Nurse Practitioner (LTC Rounding)

Advanced Practice Provider – Pain Management (Nurse Practitioner OR Physician Assistant)

Location: Multi-site Pain Management Practice (SNF/LTAC + Clinic Coverage)
Reports To: Medical Director / Practice Administrator
Position Type: Full-Time

Position Summary

The Advanced Practice Provider (APP) will deliver high-quality, patient-centered pain management services across skilled nursing facilities (SNFs), long-term acute care hospitals (LTACs), and clinic locations. This role includes routine patient rounding in post-acute settings, providing provider coverage during PTO/leave, and performing specialized “Greenlight” visits to ensure accuracy, compliance, and optimization of patient care plans before procedures or medication coordination.

The APP will collaborate closely with physicians, clinical staff, facility teams, and administrative teams to ensure timely, compassionate, and compliant delivery of pain management services.

Compensation & Benefits

• $150,000-$200,000/year or more! (variable compensation plan based on production.) 
• Health, vision, dentals, 4 weeks PTO, 9 paid holidays, matching 401k plan, short-term/long-term disability, life insurance, and Continuing Medical Education (CME)/licensure/membership/credentials reimbursement.
• Opportunity for professional advancement, growth, and mentorship

Schedule & Work Environment

• Rounding at SNF/LTAC facilities
• Clinic coverage as needed (Pasadena, Clear Lake,and Texas City)
• Local travel between facilities and practice locations as required
• Monday–Friday schedule with occasional weekend availability depending on business needs

Key Responsibilities

Clinical Care & Rounding

• Conduct comprehensive patient rounding at designated SNF and LTAC facilities
• Perform thorough histories, physical exams, and pain assessments
• Develop and manage pain treatment plans in collaboration with the supervising physician
• Order/interpret diagnostic tests and adjust medications as appropriate
• Evaluate therapy response and document progress
• Provide palliative and chronic pain management services as clinically indicated

Greenlight Visit Responsibilities

• Complete pre-procedure or medication authorization readiness visits
• Ensure charts meet documentation standards for medical necessity
• Verify compliance with opioid and controlled substance regulations (including PMP checks)
• Confirm all required imaging, labs, and prior therapy documentation are in place
• Communicate findings efficiently with providers, authorization teams, and schedulers

Provider Coverage

• Serve as coverage for scheduled PTO, CME leave, and occasional unplanned provider absences
• Ability to work across multiple clinic locations as assigned
• Maintain flexible availability to support business continuity

Care Coordination & Compliance

• Collaborate with SNF/LTAC interdisciplinary teams to optimize pain plans
• Communicate proactively with facility medical staff and families as needed
• Ensure documentation meets CMS, state regulatory, and practice standards
• Participate in quality assurance, compliance reviews, and risk-reduction protocols

Teamwork & Professionalism

• Model a compassionate, patient-first culture
• Build strong partnerships with facility staff and internal practice teams
• Participate in staff meetings, case reviews, and ongoing provider education
• Maintain confidentiality and adhere to HIPAA and practice policies

Qualifications

• Master’s degree or higher in Nursing (NP) or Physician Assistant Studies (PA)
• Current Texas licensure as NP or PA-C
• Active DEA registration (or ability to obtain)
• Board certification (PMHNP, FNP, AGACNP, or PA-C)
• Pain management or geriatrics experience preferred
• Valid driver’s license and ability to travel to multiple locations

Skills & Competencies

• Strong clinical judgment and critical thinking abilities
• Excellent communication and patient-family relationship skills
• Comfort managing complex chronic pain patients in post-acute care settings
• Efficient and accurate EMR documentation skills
• Ability to work independently across practice and facility environments
• Flexible, adaptable, and calm under pressure
• Strong understanding of opioid stewardship and regulatory compliance

Physical Requirements

• Ability to stand, walk, and move between facilities frequently

Why You’ll Love Working Here
We believe in supporting our team—both on the job and in life. Full-time employees enjoy a well-rounded benefits package designed to support your health, financial security, and overall well-being.

Principle Health Systems has earned multiple Top Workplaces honors, including national recognition as a Top Workplace in the USA and being named a Top Workplace in the Healthcare Industry for three years in a row—a reflection of our commitment to a positive and rewarding work environment.

Our Benefits Include:

• Comprehensive medical, dental, and vision insurance
• Company-paid basic life and long-term disability coverage
• Voluntary benefits, including short-term disability, accident, and critical illness insurance
• 401(k) retirement plan to help you plan for the future
• Generous Paid Time Off (20 days annually)
• 9 paid company holidays each year
• On-demand access to earned wages—get paid when you need it
• Confidential support services for you and your family
• Exclusive employee discounts on fitness memberships, car services, and more!

Ready to Make an Impact?
 Join a team that values your contribution, supports your growth, and is committed to delivering exceptional patient care. If you’re looking for a meaningful career with a company that puts people first, we’d love to hear from you.