Pros
Yes you technically make your own schedule. Travel between clinics, not stuck in an office environment all day. Company Card, Corporate travel to conferences in other states. General autonomy. If you work with RN's/clinics that do their job & also interact with the program, it can really help better manage patients at the clinics.
Cons
Making your own schedule is a double edged sword- can mean the work is never ending. Must shut your phone off to be off, otherwise, its all day.
Charting system is a mess, not straight forward, like you find in normal clinics where NP's work.
Chasing down dialysis patients who don't want to interact is a different experience (this program is optional for them). Some clinics don't care about your input, no real authority.
So many meetings. Meetings where you basically have to explain to corporate why a non-complaint patient is being non-compliant. Can feel frustrating. Sometimes we help, but alot of times I'm just not sure.
Definitely underutilizes the NP skill set, main Rx is for DME/glucometers.
If you want out of the clinic environment, or if you have a family & want a job you can make work for you, VH may be worth it. Be prepared that what underlies the program is that Davita/VH corporate wants to save $ on these dialysis pts. It's not a bad thing to minimize hospitalizations, or help clinics stay on top of tough cases, etc, its just a strange feeling to talk about it to corporate in a way where you're "semi-responsible" for the #'s that they're seeing.