Nurse Practitioner (LTC Rounding)

Principle Health Systems•League City, TX

10d•$150,000 - $200,000

About The Position

The Advanced Practice Provider (APP) will deliver high-quality, patient-centered pain management services across skilled nursing facilities (SNFs), long-term acute care hospitals (LTACs), and clinic locations. This role includes routine patient rounding in post-acute settings, providing provider coverage during PTO/leave, and performing specialized “Greenlight” visits to ensure accuracy, compliance, and optimization of patient care plans before procedures or medication coordination. The APP will collaborate closely with physicians, clinical staff, facility teams, and administrative teams to ensure timely, compassionate, and compliant delivery of pain management services.

Requirements

Master’s degree or higher in Nursing (NP) or Physician Assistant Studies (PA)
Current Texas licensure as NP or PA-C
Active DEA registration (or ability to obtain)
Board certification (PMHNP, FNP, AGACNP, or PA-C)
Valid driver’s license and ability to travel to multiple locations
Strong clinical judgment and critical thinking abilities
Excellent communication and patient-family relationship skills
Comfort managing complex chronic pain patients in post-acute care settings
Efficient and accurate EMR documentation skills
Ability to work independently across practice and facility environments
Flexible, adaptable, and calm under pressure
Strong understanding of opioid stewardship and regulatory compliance
Ability to stand, walk, and move between facilities frequently

Nice To Haves

Pain management or geriatrics experience preferred

Responsibilities

Conduct comprehensive patient rounding at designated SNF and LTAC facilities
Perform thorough histories, physical exams, and pain assessments
Develop and manage pain treatment plans in collaboration with the supervising physician
Order/interpret diagnostic tests and adjust medications as appropriate
Evaluate therapy response and document progress
Provide palliative and chronic pain management services as clinically indicated
Complete pre-procedure or medication authorization readiness visits
Ensure charts meet documentation standards for medical necessity
Verify compliance with opioid and controlled substance regulations (including PMP checks)
Confirm all required imaging, labs, and prior therapy documentation are in place
Communicate findings efficiently with providers, authorization teams, and schedulers
Serve as coverage for scheduled PTO, CME leave, and occasional unplanned provider absences
Ability to work across multiple clinic locations as assigned
Maintain flexible availability to support business continuity
Collaborate with SNF/LTAC interdisciplinary teams to optimize pain plans
Communicate proactively with facility medical staff and families as needed
Ensure documentation meets CMS, state regulatory, and practice standards
Participate in quality assurance, compliance reviews, and risk-reduction protocols
Model a compassionate, patient-first culture
Build strong partnerships with facility staff and internal practice teams
Participate in staff meetings, case reviews, and ongoing provider education
Maintain confidentiality and adhere to HIPAA and practice policies

Benefits

Health, vision, dentals, 4 weeks PTO, 9 paid holidays, matching 401k plan, short-term/long-term disability, life insurance, and Continuing Medical Education (CME)/licensure/membership/credentials reimbursement.
Opportunity for professional advancement, growth, and mentorship
Comprehensive medical, dental, and vision insurance
Company-paid basic life and long-term disability coverage
Voluntary benefits, including short-term disability, accident, and critical illness insurance
401(k) retirement plan to help you plan for the future
Generous Paid Time Off (20 days annually)
9 paid company holidays each year
On-demand access to earned wages—get paid when you need it
Confidential support services for you and your family
Exclusive employee discounts on fitness memberships, car services, and more!