Acute Care Nurse Practitioner / Physician Assistant for Integra at Home in Warwick

Care New England, a fully integrated health system serving residents throughout Rhode Island, is seeking a Nurse Practitioner or Physician Assistant to work as a member of their Integra at Home program. 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+
• Typical work schedule is Monday – Friday, 8:30am – 4:30pm with rotational paid call.

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, Nmurray@carene.org.