Lead Outpatient Palliative Care Nurse Practitioner or Physician Assistant - Middlesex & Monmouth, NJ

Job Description

Job Description

Coverage area: Middlesex County - Old Bridge (08857) and East Brunswick; Monmouth County - Holmdel, Shrewsbury, Long Branch, Neptune and Wall.

Lead and grow a palliative care APP team — while maintaining meaningful clinical practice and protected leadership time as the team grows.

Base salary $160,000–$190,000/year plus annual performance bonus up to $25,000. This is a clinical leadership role with protected leadership time, not a full staff caseload with management layered on top. Direct patient load is calibrated to team size, creating real capacity to lead.

Setting · License: Outpatient – SNF & community, Middlesex & Monmouth NJ · New Jersey NP or PA license required

About us & the role:

NJ Palliative Care Solutions is on a mission to deliver palliative care without walls across New Jersey, partnering with skilled nursing facilities, home-based providers, and leading health systems. We are hiring a Lead Advanced Practice Provider (NP/PA) to guide Nurse Practitioners and Physician Assistants delivering outpatient and SNF palliative care across Middlesex & Monmouth. The role combines direct patient care, APP mentoring, quality oversight, documentation standards, and practical program-building.

Leadership model:

• A clinical leadership role with protected leadership time.

• May be mostly clinical at launch; as the team grows, direct patient load decreases to create capacity for APP onboarding, shadowing, 1:1 mentorship, case and chart review, clinical escalation, referral relationship management, and performance improvement.

• Visibly different from a staff APP role: the Lead helps set standards, strengthen execution, and improve the team’s quality, productivity, and consistency.

Why you’ll want this role:

• Real ownership: shape clinical standards, mentor APPs, and help build the program.

• Protected leadership time, with the operational and clinical support to use it well.

• Data-guided mentorship and a collaborative interdisciplinary team behind you.

• Academic pathways, CME, and a clear path to grow your leadership.

• Primarily a Monday–Friday schedule with flexibility to swap workdays.

What you’ll do:

• Provide day-to-day leadership, mentoring, and clinical support to NPs and PAs.

• Carry a focused clinical caseload calibrated to team size — performing at the top of your license with best-practice, holistic, patient-centered, evidence-based interdisciplinary palliative medicine.

• Provide palliative care consultations and follow-up visits across skilled nursing settings, including short-stay subacute/rehab patients with recent hospitalizations, high symptom burden, or complex goals-of-care needs, as well as ongoing management of long-term care residents.

• Lead goals-of-care and advance care planning conversations with patients and families, coordinating with partner home health and/or hospice agencies if and when appropriate.

• Promote evidence-based standards, quality, and consistent documentation across the team, shaping the palliative medicine practice across the region’s facilities.

• Support transition planning across the SNF stay – from admission after hospitalization through discharge home, return to long-term care, rehospitalization decisions, hospice transition, or other next-site-of-care planning.

• Support onboarding, shadowing, case review, quality review, and escalation workflows.

• Build referral relationships and represent NJPCS with SNFs and community organizations.

• Support local and regional coverage planning across Middlesex & Monmouth, with mileage reimbursement and clinical/EMR support.

What you bring:

• Active New Jersey NP or PA license and national board certification.

• DEA + CDS registration, or ability to obtain by start date.

• 5+ years across palliative care, hospice, geriatrics, oncology, internal/family/hospital medicine, SNF/LTC, or complex chronic care; palliative experience preferred.

• 1–2+ years of leadership, mentoring, precepting, team lead, or supervisory experience.

• Palliative care certification (e.g., ACHPN / CHPN) preferred.

• Strong communication, clinical judgment, operational follow-through, and interdisciplinary collaboration.

Compensation & total rewards:

• Competitive base salary: $160,000–$190,000/year.

• Annual performance bonus up to $25,000, rewarding both productivity (RVUs) and quality of care.

• 28 days of paid time off your first year, growing to 33 days at 2 years, in one flexible bank.

• Malpractice & professional liability ($1M / $3M), license & DEA renewals, up to $1,000/year CME, up to $2,000 tuition reimbursement.

• Medical via Cigna PPO, including a $0/month employee-only option, plus dental, vision, and an HSA.

• Short- and long-term disability, voluntary life & AD&D, and accident / critical-illness / hospital coverage.

• 401(k) retirement plan, plus pre-tax FSA, dependent-care FSA, HSA, and commuter benefits.

• 24/7 Employee Assistance Program, identity-theft protection, legal plan, pet benefits, and member discounts.

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