Advanced Practice Provider (NP/PA)

Puzzle Healthcare is a mission-driven, national post-acute care organization focused on protecting patients during their most vulnerable moments—right after a hospital stay. As a Nurse Practitioner/Physician Assistant in Mexia, TX , you’ll provide focused care in nursing facilities helping reduce readmissions and improve recovery while enjoying autonomy, a predictable schedule, and strong team support.

This is an onsite, multi-site position supporting 2 skilled nursing facilities (SNFs) in Mexia and Groesbeck, Texas. The provider will work across all two locations based on patient and facility needs.

Flexible Schedule: Part-Time/RVU-Based, 2-3 days/week; no call, no weekends

What You’ll Do

• Round in assigned facilities on a consistent weekday daytime schedule

• Oversee daily patient interactions through timely micro visits that support focused assessments to assess recovery, manage pain, wounds, and functional decline
• Collaborate with physicians, therapists, and facility staff on individualized recovery plans

• Use Puzzle’s EHR to complete documentation (often remotely from home)

• Monitor readmission risk and help close gaps in post-acute care

• Maintain compliance with post-acute and PM&R-related regulations

What You’ll Gain

• Schedule: Weekday daytime hours only; no nights, weekends, or call

• Compensation: This position is compensated through an RVU-based productivity model. In accordance with pay transparency guidelines, the estimated hourly equivalent for this role is $60–$75 per hour, based on experience, productivity, and clinical performance. This hourly equivalent is provided for transparency purposes only and does not represent a guaranteed hourly wage.
• Benefits: Comprehensive health benefits, paid time off, professional development, and remote charting tools

• Culture: A supportive, mission-obsessed team that values collaboration, kindness, and career growth