Position Overview Medix is partnering with a leading national healthcare provider to find a dedicated, autonomous Nurse Practitioner to join their national after-hours care team. This is a fully remote, work-from-home position responsible for delivering telephonic and virtual care to residents in senior living and skilled nursing facilities during evenings, nights, weekends, and holidays.
In this role, you will serve as a key clinical resource, providing timely medical guidance and support to both residents and facility staff. You will play a critical role in managing acute concerns, reducing unnecessary hospital transfers, and ensuring continuity of care outside of standard business hours. This position requires comfort with moderate to high call volumes, independent decision-making, and conducting telehealth evaluations.
Compensation
Key Responsibilities
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Serve as the first line after-hours clinical support to aging residents and facility staff via phone and telehealth platforms.
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Assess and manage acute changes in condition, falls, chronic illness exacerbations, and behavioral health concerns.
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Conduct virtual assessments (comprising approximately 30% of visits) and provide direction on next steps, safely treating patients in place when appropriate.
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Coordinate care across settings, including direct communication with facilities, hospitals, and outpatient providers.
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Perform comprehensive assessments and thoroughly document all encounters in the electronic medical record (GEHRIMED) in compliance with regulatory and CMS standards.
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Comfortably handle an average of 4–5 calls per hour, utilizing internal nursing triage support to prioritize urgent concerns.
Schedule and Availability
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Part-time commitment of approximately 24 hours per week with a consistent, set schedule.
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Coverage windows include weeknights (5:00 PM – 8:00 AM) and continuous weekend coverage (Friday at 5:00 PM to Monday at 8:00 AM).
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Rotational weekend coverage: Shift options generally consist of 12-hour shifts (6:00 AM – 6:00 PM or 9:00 AM – 9:00 PM) every other weekend.
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Weeknight shifts typically run from 6:00 PM – 12:00 AM or 6:00 PM – 6:00 AM as needed.
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Holiday coverage rotation is required, consisting of two 12-hour holiday shifts per year scheduled in advance.
Required Qualifications
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Master’s degree from an accredited Nurse Practitioner program.
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National board certification as an Adult Nurse Practitioner (ANP), Family Nurse Practitioner (FNP), or Gerontological Nurse Practitioner (GNP).
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Minimum of 3 years of clinical experience practicing as a Nurse Practitioner (new graduates cannot be considered).
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Active, unrestricted Nurse Practitioner license in Iowa (IA), Missouri (MO), and Kansas (KS) at the time of application, with a willingness to obtain additional state licenses as needed.
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Active DEA licensure and prescriptive authority to manage controlled substances.
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Demonstrated experience managing acute and chronic conditions in adult or geriatric populations.
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High proficiency with electronic medical records (EMR) and strong independent clinical decision-making skills.
Preferred Qualifications
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Prior experience working in skilled nursing facilities, long-term care, senior living, urgent care, or emergency medicine environments.
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Deep understanding of geriatric care, chronic disease management, advanced illness care, and end-of-life discussions.
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Experience with telehealth or telephonic clinical triage.
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Adaptable, resilient communication skills with the ability to build rapport with remote interdisciplinary teams and facility staff under time pressure.
*We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
*As a job position within our Allied division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: providing direct patient care, accessing medical and confidential records, accessing and administering prescription medication or other drugs, working within a clinical setting, handling sharp instruments, conducting medical procedures, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
