NP/PA – Skilled Nursing Facility

Telos Health Systems•Asheville, NC

4d•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 suited to a clinically confident provider who values autonomy, collaboration, and improving quality of life in long-term care while reducing unnecessary hospitalizations. The provider serves as the facility’s primary internal medicine provider, managing short-term rehabilitation and long-term care residents. The position offers flexible scheduling and pay-per-encounter, fee-for-service compensation as a W-2 employee. The work combines in-person care with virtual charting. Full-time employees working at least 30 hours per week may access the listed full-time benefits after the stated eligibility period.

Requirements

Active, unencumbered Nurse Practitioner (APRN/APN) or Physician Assistant (PA-C) license in North Carolina.
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 according to 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 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.
Voluntary benefits through Aflac, including life and AD&D insurance, short-term disability insurance, accident insurance, hospital indemnity coverage, critical illness coverage, and voluntary term or whole life insurance.
Paid time off: 15 days during the first and second years, with increases in subsequent years, for eligible full-time employees.
Six paid holidays for eligible full-time employees: New Year’s Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, and Christmas Day.