Pulmonary/Acute Care NP - NextGen

Job Description Job Description Pulmonary and Acute Care Nurse Practitioner Location: Senior Nursing Home Facility/Long Term Care Rehab Center Job Summary We are seeking an experienced APRN in pulmonary and acute care to deliver high-quality, patient-centered care in skilled nursing and long-term rehabilitation settings. This in-person role focuses on managing complex respiratory and acute conditions, including higher-acuity patients, and requires availability 3-5 days per week, with occasional after-hours on-call coverage. 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 Manage acute care conditions in post-acute settings, including early identification and treatment of clinical deterioration Implement timely interventions to prevent unnecessary hospitalizations and Return-to-Hospital (RTH) events Collaborate with interdisciplinary teams to manage acute changes in condition and escalate care appropriately Participate in initiatives focused on reducing hospital admissions through proactive pulmonary and acute 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 Required Qualifications Active State 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) Compensation and Benefits 1099 Independent Contractor Productivity-based compensation tied to daily patient volume Competitive compensation structure 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