Advanced Practice Provider (NP/PA) – Skilled Nursing Facility

Telos Health Systems • Richmond, VA

1d • Hybrid

About The Position

Telos Health Systems is seeking an experienced Nurse Practitioner (NP) or Physician Assistant (PA) to serve as an in-house SNF-ist, providing general medicine care to geriatric residents in Skilled Nursing Facilities (SNFs) and Assisted Living Facilities (ALFs). The role is intended for a clinically confident provider who values autonomy, collaboration, and making a meaningful impact in long-term care. The provider serves as a facility’s primary internal medicine provider and helps improve residents’ quality of life while reducing unnecessary hospitalizations.

The position is part-time, with work scheduled 1–2 days per week on days selected by the provider. Compensation is pay-per-encounter, fee-for-service. The posting estimates that, assuming full-time work at 75 visits per week (15 visits per day), a primary care APP could earn $120,000–$140,000 per year. The position offers W-2 employment or a 1099 arrangement. Care combines in-person work with virtual charting.

Required qualifications include an active, unencumbered Nurse Practitioner (APRN/APN) or Physician Assistant (PA-C) license in Virginia, current DEA registration, and a master’s degree from an accredited NP or PA program. Strong communication and clinical leadership skills and the ability to work effectively in a fast-paced environment are also required. At least one year of SNF or long-term care experience and experience caring for geriatric populations are preferred.

All employees, including part-time employees, may access flexible scheduling, company-provided equipment, mileage reimbursement under the travel policy, malpractice insurance, and professional development support. A $1,000 annual allowance is available for continuing education, DEA registration, and licensure reimbursement. Full-time employees working at least 30 hours per week may qualify for additional health, retirement, insurance, and paid-time-off benefits after the stated eligibility period.

Requirements

• Active, unencumbered Nurse Practitioner (APRN/APN) or Physician Assistant (PA-C) license in Virginia.
• Current DEA registration.
• Master’s degree from an accredited Nurse Practitioner or Physician Assistant program.
• Strong communication and clinical leadership skills.
• Ability to work effectively in a fast-paced environment.

Nice To Haves

• At least 1 year of experience in a Skilled Nursing Facility (SNF) or long-term care setting.
• Experience caring for geriatric populations.

Responsibilities

• Serve as the facility’s primary internal medicine provider (SNF-ist).
• Manage care for short-term rehabilitation and long-term care residents.
• Perform comprehensive health assessments, physical exams, and diagnoses.
• Manage acute and chronic conditions following established protocols.
• Prescribe medications and treatments as appropriate.
• Conduct monthly stability visits for long-term residents.
• Evaluate residents with changes in condition.
• Participate in Advanced Care Planning.
• Collaborate with interdisciplinary teams, medical directors, and attending physicians.
• Complete accurate documentation and CPT coding.
• Facilitate referrals to specialists and other healthcare providers.

Benefits

• Flexible work-life balance schedule.
• Hybrid work model combining in-person care with virtual charting.
• Company-provided Microsoft Surface Pro tablet with keyboard, case, stylus, and charger.
• Telos swag.
• Mileage reimbursement in accordance with the company travel policy, including applicable minimum mileage thresholds.
• Occurrence-based malpractice insurance with $1M/$3M coverage limits.
• $1,000 annual allowance for continuing education (CEUs), DEA registration, and licensure reimbursement.
• Additional professional development support.
• 401(k) retirement plan through Nationwide for eligible full-time employees.
• Medical and prescription coverage through Blue Cross Blue Shield for eligible full-time employees.
• Dental insurance through UnitedHealthcare for eligible full-time employees.
• Vision insurance through UnitedHealthcare for eligible full-time employees.
• Life and AD&D insurance through Aflac for eligible full-time employees.
• Short-term disability insurance through Aflac for eligible full-time employees.
• Accident insurance through Aflac for eligible full-time employees.
• Hospital indemnity coverage through Aflac for eligible full-time employees.
• Critical illness coverage through Aflac for eligible full-time employees.
• Voluntary life insurance (term or whole life options) through Aflac for eligible full-time employees.
• Paid time off for eligible full-time employees: 15 days during the first and second years, with increases in subsequent years.
• Six paid holidays for eligible full-time employees: New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day.

What This Job Offers

• Job Type: Part-time