Nurse Practitioner / PA-C – Geriatric & Post-Acute Care | $115K–$140K HZ
Updated 11/02/26
98371, Puyallup, Washington, United States
Physician Assistant
Geriatrics
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Job at a glance
Degree Required
MPAS/MHS/MMSc/MPH
DHS/DHSc
Position Type
Full-Time
Work Environment
Hospital
Visa Sponsorship
No
Job description
Job description
Job Description:
Client is a small, independent, and growing medical group providing care to skilled nursing and long-term care facilities throughout the Puget Sound region. The organization is built around delivering thoughtful, relationship-based medical care that allows providers to develop meaningful, ongoing relationships with their patients.
Client emphasizes clinical judgment, autonomy, continuity of care, and consistent follow-through. Providers take time to understand each patient's health history, baseline condition, personal goals, family and care needs while building strong working relationships with nursing teams and facility staff.
As the organization continues to grow, Client is seeking an Advanced Registered Nurse Practitioner (ARNP) or Physician Assistant-Certified (PA-C) who is passionate about providing high-quality care to adult and geriatric patients in post-acute and long-term care settings.
The ARNP or PA-C will provide comprehensive primary and post-acute medical care to adults residing in skilled nursing facilities and long-term care communities throughout the Puget Sound region.
Most providers spend their workday at one assigned facility, allowing them to establish continuity with patients and develop strong relationships with nursing staff, facility leadership, families, and other healthcare professionals. Physicians rotate through facilities and remain available for collaboration and clinical support.
Responsibilities include managing acute and chronic medical conditions, conducting admissions and follow-up visits, completing required regulatory visits, coordinating discharge care, managing medications, and collaborating with interdisciplinary care teams.
This role is well suited to a provider who values clinical independence, meaningful patient interactions, and the opportunity to contribute to a growing medical practice.
Client is a small, independent, and growing medical group providing care to skilled nursing and long-term care facilities throughout the Puget Sound region. The organization is built around delivering thoughtful, relationship-based medical care that allows providers to develop meaningful, ongoing relationships with their patients.
Client emphasizes clinical judgment, autonomy, continuity of care, and consistent follow-through. Providers take time to understand each patient's health history, baseline condition, personal goals, family and care needs while building strong working relationships with nursing teams and facility staff.
As the organization continues to grow, Client is seeking an Advanced Registered Nurse Practitioner (ARNP) or Physician Assistant-Certified (PA-C) who is passionate about providing high-quality care to adult and geriatric patients in post-acute and long-term care settings.
The ARNP or PA-C will provide comprehensive primary and post-acute medical care to adults residing in skilled nursing facilities and long-term care communities throughout the Puget Sound region.
Most providers spend their workday at one assigned facility, allowing them to establish continuity with patients and develop strong relationships with nursing staff, facility leadership, families, and other healthcare professionals. Physicians rotate through facilities and remain available for collaboration and clinical support.
Responsibilities include managing acute and chronic medical conditions, conducting admissions and follow-up visits, completing required regulatory visits, coordinating discharge care, managing medications, and collaborating with interdisciplinary care teams.
This role is well suited to a provider who values clinical independence, meaningful patient interactions, and the opportunity to contribute to a growing medical practice.
Job Responsibilities
Patient Care and Clinical Management:
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 and Collaboration:
Communicate effectively with nursing staff, patients' families, specialists, pharmacies, and other members of the healthcare team.
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 and Clinical Administration:
Maintain accurate, thorough, and timely clinical documentation.
Complete documentation within 48 hours, with a goal of same-day completion whenever possible.
Use 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.
Qualifications
Current Washington State licensure as an ARNP or PA-C, or eligibility to obtain the required license.
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.
Working Hours
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.
Skills
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 and 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 and 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 and Benefits:
Annual Compensation: Salary.
Employment options include full-time and contract (1099) arrangements.
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 are 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 Client:
Client offers an opportunity to practice medicine in an environment that prioritizes meaningful patient relationships, clinical autonomy, and collaborative care. If you want to make a lasting difference in the lives of adults living in skilled nursing and long-term care communities, this position offers the opportunity to build continuity with patients while contributing to the growth of a patient-centered medical practice.
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