A
Full Time Permanent

Billings, Montana · USA job

Family Practice/Primary Care Nurse Practitioner

Avance Consulting

Billings, Montana

Job description

About the job

The company is a growing, physician-led medical group delivering high-quality care in post-acute and long-term care settings. Founded in 2021 by healthcare leaders with over 30 years of experience, we partner closely with Skilled Nursing and Long-Term Care 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 deliver timely, patient-centered care.

Position Overview

We are seeking a dedicated and compassionate Advanced Practice Provider (NP/PA) to provide comprehensive medical care to residents in Skilled Nursing and Long-Term Care facilities, along with structured telemedicine on-call coverage.

This role blends:

  • Post-acute and chronic disease care

  • Regulatory documentation and interdisciplinary collaboration

  • Overnight telemedicine support

The ideal candidate is comfortable practicing independently, managing medically complex geriatric patients, and responding confidently to urgent clinical situations.

Core Responsibilities

Skilled Nursing & Clinical Care

  • Diagnose and manage acute and chronic medical conditions

  • Develop and implement individualized care plans

  • Order and interpret diagnostic tests and labs

  • Prescribe and manage medications within scope of practice

  • Provide post-hospital follow-up care

  • Address cognitive, behavioral, and functional changes

  • Support quality initiatives aimed at reducing hospital readmissions

  • Ensure compliance with CMS and state regulations

  • Maintain timely and accurate EMR documentation

On-Call & Overnight Coverage Schedule:

  • M/T/Th/F 10Hr Shift 10pm-6am

  • Week 1: Saturday/Sunday 8 AM-10:30PM

  • Week 2: Monday/Tuesday/Friday: 6PM-8AM

  • Week 3: Wednesday/Thursday: 6PM-8AM, Saturday/Sunday 8 AM-10:30PM

  • Week 4: off

On-Call Duties Include:

  • Respond promptly to patient and facility calls

  • Assess, triage, and manage patient care needs via telemedicine

  • Order diagnostics and prescribe medications as appropriate

  • Coordinate care with facility staff and collaborating physicians

  • Document all patient interactions accurately and timely

  • Provide professional, compassionate overnight clinical support

Qualifications

Required

  • Graduate of an accredited NP or PA 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 to participate in Medicare/Medicaid programs

  • Current BLS certification

  • U.S. citizen or appropriate work authorization

Preferred

  • Experience in Skilled Nursing, Long-Term Care, Geriatrics, Internal Medicine, or Family Medicine

  • Experience in telemedicine or on-call environments

  • Knowledge of CMS and regulatory standards

  • Experience managing medically complex or post-acute patients

  • New graduates encouraged to apply

Benefits

  • Competitive compensation

  • 401(k)

  • Health, dental, and vision insurance

  • Paid time off + 8 paid vacation days (separate from PTO)

  • CME/Licensure stipend

  • Flexible scheduling options

  • Collaborative physician support

  • Meaningful impact on a vulnerable population

Why Join Us?

Practice at the top of your license in a growing, innovative medical group committed to quality, collaboration, and excellence in post-acute medicine. This role offers a balance of structured scheduling, clinical autonomy, and meaningful patient impact.

Key Skills BLS certification Post-acute and chronic disease care Skills BLS certification Post-acute and chronic disease care Job Insights

Board-certified physicians in Family Medicine and Nephrology,

Graduate of an accredited NP or Physician Assistant (PA) program

Active, unrestricted license in WA, OR, MT, or AK

BLS certification

  • Post-acute and chronic disease care

Skilled Nursing & Long-Term Care + Telemedicine On-Call

Washington Oregon Montana Alaska

Full-Time On-Call Position

M/T/Th/F 10Hr Shift 10pm-6am

Full-Time On-Call Position

Week 1: Saturday/Sunday 8 AM-10:30PM

Week 2: Monday/Tuesday/Friday: 6PM-8AM

Week 3: Wednesday/Thursday: 6PM-8AM, Saturday/Sunday 8 AM-10:30PM

Week 4: off

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