Nurse Practitioner or Physician Assistant Primary and Palliative Care

Anpex Health is seeking a Nurse Practitioner to provide comprehensive primary and palliative care services to patients in skilled nursing facilities, long-term care facilities, assisted living facilities, and community-based settings. This role focuses on managing acute, chronic, and serious illnesses while emphasizing disease management, symptom control, advance care planning, and reducing avoidable hospitalizations.

Clinical Setting

You will work with medically complex patient populations in post-acute and long-term care environments, collaborating with interdisciplinary teams including physicians, nursing staff, social workers, therapists, and hospice providers.

Responsibilities

• Provide primary and palliative care services across multiple care settings
• Perform comprehensive history and physical examinations for acute, chronic, and medically complex patients
• Assess, diagnose, and manage a wide range of medical conditions and chronic diseases
• Develop individualized care plans aligned with patient goals, values, and clinical needs
• Lead and document goals-of-care discussions, advance care planning, and code status conversations
• Facilitate completion and updates of advance directives, POLST forms, and DNR/DNI orders
• Manage pain and complex symptoms including dyspnea, nausea, anxiety, depression, agitation, and insomnia
• Prescribe and manage medications in accordance with state and federal regulations
• Review and interpret laboratory, diagnostic, and imaging results and implement appropriate interventions
• Evaluate new admissions and post-hospital discharges, including medication reconciliation and care plan development
• Identify patients who may benefit from hospice services and facilitate timely referrals
• Participate in readmission reviews and implement strategies to reduce avoidable hospitalizations
• Collaborate with interdisciplinary teams to provide holistic, goal-concordant care
• Educate patients, families, and caregivers regarding diagnoses, treatment options, prognosis, and care planning
• Document all patient encounters and clinical decisions accurately within the electronic medical record
• Maintain compliance with HIPAA, regulatory requirements, and organizational policies

Required Qualifications

• Master's or Doctorate degree in Nursing (MSN or DNP) from an accredited program
• Current and unrestricted Nurse Practitioner license
• Current DEA registration and prescriptive authority

Preferred Qualifications

• Experience in primary care, geriatrics, palliative care, hospice, family practice, internal medicine, or post-acute care
• Strong clinical assessment and diagnostic skills
• Experience managing medically complex and chronically ill patients
• Knowledge of symptom management and palliative care principles
• Excellent communication and interpersonal skills
• Ability to conduct difficult conversations regarding goals of care and advance care planning
• Strong organizational and time-management skills
• Ability to work independently while collaborating effectively with interdisciplinary teams
• Experience with EMR systems and telehealth platforms

Compensation and Benefits

• Monthly bonus opportunities through a structured incentive program
• Flexible scheduling and manageable patient volumes
• Medical, dental, and vision insurance
• 401(k)
• Unlimited CEU library
• License and certification reimbursement
• Up to 4 weeks PTO
• Malpractice insurance coverage