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+
- Full time- 5 day or 4 day work week 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,
