Family Practice/Primary Care Nurse Practitioner

Company: Lange Consulting, LLC dba Lange Recruiting
Location: Asheville
Posted on: June 16, 2026

Job Description:

Home-based Primary Care - Nurse Practitioner/Physician Assistant
Lead APP role for Practice Expansion - Asheville, NC

Launched in 2022, At Home Harmony is an innovative home-based Medical and Pharmacy practice based in Richmond, VA expanding to Asheville, NC providing exceptional healthcare for aging, homebound adults with complex chronic conditions. Our team of dedicated medical providers is growing, and we're seeking an experienced, dedicated and forward-thinking NP/PA to join and help lead our expansion team in Asheville, NC.

As a Nurse Practitioner or Physician Assistant on our thriving team, and as the inaugural APP for AHHs practice in North Carolina, you'll play a pivotal role in our mission to provide exceptional healthcare services directly to patients with complex medical needs in the comfort of their homes. You'll help build our practice by helping build a local expansion team under the guidance of the Richmond-based leadership team. You will need an entrepreneurial skillset that allows for networking, building relationships and clinical operations oversight while providing clinical care. You will collaborate with our interdisciplinary team of physicians, pharmacists, nurses, MAs, phlebotomists, clinical liaisons, utilizing the latest tools and technology to enhance patient outcomes and streamline provider workflows.

Our current team of Nurse Practitioners and Physician Assistants bring a wealth of knowledge in primary care/internal medicine/palliative/hospice/geriatric experience and have all contributed greatly to our continued success in Richmond, VA. They each have an interest in relational, home-based primary care with the goal of caring for older adults with complex chronic conditions in their homes, group homes, and independent living.

If you are seeking a meaningful, flexible, entrepreneurial opportunity in a team-oriented environment, consider a role with us. Bring your ideas, knowledge, passion and dedication to our growing team in Asheville and together we can make a difference in the lives of our beloved senior population.

Why Join Us:

• Flexible Schedule: Build your schedule with a combo billable in-person, telehealth and chronic condition management
• Cutting-Edge Technology: Be part of a team that embraces the latest advancements in healthcare technology including AI for ease of charting and remote patient monitoring devices in the home
• 401(k) Retirement Plan: Invest in your future with our competitive retirement plan
• No Holidays or Hospital Rounds

Your Role:

• Work with Richmond based leadership team to build and implement At Home Harmony clinical model in Asheville
• Represent AHH and help build relationships with local clinicians and hospital partners, as able (early aspect of role), while providing clinical care.
• Deliver medical care in the patient's home. This involves driving or riding in your vehicle to the place of service
• Diagnose, manage and treat complex chronic illnesses
• Analyze test data to diagnose, treat and arrange appropriate follow up for the patient to ensure continuity of care
• Accurately and thoroughly document your patient encounter and ensure accuracy
• Educate patients and families on how to manage their health and well-being
• Effectively navigate difficult conversations related to end-of-life issues and goals of care
• Communicate effectively with patients, family, the medical power of attorney, other medical providers and all individuals involved in the patients care
• Follow At Home Harmony's Coordinated Model of Care of Medical and Pharmacy
• Use critical thinking skills and follow evidence-based standards of practice
• Adhere to clinical and safety standards, protocols, and performance metrics
• Provide care with compassion, empathy, and cultural competency
• Maintain positive relationships with Care Concierge and At Home Harmony staff
• Attend training sessions and clinical team meetings, as requested
• Serve as ambassadors for At Home Harmony and maintain professional demeanor

Experience and Qualifications:

• Minimum of five years of experience, prefer 8 years or more, as an APP in Primary Care setting - Geriatrics, Family Practice, Internal Medicine, Palliative Medicine - with a passion for working with the Geriatric population
• Experience and relationships with the Asheville medical community
• Tech savvy and knowledgeable with Microsoft Office, Athena EMR, AI, and other computer programs in a mobile setting
• Experience in home-based care a plus but desire to learn is welcomed
• Strong communication skills and willingness to perform business development and networking in addition to clinical duties
• Independent, pro-active worker with leadership interest who also functions well in teams and can take guidance from remote leadership
• Graduate with an advanced degree from an accredited institution
• Current unrestricted NC state license as a Nurse Practitioner or Physician Assistant
• Nationally board certified, current
• Current BLS required
• Active Prescriptive authority and DEA
• Valid driver's license with clean driving record
• Ability to lift and carry equipment up to 50 pounds
• Ability to walk up and down several flights of stairs easily

Compensation Rate: Competitive base starting at $140,000 (based on experience); Incentive/bonus program; Health insurance, 401K with matching, Malpractice coverage, Cell phone allowance, Mileage reimbursement, Up-To-Date membership and numerous other benefits.

Schedule: Monday Friday (within hours of 8-5)

The At Home Harmony expansion into Asheville is supported by the Pisgah Fund, a strategic investment fund of the Dogwood Health Trust and the HCA Healthcare Mission Fund focused on bringing healthcare jobs and benefit to the WNC region.

Keywords: Lange Consulting, LLC dba Lange Recruiting, Huntersville , Family Practice/Primary Care Nurse Practitioner, Healthcare , Asheville, North Carolina