Nurse Practitioner Physician Assistant

NURSE PRACTITIONER (NP) OR PHYSICIAN ASSISTANT (PA-C) Outpatient Primary Care | Family Medicine | Internal Medicine Raincross Medical Group – Riverside, California Part-Time | Monday, Tuesday & Friday $70–$100+/hour, based on experience Spanish Fluency Strongly Preferred ABOUT RAINCROSS MEDICAL GROUP At Raincross Medical Group, we believe primary care should be proactive—not reactive . Our mission is to prevent disease whenever possible, identify health concerns early, and build lasting relationships with patients through compassionate, high-quality care. We are an established, physician-led Primary Care and Internal Medicine practice serving a diverse adult population throughout Riverside and the Inland Empire. Our model combines preventive medicine, chronic disease management, population health, value-based care, and innovative technology—including AI-assisted clinical workflows. We believe excellent medicine requires both high clinical standards and a workplace designed to help clinicians practice sustainably. Our core values are Patients First, Compassion, Excellence, Accountability, Teamwork, and Growth. We're looking for an NP or PA who wants to become a trusted member of our clinical team and grow with our practice. POSITION OVERVIEW We are seeking a patient-centered Nurse Practitioner (NP) or Physician Assistant (PA-C) to provide outpatient adult primary care. Experience in Primary Care, Family Practice, Family Medicine, General Practice, or outpatient Internal Medicine is strongly valued. Relevant Family Medicine and Family Practice experience is considered directly applicable to this position. Both experienced clinicians and motivated new graduates or early-career NPs/PAs will be considered. Because we care for a significant Spanish-speaking population, professional Spanish fluency is strongly preferred and will be an important advantage in candidate selection. American Sign Language (ASL) proficiency is also preferred. Neither Spanish nor ASL is required. SCHEDULE Monday & Tuesday 8:45 AM – 12:30 PM – Morning clinical session 12:30 PM – 1:30 PM – Protected unpaid lunch 1:30 PM – 5:45 PM – Afternoon clinical session Friday 8:45 AM – 12:00 PM No weekends | No routine call | No holiday coverage For the right clinician, there may be opportunities to expand hours and responsibilities as the practice grows. A PRIMARY CARE SCHEDULE DESIGNED DIFFERENTLY Many outpatient practices achieve productivity through continuously stacked appointments, leaving clinicians to complete documentation, results, messages, and inbox work after clinic. Our model is intentionally different. Our mature full-day provider templates are thoughtfully designed around approximately 18–20 total patient encounters , with a mix of: New and established patient visits Acute care Chronic disease management Preventive-care visits Medicare Annual Wellness Visits Telemedicine, when appropriate Just as importantly, administrative time is intentionally built into the appointment template . Administrative and buffer blocks are incorporated: Before the clinical day Throughout the morning and afternoon Near the end of the day These blocks provide time for documentation, laboratory and imaging results, patient messages, inbox management, care coordination, preparation for complex patients, and visits that require additional clinical time. We intentionally disperse administrative time throughout the schedule to reduce prolonged patient stacking and help providers complete routine clinical work within scheduled hours—not routinely take charts home at night. Providers also receive dedicated Medical Assistant, front-office, administrative, and population-health support. For clinicians coming from higher-volume primary care environments , this difference can be meaningful. Our philosophy is that sustainable productivity supports better clinical reasoning, better documentation, better patient communication, and better long-term provider performance. 90-DAY ONBOARDING & DEVELOPMENT Every newly hired provider participates in a structured 90-day ramp-up period designed to support a successful transition into the practice. We do not expect a new clinician to begin with a full schedule on day one. During the first three months, patient volume and complexity progressively increase while the provider becomes familiar with our patients, EMR, clinical workflows, documentation standards, preventive-care model, and team-based approach. Depending on experience, onboarding may include: Direct case review with an experienced Internal Medicine physician Structured clinical teaching and mentorship Progressive increases in patient volume and complexity Support with diagnostic reasoning and treatment planning Documentation and workflow coaching Regular feedback and clear performance expectations Experienced Primary Care, Family Medicine, or Internal Medicine clinicians may progress more quickly based on demonstrated competency. By the end of the 90-day period, providers are expected to demonstrate the clinical judgment, efficiency, documentation, communication, and workflow skills needed to successfully work within our standard 18–20 encounter full-day clinical model. The 90-day period allows both the provider and the practice to determine whether the position is a strong long-term fit. COMPENSATION Compensation is based on relevant Primary Care, Family Medicine/Family Practice, or Internal Medicine experience; clinical independence; communication skills; workflow efficiency; and overall qualifications. New Graduate / Early-Career NP or PA $70–$78/hour Structured mentorship with progressive clinical independence. Established Primary Care / Family Medicine / Internal Medicine NP or PA $78–$88/hour Independently manages routine outpatient primary care while appropriately collaborating on complex cases. Experienced / Highly Independent NP or PA $88–$100+/hour Demonstrates strong clinical judgment, independence, communication, and workflow management in outpatient primary care. Compensation within these ranges is individualized based on qualifications and experience. Eligible providers may also participate in incentive programs recognizing clinical quality, preventive-care outcomes, patient experience, documentation, responsible productivity, population health, and value-based care performance. Our incentive philosophy is designed to reward excellent primary care—not simply higher visit volume. CLINICAL RESPONSIBILITIES Responsibilities include: Primary care and adult medicine visits Preventive care and annual physical examinations Medicare Annual Wellness Visits Chronic disease management Acute and same-day visits Medication management Telemedicine Ordering and interpreting laboratory and imaging studies Reviewing and communicating clinical results Care coordination and specialist referrals Patient education and shared decision-making Population-health and preventive-care initiatives Closing quality and care gaps HCC and risk-adjustment documentation Common conditions include hypertension, diabetes, hyperlipidemia, chronic kidney disease, heart failure, thyroid disorders, asthma/COPD, obesity, osteoarthritis, musculoskeletal conditions, and common outpatient acute illnesses. CLINICAL SUPPORT & EXPECTATIONS We value clinical independence, but independence does not mean practicing in isolation. Our providers have significant clinical and administrative support while remaining accountable for the quality and continuity of the care they provide. Providers are expected to: Take ownership of assigned patients and follow through Practice safely and recognize when escalation or physician input is appropriate Complete documentation promptly, with same-day completion as the goal Review and appropriately act on clinical results Maintain an organized clinical inbox Follow through on treatment and monitoring plans Communicate professionally and compassionately Collaborate effectively with physicians, APPs, MAs, and administrative staff Complete routine clinical responsibilities within scheduled hours WHO THRIVES HERE? Our strongest team members: Put patients first Enjoy Primary Care, Family Medicine, or Internal Medicine Build long-term relationships with patients Demonstrate sound clinical judgment Take ownership and follow through Communicate compassionately Are dependable and organized Work well within a team Welcome feedback and continued learning Embrace technology Value preventive medicine and population health Take pride in excellent patient care and documentation Clinicians who value quality, patient relationships, teamwork, accountability, and professional growth are likely to thrive here. QUALIFICATIONS Required Active California Nurse Practitioner (NP) or Physician Assistant (PA-C) license Appropriate national certification DEA registration or ability to obtain Current BLS certification Strongly Preferred Professional Spanish-language fluency Experience in Primary Care, Family Practice, Family Medicine, General Practice, or outpatient Internal Medicine Additional Preferred Qualifications American Sign Language (ASL) proficiency Adult medicine or Medicare experience Preventive-care and chronic disease management experience Value-based care, HCC, or population-health experience EMR/EHR and telemedicine experience Comfort #J-18808-Ljbffr