Nurse Practitioner - Home-Based Primary & Palliative Care

HarmonyCares, a physician-led provider of home-based primary and palliative care, is seeking an Advanced Practice Provider to serve medically complex, home-limited patients. In this role, you will conduct in-home and telehealth visits, perform comprehensive assessments, manage chronic conditions, and support palliative care needs. You will collaborate closely with an interdisciplinary team to coordinate care plans, reduce avoidable hospitalizations, and improve outcomes. This mission-driven position offers meaningful patient impact, professional growth, and a supportive, compassionate culture.

Responsibilities
• Provide home-based and telehealth primary and palliative care to medically complex, home-limited patients
• Perform comprehensive assessments, diagnosis, and ongoing management of acute and chronic conditions
• Develop, implement, and adjust individualized care plans in collaboration with physicians and interdisciplinary team members
• Coordinate care transitions to reduce avoidable emergency visits and hospitalizations
• Educate patients and families on conditions, medications, and self-management strategies
• Document all encounters, assessments, and care plans accurately in the EHRParticipate in interdisciplinary case conferences and quality improvement initiatives
• Ensure compliance with clinical, regulatory, and organizational standards
• Support end-of-life and palliative care goals consistent with patient preferences

Required Skills
• Primary care clinical assessment and diagnosis
• Chronic disease management
• Palliative and end-of-life care
• Care planning and care coordination
• Telehealth and remote patient monitoring
• Medication management and prescribing
• Electronic Health Record (EHR) documentation
• Home-based safety and functional assessments
• Patient and family education
• Interdisciplinary team collaboration