Adult-Gerontology Nurse Practitioner (ARNP) / Physician Assistant – Skilled Nursing & Long-Term Care | Olympia, WA (BB135529)
Updated 10/29/26
98371, Puyallup, Washington, United States
Nurse Practitioner
Family Practice/Primary Care
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Job at a glance
Degree Required
DNP
Position Type
Full-Time
Work Environment
Outpatient
Visa Sponsorship
No
Experience Level
2 years
Job description
Job description
An independent and growing medical group is seeking a compassionate and clinically confident Advanced Registered Nurse Practitioner (ARNP) or Physician Assistant-Certified (PA-C) to provide comprehensive medical care to adult and geriatric patients in skilled nursing facilities and long-term care communities throughout the Puget Sound region.
This is an excellent opportunity to join a patient-centered practice that prioritizes meaningful patient relationships, clinical autonomy, continuity of care, and collaboration with experienced physicians and interdisciplinary healthcare teams.
Unlike traditional high-volume clinical environments, this practice emphasizes thoughtful, relationship-based care. Most providers spend their workday at one assigned facility, allowing them to develop lasting relationships with patients, families, nursing teams, and facility leadership.
Providers have the opportunity to exercise independent clinical judgment while benefiting from physician collaboration, clinical support, and administrative resources.
The ARNP or PA-C will deliver comprehensive primary and post-acute medical care to adults residing in skilled nursing facilities and long-term care communities.
Responsibilities include managing acute and chronic medical conditions, conducting patient admissions and follow-up visits, completing regulatory visits, coordinating discharge care, managing medications, and collaborating with interdisciplinary care teams.
This position is ideal for a provider who enjoys caring for medically complex adult and geriatric patients and values continuity, clinical independence, and meaningful patient interactions.
Job Responsibilities
Provide comprehensive medical care to adult patients in skilled nursing and long-term care settings.
Evaluate and manage acute medical concerns and chronic health conditions.
Conduct patient admissions, follow-up visits, regulatory visits, and discharge visits as appropriate.
Assess medically complex patients, including individuals with multiple chronic conditions and ongoing care needs.
Review laboratory results, imaging studies, medication regimens, and clinical documentation.
Develop, implement, and update individualized treatment plans based on patient needs and clinical findings.
Perform procedures when clinically appropriate and within the provider's scope of practice, training, privileges, and facility capabilities. Additional training may be provided when needed.
Care Coordination & Collaboration
Communicate effectively with nursing staff, patients' families, specialists, pharmacies, and other healthcare professionals.
Coordinate care with facility leadership, attending physicians, and other treating providers.
Participate in interdisciplinary discussions to support continuity, safety, and quality of care.
Build collaborative relationships with facility staff to improve communication and address patient needs.
Work with rotating physicians and clinical colleagues to obtain guidance and support when needed.
Documentation & Clinical Administration
Maintain accurate, thorough, and timely clinical documentation.
Complete documentation within 48 hours, with a goal of same-day completion whenever possible.
Utilize available scribe services and advanced AI documentation tools to support efficient clinical workflows.
Review patient records and clinical information to support appropriate treatment decisions and continuity of care.
Maintain compliance with applicable clinical, organizational, facility, and payer documentation requirements.
On-Call Responsibilities
Participate in a shared, phone-only on-call rotation.
Respond to clinical questions and concerns in accordance with organizational protocols and patient care needs.
Collaborate with physicians and other healthcare professionals when additional clinical support is required.
Schedule & Travel Requirements
Provide in-person care at skilled nursing and long-term care facilities throughout the Puget Sound region.
Spend most workdays at one assigned facility to support continuity of care and strong relationships with facility teams.
Travel between facilities when required by patient needs, coverage requirements, or operational priorities.
Adapt to changing assignments and patient care demands as necessary.
Participate in the shared phone-only on-call rotation.
Qualifications
Current national board certification.
Prescriptive authority, as applicable to the provider's role.
DEA registration or eligibility to obtain registration when required.
Ability to meet payer, facility, and organizational credentialing requirements.
Relevant experience caring for adult or geriatric patients.
Ability to assess and manage medically complex patients with multiple chronic conditions.
Strong independent clinical judgment and sound decision-making skills.
Excellent communication and collaboration skills.
Strong organizational skills and attention to clinical documentation.
Ability to work independently while maintaining effective communication with physicians and interdisciplinary care teams.
Preferred Qualifications
Experience in skilled nursing facilities or long-term care environments.
Background in geriatrics, primary care, internal medicine, hospital medicine, or a related clinical setting.
Experience managing chronic conditions, acute changes in patient status, medication regimens, and post-acute care needs.
Familiarity with regulatory visits, admissions, discharge planning, and interdisciplinary care coordination.
What the Practice Offers
Patient-Centered Practice
Meaningful time with patients and an emphasis on relationship-based care.
Continuity with assigned facilities and opportunities to develop long-term patient relationships.
The ability to understand patients' goals, health histories, families, and individual care needs.
Clinical Support & Autonomy
Clinical autonomy supported by physician collaboration and a responsive clinical team.
Access to rotating physicians for consultation and support.
Collaborative administrative and clinical resources.
Opportunities to help shape clinical workflows as the organization grows.
Technology & Documentation Support
Scribe support and advanced AI documentation tools.
A touchscreen laptop for clinical work.
Resources designed to support efficient documentation and patient care.
Compensation & Benefits
Annual salary.
Full-time and 1099 contract employment options.
Benefits for eligible full-time employees may include:
Medical insurance.
Dental insurance.
Vision insurance.
Paid time off.
Flexible scheduling.
401(k) retirement plan.
Ideal Candidate Profile
The ideal candidate is a compassionate, clinically confident ARNP or PA-C who enjoys caring for adult and geriatric patients and values continuity over high-volume, rushed encounters.
They should be comfortable managing complex medical conditions, exercising independent clinical judgment, and collaborating with physicians, nursing staff, families, and other healthcare professionals.
A successful candidate will be organized, responsive, and committed to high-quality documentation, thoughtful treatment planning, and consistent follow-through. They will also appreciate the opportunity to contribute ideas and help improve workflows within a growing, independent medical group.
Join a Growing, Patient-Centered Medical Practice
If you are an ARNP or PA-C looking for an opportunity to build meaningful patient relationships, exercise clinical autonomy, and make a lasting difference in the lives of adults living in skilled nursing and long-term care communities, this is an opportunity worth exploring.
Join a growing independent medical group where continuity of care, clinical judgment, and collaborative relationships are at the center of everything.
By applying you agree to our Terms of Service