Advanced Practice Provider

Advanced Practice Provider (NP/ARNP)

Skilled Nursing & Long-Term Care

Washington | Oregon | Montana | Alaska

Full-Time | Day Shift

About Pacific Medical Specialty Group

Pacific Medical Specialty Group, LLC is a growing, physician-led medical group delivering high-quality care in post-acute and long-term care settings. Founded in 2021 by healthcare professionals with over 30 years of experience, we partner closely with facilities to elevate care standards, improve outcomes, and reduce hospital readmissions.

Our multispecialty team includes board-certified physicians in Family Medicine and Nephrology, working collaboratively with Advanced Practice Providers to serve medically complex and geriatric populations.

We value respect, integrity, collaboration, loyalty, dignity, and selfless service — and we live those values daily.

Position Overview

We are seeking a compassionate and clinically strong Advanced Practice Provider (NP/ARNP) to provide comprehensive medical care to residents in Skilled Nursing and Long-Term Care facilities across WA, OR, MT, and AK.

This role is ideal for a provider who:

• Is comfortable managing medically complex patients
• Enjoys practicing with autonomy while collaborating with physicians
• Is passionate about geriatric and post-acute medicine
• Thrives in a multidisciplinary environment

Key Responsibilities

Clinical Care

• Perform comprehensive history and physical examinations
• Evaluate, diagnose, and manage acute and chronic conditions
• Develop individualized treatment plans
• Order and interpret diagnostic tests and labs
• Prescribe medications and therapies within scope of practice
• Provide post-hospital follow-up care
• Address cognitive, behavioral, and functional changes
• Educate patients and families on treatment plans

Skilled Nursing & Regulatory

• Complete admission assessments and required documentation
• Conduct routine and medically necessary follow-up visits
• Participate in interdisciplinary care plan meetings
• Support initiatives to reduce hospital readmissions
• Ensure compliance with CMS and state regulations
• Maintain accurate and timely EMR documentation (labs signed same day received)

Collaboration

• Work closely with assigned collaborating physician
• Partner with nursing, therapy, and facility teams
• Communicate effectively with families and caregivers
• Participate in multidisciplinary patient management

Qualifications

Required

• Graduate of an accredited NP/ARNP program
• Active, unrestricted license in WA, OR, MT, or AK
• National board certification (or board eligible by start date)
• DEA registration and prescriptive authority
• NPI number
• Eligible for Medicare/Medicaid participation
• Current BLS certification
• U.S. citizen or appropriate work authorization

Preferred

• Experience in Skilled Nursing, Long-Term Care, Geriatrics, Internal Medicine, or Family Medicine
• Knowledge of CMS guidelines and regulatory standards
• Experience managing complex chronic conditions
• New graduates encouraged to apply

Benefits

• Competitive compensation
• 401(k)
• Health, dental & vision insurance
• Paid time off + 8 paid vacation days (separate from PTO)
• CME/Licensure stipend
• Flexible scheduling
• Supportive, collaborative clinical environment
• Meaningful impact on a vulnerable population

Why Join Us?

Practice at the top of your license while making a measurable difference in post-acute and long-term care. Join a growing, innovative medical group committed to clinical excellence, teamwork, and professional growth.