Position: Nephrology Physician

Monogram Health is seeking a full-time nephrologist to join the team to treat members with CKD and ESKD. Treatment and oversight will occur primarily through both in-person and telehealth visits. This is 100% nephrology, with the ability to connect with CKD and ESKD patients needing urgent care and engagement with patients who are seeing a nephrologist for the first time. This is an opportunity to practice nephrology in a forward-looking, evidence-based environment with ample growth opportunity, alongside nephrologists committed to raising renal care outcomes nationwide.

Your Impact

Monogram nephrologists share a passion for raising quality outcomes for health plan members suffering from kidney disease. They practice in a way that promotes patient engagement long before ESKD, resulting in delayed disease progression. In the case of kidney failure, the focus is informed patient choice, permanent vascular access and planned dialysis starts where clinically appropriate, and close medical management of non-dialysis patients where dialysis is not the clinically appropriate choice. This job is ideal for nephrologists who are forward-looking and embrace the trends toward telehealth and value-based care that rewards outcomes, rather than utilization.

Highlights & Benefits

• Opportunity to work in a dynamic, fast-paced and innovative organization that is transforming the delivery of polychronic disease care
• Hybrid schedule with In-home, value-based care model
• Competitive salary plus company bonus program
• Full benefits including medical, dental, vision and life insurance
• Paid time off and 401(k) with matching contributions
• Relocation assistance and sign on bonus on case-by-case

Roles & Responsibilities

• Collaborate with Pod Medical Director to proactively identify CKD and ESKD members in predefined geographic region to build a patient panel 
• Own the outcomes for patient panel, driving both predetermined clinical and financial KPIs through interventions outlined below
• Treat panel of patients both in-home and virtually, as necessary, to drive healthcare outcomes
• Apply evidence-based criteria in determining the appropriateness and necessity of care; in particular, in determining whether dialytic or non-dialytic care is the correct evidence-based pathway
• Round on incident Hemodialysis/Peritoneal Dialysis members in clinic or in home
• Round on patient panel (if admitted) in selected hospitals within a defined geographic market
• Refer members to appropriate specialists to drive clinical care (Monogram-based specialists or locally-aligned specialists)
• Conduct meaningful end-of-life and treatment options discussions with patients
• Participate in monthly sessions with RMD/CMO in areas of KPI and expectations around KPIs
• Maintain active privileges at local dialysis center and hospitals (Monogram to support)
• Review Annual Wellness Visit assessments to ensure proper coding and provision of medical diagnoses across multiple comorbid conditions
• Assist in the training of NPs and other providers to provide high-quality care

Position Requirements

• 1 years nephrology practice experience
• Desire to practice in a forward-looking renal care environment focused on population health management
• Demonstrated experience applying evidence-based clinical criteria
• Experience in renal care, geriatrics and/or emergency medicine
• Comfort and skill in end-of-life discussions and advance care planning
• Experience with high-need Medicare Advantage and managed Medicaid populations, as well as commercial populations
• Experience integrating acute and behavioral health care and appreciation of social determinants of health and the value of social workers
• Expertise in managing medication panels for complex patients
• Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare. Willingness to become licensed in multiple states as company and patient needs require.
• Doctorate Degree in Medicine
• Board Certified in Nephrology

About Monogram Health

Monogram Health is a next-generation, value-based chronic condition risk provider serving patients living with chronic kidney and end-stage renal disease and their related metabolic disorders. Monogram seeks to fill systemic gaps and transform the way nephrology, primary care and chronic condition treatment are delivered. Monogram’s innovative, in-home approach utilizes a national nephrology practice powered by a suite of technology-enabled clinical services, including case and disease management, utilization management and review, and medication therapy management services that improve health outcomes while lowering medical costs across the healthcare continuum. By focusing on increasing access to evidence-based care pathways and addressing social determinants of health, Monogram has emerged as an industry leader in championing greater health equity and improving health outcomes for individuals with chronic kidney and end-stage renal disease.

At Monogram Health we believe in fostering an inclusive environment in which employees feel encouraged to share their unique perspectives, leverage their strengths, and act authentically. We know that diverse teams are strong teams, and welcome those from all backgrounds and varying experiences.