Advanced Practice Registered Nurse (APRN) - Vernon, Bowie & Wichita Falls, TX

Nextgen is a med-tech organization specializing in post-acute care in skilled nursing and long-term care settings, delivering individualized, high-quality care through Nurse Practitioners and Physicians. By combining advanced clinical expertise with proprietary technology, Moxie streamlines patient census management and compliant documentation while supporting facilities in safely managing higher-acuity patients and reducing hospitalizations. With more than 100 providers serving skilled nursing facilities across TX, FL, OH and TN, our mission is to improve patient outcomes and operational efficiency through real-time clinical responsiveness, strong medical decision-making, and high-quality documentation.

1. Location:

• Vernon, TX
• Bowie, TX
• Wichita Falls, TX

2. Work Location: In person

3. Working Days: 3-5 days a week; Availability for after-hours on-call coverage in coordination with the clinical team

4. Position Overview: Nextgen is seeking a compassionate and experienced Advanced Practice Registered Nurse to join our growing clinical team. This role focuses on delivering high-quality, patient-centered care in skilled nursing and long-term rehabilitation settings, including the evaluation, diagnosis, treatment, and ongoing management of complex and higher-acuity cardiology diseases.

5. Responsibilities:

• Provide pulmonary and acute care services in skilled nursing, rehabilitation, long-term care, and post-acute settings
• Admit new patients and complete comprehensive pulmonary and acute care admission evaluations
• Manage and complete patient discharge evaluations, including respiratory stability assessment and care coordination
• Perform comprehensive and focused respiratory assessments and physical examinations
• Evaluate, diagnose, and manage acute and chronic pulmonary conditions (e.g., COPD, asthma, pneumonia, respiratory failure)
• Manage noninvasive ventilation therapies, including CPAP and BiPAP initiation, adjustment, and monitoring
• Manage patients with tracheostomies, including routine trach care, assessments, and coordination of care
• Collaborate on ventilator and tracheostomy weaning plans in coordination with physicians and respiratory therapy
• Prescribe and manage respiratory and acute care medications in accordance with state regulations and clinical best practices
• Participate in initiatives focused on reducing hospital admissions through proactive pulmonary care management
• Interpret and trend respiratory diagnostics, including ABGs, imaging, labs, pulse oximetry, and ventilatory data (as applicable)
• Monitor patient response to treatments and intervene promptly to prevent respiratory decompensation
• Coordinate care with pulmonologists, attending physicians, respiratory therapists, nursing staff, and facility leadership
• Participate in pulmonary rounds and interdisciplinary care planning
• Complete accurate and timely documentation in the EMR/EHR
• Educate patients, families, and staff on respiratory conditions, CPAP/BiPAP use, tracheostomy care, and escalation protocols
• Participate in initiatives to reduce respiratory-related hospital readmissions and emergency transfers
• Ensure compliance with CMS, state regulations, and facility respiratory care and infection control policies

6. Required Qualifications:

• Active Texas APRN license
• Active NPI number
• Minimum of 3 years of nursing experience (tracheostomy care, skilled nursing or post-acute care preferred)
• Current BLS and ACLS certification
• Strong clinical assessment, communication, and independent decision-making skills
• Experience with EMR/EHR systems (PointClickCare and/or Matrix preferred)
• Ability to work independently in a fast-paced clinical environment
• Knowledge of post-acute care and geriatric best practices
• Working knowledge of state and federal healthcare regulations, HIPAA, and patient safety standards
• Excellent written and verbal communication skills for documentation and interdisciplinary collaboration
• Compassionate, patient-centered approach to care
• DEA registration (preferred)

Job Type: 1099 Independent Contractor

Compensation:

• Productivity-based compensation tied to daily patient volume Competitive compensation structure
• Annual Compensation: $125k–$175k (based on experience and qualifications)

Benefits:

• Flexible schedule
• Autonomy in daily workflow
• Paid onboarding period, including training and orientation
• Professional liability (Malpractice) insurance coverage provided
• Census planning support to optimize daily workload
• Quarterly productivity-based bonus opportunities
• AI-assisted documentation through Moxie Link, combining technology and human oversight to save time on notes and enhance accuracy
• Ongoing education and clinical development opportunities