Post-Acute Nurse Practitioner

Multi-Specialty Circuit Care | Long-Term Care SettingsCompensation - OTE around $150,000Position SummaryThe Post-Acute Nurse Practitioner (NP) serves as a front-line clinician within a multi-specialty circuit care model delivering on-site services to residents of long-term care (LTC) and skilled nursing facilities (SNFs). This role is uniquely structured to provide comprehensive specialty-adjacent screening and assessment across four disciplines: Optometry, Audiology, Dental, and Podiatry. Not all states have all services at this time. The NP operates as an embedded clinician within a circuit-based care delivery structure and functions under the collaboration and supervision of a licensed Podiatrist, consistent with applicable state practice requirements.This position requires a clinician who is adaptable, self-directed, and skilled at delivering high-quality patient care across specialty domains in a facility-based environment. The NP does not independently practice as a specialist in any of the four disciplines but performs assessments, screenings, care coordination, and clinical documentation that enable appropriate specialist review and follow-through.Key ResponsibilitiesCircuit-Based Patient AssessmentConduct scheduled on-site visits to assigned LTC and SNF facilities in accordance with circuit rotation schedulePerform initial and follow-up patient assessments across four specialty domains: Optometry, Audiology, Dental, and PodiatryIdentify and document clinical findings that require specialist escalation, intervention, or follow-up ordersCoordinate with facility nursing staff and care teams prior to and following each patient encounterManage patient caseloads efficiently within each facility visit window while maintaining documentation accuracy and clinical integrityOptometry AssessmentsAdminister standardized vision screening protocols including visual acuity, peripheral vision, and contrast sensitivity assessmentsIdentify signs of common ocular conditions such as cataracts, macular degeneration, glaucoma risk indicators, and diabetic retinopathyDocument findings and facilitate referrals to supervising or affiliated optometrists for diagnostic confirmation and treatmentReview existing ocular history and coordinate with facility care teams regarding fall risk, low vision accommodations, and corrective lens statusAudiology AssessmentsConduct audiometric screenings and otoscopic examinations to assess hearing acuity and ear canal healthIdentify indicators of conductive or sensorineural hearing loss, cerumen impaction, and external ear pathologyDocument audiological findings and facilitate referrals for comprehensive audiological evaluation where warrantedCollaborate with facility staff regarding hearing aid management, communication accommodations, and audiological follow-up complianceDental AssessmentsIdentify signs of periodontal disease, oral lesions, dental decay, ill-fitting prosthetics, and oral infectionDocument oral health findings and coordinate dental referrals for treatment and follow-upSupport facility teams in oral hygiene care planning and patient-specific dental risk documentationPerform oral health screenings including examination of dentition, gingival tissue, oral mucosa, and prosthetics (dentures/partials)Podiatry AssessmentsPerform lower extremity assessments including evaluation of skin integrity, nail pathology, vascular status, and neuropathic indicatorsConduct diabetic foot screenings in accordance with evidence-based protocols and wound staging documentationIdentify and document conditions including onychomycosis, calluses, ulcerations, Charcot foot risk, and peripheral vascular disease indicatorsOperate under direct collaboration with the supervising licensed Podiatrist, escalating clinical findings and co-managing complex cases as directedSupport the supervising Podiatrist with patient documentation, care plan notes, and follow-up scheduling for podiatric interventionsClinical Documentation and ComplianceComplete accurate, timely clinical documentation in compliance with applicable state and federal regulations and facility-specific requirementsMaintain HIPAA-compliant records and adhere to facility-specific electronic health record (EHR) protocolsParticipate in quality assurance, audit, and reporting processes as required by the clinical operations leadershipEnsure all collaborative practice requirements and supervision protocols are documented and maintained in accordance with state NP practice lawsSUPERVISION AND COLLABORATIVE PRACTICEThis position operates under the clinical oversight and collaborative practice agreement of a licensed Podiatrist. The Podiatrist serves as the primary supervising provider for purposes of state NP practice compliance and assumes collaborative responsibility for clinical decisions within the scope of podiatric care. The NP is expected to: documentation as required by the state(s) of practiceEngage in regular case review and clinical consultation with the supervising PodiatristEscalate clinical findings that exceed independent NP scope or require specialist-level interventionAdhere to all practice protocols, clinical standards, and operational policies established by the supervising Podiatrist and organizational leadershipMaintain an active and current Collaborative Practice Agreement (CPA) or equivalent supervisory when applicableQualificationsRequiredActive, unrestricted Nurse Practitioner licensure in the applicable state(s) of practiceMaster of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) from an accredited programCurrent national NP certification (ANCC or AANP)Minimum of 2 years of clinical NP experience; experience in geriatrics, LTC, or SNF settings strongly preferredCurrent BLS/CPR certificationValid driver's license and reliable transportation for circuit-based travelProficiency with electronic health record platforms and clinical documentation toolsPreferredExperience in one or more of the specialty domains: podiatric care, oral health, audiology, or ophthalmology/optometryFamiliarity with MDS, UB-04 billing, and LTC regulatory frameworks (OBRA, CMS Conditions of Participation)Experience working under a collaborative practice agreement with a physician or podiatristBilingual or multilingual clinical communication skillsCORE COMPETENCIESClinical adaptability across multi-specialty assessment domainsStrong autonomous judgment balanced with appropriate escalation and consultationOrganized, efficient time management within high-volume circuit-based visit structuresClear, professional communication with patients, facility staff, and supervising providersCommitment to geriatric patient dignity, cultural sensitivity, and person-centered careAccountability for documentation accuracy and regulatory compliancePhysical RequirementsThis role requires the ability to travel between facilities, stand and move throughout patient care environments for extended periods, and perform hands-on clinical assessments. The NP must be able to transport clinical equipment as needed and work within the physical constraints of skilled nursing and long-term care environments.This organization is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.