence-based care that improves quality metrics and patient satisfaction
• Assist patients with accessing educational and support resources

• Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Associate license
• Board certification (NP: ANCC or AANP; PA: NCCPA)
• Current and unrestricted DEA certificate
• Minimum of 2 years of direct patient care experience
• Valid driver's license, reliable transportation, and car insurance
• Ability to practice autonomously without direct supervision
• Proficiency with electronic medical records and point-of-care technology
• Strong knowledge of HIPAA, OSHA, and applicable federal and state regulations

• Managed Care, IPA, or Health Plan experience
• Experience conducting annual wellness visits in-home or virtually
• Bilingual in Spanish preferred
• Experience in chronic kidney disease or value-based care environments

• Competitive salary
• Comprehensive medical, dental, vision, and life insurance
• Flexible paid leave and vacation policy
• 401(k) with employer matching
• Opportunity to work in a fast-growing, innovative, value-based kidney care organization