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Avance Consulting

Family Practice/Primary Care Nurse Practitioner

billings, MT

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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

Worksite address

billings, MT, 59101, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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