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Monogram Health
Brenham, Texas

Nurse Practitioner/ Physician Assistant

Physician Assistant 8.0 Work-LifeNo callNo weekendsNo nightsFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumedWeekdays only

Ask the employer about the pay range and the work setting.

Posted 1mo ago

Job Description

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
  • 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.
  • Because rest matters – 20 PTO days, 7 paid holidays, and 1 floating day to make your own.

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
  • 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.

Requirements

Requires an active and unrestricted RN and NP license or Physician Assistant license, along with board certification and a DEA certificate. Candidates must have at least two years of direct patient care experience and the ability to travel to patient homes.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient assessmentMedication managementElectronic health recordsClinical documentationCare coordinationHIPAA complianceOSHA compliance

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Practitioner/ Physician Assistant at Monogram Health a 8.0 out of 10 for work-life balance — classified as excellent. This places the position in the top 5% in Internal Medicine (PA) — ranked against 71 active Internal Medicine (PA) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements, no night shifts.

Internal Medicine — Physician Assistant Career Context

Monogram Health holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 82/100, 49 active listings.

Of the 50 active Physician Assistant listings this role was benchmarked against, 10% are remote, 64% have no call, 66% require no weekends.

The cost-of-living index for Texas is 97.1 (US average = 100; BEA Regional Price Parities (2024)). 57.7% of Texas clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Location & Logistics

Texas has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Physician Assistant Jobs

47 matches · ranked by pay

Salary Distribution47 jobs · 38 employers

11
<$145k
9
$145k-160k
11
$160k-175k
11
$175k-190k
5
$190k+

Annual compensation range

Benefits & Perks40 jobs · 38 employers

401k / retirement match
83% this job
CME allowance
63% this job
Sign-on bonus
48% this job
Relocation assistance
13%
Loan repayment
5%

Share of similar jobs offering each benefit

#1

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$195k-$212k
#2

Urgent Care Advanced Practice Clinician (PA-C or ARNP)

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$92-$96/hr
#3

Pain Management Physician Assistant

$171k-$198k
#4

Physician Assistant (PA) or Nurse Practitioner (NP)

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+ 45 more · ranked by pay

Work-life snapshot

median 6.0this job 8.0
Among the best 10% of Internal Medicine (PA) listings for work-life

Listing-based score, 0–10, across 71 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
  • No nights

Living in Brenham

Typical 3-bedroom home value
$310k
Typical market rent
$1,501/mo
Residents’ average commute
18 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Aug 2026), Zillow market rents (Aug 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.

Monogram Health logo

About Monogram Health

Hospitals and Health Care
Brentwood, Tennessee
501-1,000 employees

Benefits & Perks

Competitive base salary
$2,500 per competency bonus
$5,000 annual anniversary bonus
Up to 15% additional bonuses
Mileage reimbursement
CEU/CME reimbursement
20 PTO days
7 paid holidays