Family Nurse Practitioner

Nurse Practitioner

Transhealth is an independent and comprehensive healthcare center dedicated to empowering and uplifting trans and gender-diverse individuals and families. Located in Western Massachusetts and led by trans and gender-diverse professionals, we are redefining what compassionate, gender-affirming healthcare looks like. Through expert care, community support, education, and advocacy, we're creating a future where every trans and gender-diverse person feels celebrated and in control of their healthcare journey. Be part of a team that honors the resilience of our community and works to transform the worldone step, one story, and one life at a time.

Transhealth is committed to fostering a diverse and inclusive workplace. We strongly encourage applications from individuals of all backgrounds, including trans, LGBTQIA+ and BIPOC communities, and are an equal opportunity employer.

Competitive benefits including low cost health and dental plans with employer-paid HSA covering 100% of deductible; generous paid time off and sick leave policies. We prioritize patient-centered care by offering 30 to 60-minute appointment times, giving our providers the opportunity to build deeper connections with patients and minimize time charting outside of work hours. Full support team of wonderful medical assistants, nurses, and an integrated psychiatric prescriber. Patient panel size far smaller than national average. Flexible scheduling including options for in person and hybrid appointments. No overnight or weekend work except one week of on-call every 5 weeks supported by external nurse triage service so providers average 1-2 calls [compensated] during the course of the week.

The Nurse Practitioner role is a clinical role within the Primary Care department. Applicants must include an updated resume and cover letter detailing three years or more experience providing primary care, as well as any experience providing gender affirming care.

This position is: Salaried, Full time, Hybrid, Monday thru Friday [dayshift], and Unionized [UAW Local 2322]. NOTE: This position currently involves some remote work including conducting telehealth visits with patients. Typically providers spend at least 60% of their patient-facing clinical time in person. Remote work hours and duties are subject to change based on patient demand, federal and state changes to work regulations, and payor reimbursement guidelines.

Objectives & Responsibilities

Clinical Duties (70%):

Provide primary care to patients including management of chronic disease and episodic care. Collaborate with integrated behavioral health treatment interventions as needed. All primary care providers are expected to provide gender-affirming care, including hormone provision, as part of our integrated care approach. Other duties as assigned.

Administrative Duties (30%):

Complete medical record documentation, billing, prior authorization/ referral documentation, community or educational engagement and staff meetings.

LICENSURE, QUALIFICATIONS & EXPERIENCE NOTES:

Nurse Practitioner (NP)

Licensure & Certification:

Must be licensed as an Advanced Practice Registered Nurse (APRN) by the Massachusetts Board of Registration in Nursing. Must hold an RN license in Massachusetts. Must graduate from an accredited nurse practitioner program (Master's or Doctorate in Nursing). Must be board-certified as a Family Nurse Practitioner (FNP) or Adult Gerontology Nurse Practitioner (AGNP) by American Association of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC). Requires DEA registration to prescribe controlled substances. Requires Massachusetts Controlled Substance Registration (MCSR). Can practice independently in Massachusetts (does not require a physician agreement).

Experience & Qualifications:

3+ years prior experience in family medicine or primary care required. 3+ years prior experience with gender-affirming hormone therapy is preferred. Strong skills in patient-centered, affirming care required. Completion of continuing education (CE) in transgender healthcare (e.g., WPATH, Fenway Institute training) is a plus. Must be trained in inclusive, culturally competent care. Strong understanding of hormone therapy protocols, lab monitoring, and patient-centered care for transgender and non-binary patients.