Role Description The Advanced Practice Nurse (APN) - Nurse Practitioner (NP) Pain Team practices in the Veterans Integrated Service Network (VISN) 12 Clinical Resource Hub to provide a full range of pain services emphasizing quality, timeliness, and the advancement of the Veteran Affairs (VA) mission. The NP provides advanced clinical practice, consultation, and management. This job is open to current, permanent employees of VISN 12. The VHA Nationally Designated-Clinical Resource Hub (CRH) is a strategic program designed to provide Team Based Primary Care, Specialty Mental Health, and other specialty services in each VISN across the Enterprise, utilizing existing and emerging technologies. The Clinical Resource Hub (CRH) is a repository of clinical and administrative staff that serve Veterans Affairs facilities within a Veterans Integrated System Network (VISN). Staff within the CRH are expected to provide inter-professional services to VISN facilities that are underserved or experiencing gaps in clinicians due to the inability to match provider supply with demand. Services provided by CRH staff are conducted via multiple modalities, including virtual and in-person care. Clinical Video Telehealth (CVT) is the primary modality for treatment along with VA Video Connect (VVC) and Telephone modalities. This position may require travel to VISN medical centers or Community Based Outreach Clinics (CBOC). This position requires the incumbent to provide direct outpatient care as a member of a virtual inter-professional Specialty Pain Care team. Provider will oversee and coordinate medical care for Veterans in a group practice setting utilizing the "Biopsychosocial Model of Pain Care" and "VA Stepped Care Model of Pain Care." Most care will be provided virtually to Spoke sites, using telehealth equipment, however, face-to-face care may be required. Major duties and responsibilities of the position: - Provide ongoing chronic pain care for assigned patients. - Screen patients to determine need for further care. - Prescribe medications within defined scope of practice. - Perform initial history and physical examinations. Completing history and physical examinations will typically occur using telehealth, but direct face-to-face visits may also be required. - Utilizes evidence-based approach to medication management for chronic and acute pain. - Provides evidence-based approach to medication management for Veterans with Opioid Use Disorder (OUD). - Order and interpretation of diagnostic studies such as laboratory tests, x-rays, magnetic resonance imaging (MRIs). - Review opioid safety metrics (e.g., PDMP, drug screening, STORM reviews). - Initiate, respond, and expedite request for consultations, special tests, and studies. - Provide education and counseling for patients and families in chronic pain care, medical conditions, and use of prescribed treatments and drugs. - As appropriate, participate in inter-professional focused patient chart reviews, team meetings, team huddles, and shared medical appointments. - Assesses and adjusts the plan of care as needed to achieve optimal patient outcomes. - Exemplifies the ICARE core values of Integrity, Commitment, Advocacy, Respect, and Excellence. Qualifications - A post-master's certificate or master's or doctoral degree as a Nurse Practitioner. - Must be a graduate of a school of professional nursing approved by the appropriate accrediting agency. - All APN (NPs) must possess and maintain an active, current, full, and unrestricted APN license to practice as an NP in a State, Territory or Commonwealth of the United States, or in the District of Columbia. - All APN (NPs) must maintain full and current basic board certification in one of the following: Family Nurse Practitioner (FNP), Adult Nurse Practitioner (ANP), Adult-Gerontology Primary Care Nurse Practitioner (AGPCNP), Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AGACNP), or Gerontology Nurse Practitioner (GNP). Requirements - Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others. - Meets basic education requirement for APN (NP). - APNs (NPs) at level II are expected to meet specific dimension requirements including Clinical Practice, Outcome Focus, Leadership, Professional Development, and Professionalism/Collegiality. - APNs (NPs) at grade III are expected to meet additional dimension requirements including Clinical Practice, Outcome Focus, Leadership, Professional Development, and Professionalism/Collegiality. Benefits - Competitive salary, regular salary increases, potential for performance awards. - 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year). - Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA. - Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement).

Position: Nurse Practitioner / Physician Assistant 15K Sign on Bonus Monogram Health is looking for skilled Nurse Practitioners and Physician Assistants eager for the opportunity to make a difference in patients' lives. The Advanced Practitioner at Monogram Health is a key member of an integrated Care Team which includes a Registered Nurse and a Social Worker. The patients we serve often struggle with multiple serious diseases. Monogram Health is a leading multispecialty provider of in-home, evidence-based care and benefit management services for the most complex of patients who have multiple chronic conditions. Your Impact Using your skills in this position will allow you to deliver personalized compassionate medical care to individuals mainly with CKD and/or ESRD/ESKD. You will also be responsible for caring for patients, maintaining accurate and current patient records and scheduling, and administering follow-up appointments to patients as required. Your gifts as a healthcare professional are urgently needed. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. Highlights - At Monogram Health, you’re empowered to earn more, grow your expertise, and invest in your future through a robust compensation and incentive program: - 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, including: - Quarterly bonuses for quality, patient experience, and chronic condition outcomes - Annual bonuses for visit cadence, wellness performance, and patient engagement - A company‑wide 5% annual kicker bonus - Start earning bonuses sooner — eligibility begins after just 3 months. Benefits   - Opportunity to work in a dynamic, fast-paced and innovative value-based provider organization that is transforming the delivery of kidney care - Competitive salary - Comprehensive medical, dental, vision and life insurance (1099 options also available) - Flexible paid leave and vacation policy - 401(k) plan with matching contributions Responsibilities - Conducts assessments, which includes comprehensive annual wellness exams on patients both in the patients' home and in the virtual environment  - Counsels and educates patients and families about benefits and programs available to help them live healthier lives  - Documents items such as: appropriate chief complaint, all applicable diagnosis, past medical, family, and social history, review of systems, examinations, medications, allergies, assessment, and plan  - Responsible for the coordination of care with primary care providers, specialists, and appropriate ancillary services  - Completes all documentation and paperwork in a timely manner  - Maintains quality of care standards as defined by the practice  - This position will not be office-based but will be remote in state in which employed and will need to attend periodic training/meetings outside of that state  - Deliver evidence-based, timely care in a manner that reduces avoidable hospitalizations, maximizes quality of life, and puts patient health and satisfaction first   - Prescribe medications, order tests, and collaborate with patient’s Monogram physician  - Perform effectively, as reflected by improved patient quality outcomes, which will be measured and reported daily  - Facilitates closing gaps in care by educating patients about preventive monitoring and working with physician practices to schedule diagnostic testing  - Assists patients with enrolling to access educational videos  - Participates in the integrated care team meetings  - Knowledge of disease diagnosis and prevention  - Make assessment of patient's health status  - Develop treatment plan  - Implement a plan consistent with appropriate plan of care  - Follow-up and evaluate patient's status  - Other duties as assigned   Position Requirements     - Active and unrestricted Registered Nurse and Nurse Practitioner or Physician Assistant license  - Board certified for appropriate licensure (NP: ANCC/AANP; PA: NCCPA)  - Current and unrestricted DEA certificate  - Ability to work without direct supervision and practice autonomously  - Access to transportation, a valid driver's license, and car insurance  - Must be proficient with medical instruments and equipment required by the work  - Knowledge of computer-based data management programs and information systems, as well as medical records and point-of-interview technology  - Ability to communicate effectively in verbal and written form with retail and medical partners at various levels, patients, family members, physicians and representatives of the community  - Sound understanding of all federal and state regulations including HIPAA and OSHA    - 2 or more years of direct patient care required  - Managed Care/IPA/Health Plan experience  - Experience conducting annual wellness visits or similar comprehensive visits virtually or in the home  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. #LI-SJ1

Site Care Partner - Canada (West Coast) ICON plc is a world-leading healthcare intelligence and clinical research organization. We’re proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development We are currently seeking a Site Care Partner to join our diverse and dynamic team. As a Site Engagement Liaison at ICON, you will play a pivotal role in fostering relationships with clinical trial sites, enhancing site engagement, and contributing to the advancement of innovative treatments and therapies. What you will be doing - Building and maintaining strong relationships with key stakeholders at clinical trial sites, including principal investigators, site coordinators, and research staff. - Providing support and guidance to site staff on study protocols, procedures, and regulatory requirements, ensuring compliance and successful study conduct. - Identifying opportunities to improve site engagement and optimize site performance through regular communication and feedback mechanisms. - Collaborating with internal teams to develop and implement site engagement strategies tailored to the specific needs of each study and site. - Monitoring site performance metrics and providing regular updates to study teams on site engagement activities and outcomes. Your profile - Bachelor's degree in life sciences or a related field. - Previous experience in clinical research, site management, or a related field preferred. - Strong interpersonal and communication skills, with the ability to build rapport and establish effective working relationships with diverse stakeholders. - Excellent organizational and problem-solving skills, with the ability to prioritize and manage multiple tasks simultaneously. - Knowledge of ICH-GCP guidelines and regulatory requirements for clinical trials. - Bilingual in English and French preferred What ICON can offer you: Our success depends on the quality of our people. That’s why we’ve made it a priority to build a diverse culture that rewards high performance and nurtures talent. In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family. Our benefits examples include: - Various annual leave entitlements - A range of health insurance offerings to suit you and your family’s needs. - Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead. - Global Employee Assistance Programme, TELUS Health, offering 24-hour access to a global network of over 80,000 independent specialised professionals who are there to support you and your family’s well-being. - Life assurance - Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidised travel passes, health assessments, among others. Visit our careers site to read more about the benefits ICON offers. At ICON, inclusion & belonging are fundamental to our culture and values. We’re dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here. Interested in the role, but unsure if you meet all of the requirements? We would encourage you to apply regardless – there’s every chance you’re exactly what we’re looking for here at ICON whether it is for this or other roles. Are you a current ICON Employee? Please click here to apply

• Create and track patients' care plans • Accompany patients in their healthcare journey • Regularly engage with patients and track their adherence to their care plans. • Closely monitor patients' device readings and dig into any out-of-bound values. • Maintain meticulous records of patient interactions and program details. • Stay up-to-date with the latest regulations and compliance standards related to CCM/RPM services. • Ensure all patient enrollments adhere to legal and ethical standards. • Monitor and track care performance, striving to meet or exceed goals.