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 prior to 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 facilitiesClinic coverage as needed (Pasadena, Clear Lake,and Texas City)Local travel between facilities and practice locations as requiredMondayFriday schedule with occasional weekend availability depending on business needsKey Responsibilities
Clinical Care & Rounding
Conduct comprehensive patient rounding at designated SNF and LTAC facilitiesPerform thorough histories, physical exams, and pain assessmentsDevelop and manage pain treatment plans in collaboration with the supervising physicianOrder / interpret diagnostic tests and adjust medications as appropriateEvaluate therapy response and document progressProvide palliative and chronic pain management services as clinically indicatedGreenlight Visit Responsibilities
Complete pre-procedure or medication authorization readiness visitsEnsure charts meet documentation standards for medical necessityVerify compliance with opioid and controlled substance regulations (including PMP checks)Confirm all required imaging, labs, and prior therapy documentation are in placeCommunicate findings efficiently with providers, authorization teams, and schedulersProvider Coverage
Serve as coverage for scheduled PTO, CME leave, and occasional unplanned provider absencesAbility to work across multiple clinic locations as assignedMaintain flexible availability to support business continuityCare Coordination & Compliance
Collaborate with SNF / LTAC interdisciplinary teams to optimize pain plansCommunicate proactively with facility medical staff and families as neededEnsure documentation meets CMS, state regulatory, and practice standardsParticipate in quality assurance, compliance reviews, and risk-reduction protocolsTeamwork & Professionalism
Model a compassionate, patient-first cultureBuild strong partnerships with facility staff and internal practice teamsParticipate in staff meetings, case reviews, and ongoing provider educationMaintain confidentiality and adhere to HIPAA and practice policiesQualifications
Masters degree or higher in Nursing (NP) or Physician Assistant Studies (PA)Current Texas licensure as NP or PA-CActive DEA registration (or ability to obtain)Board certification (PMHNP, FNP, AGACNP, or PA-C)Pain management or geriatrics experience preferredValid drivers license and ability to travel to multiple locationsSkills & Competencies
Strong clinical judgment and critical thinking abilitiesExcellent communication and patient-family relationship skillsComfort managing complex chronic pain patients in post-acute care settingsEfficient and accurate EMR documentation skillsAbility to work independently across practice and facility environmentsFlexible, adaptable, and calm under pressureStrong understanding of opioid stewardship and regulatory compliancePhysical Requirements
Ability to stand, walk, and move between facilities frequentlyWhy Youll Love Working Here
We believe in supporting our teamboth 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 rowa reflection of our commitment to a positive and rewarding work environment.
Our Benefits Include :
Comprehensive medical, dental, and vision insuranceCompany-paid basic life and long-term disability coverageVoluntary benefits, including short-term disability, accident, and critical illness insurance401(k) retirement plan to help you plan for the futureGenerous Paid Time Off (20 days annually)9 paid company holidays each yearOn-demand access to earned wagesget paid when you need itConfidential support services for you and your familyExclusive 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 youre looking for a meaningful career with a company that puts people first, wed love to hear from you.