Primary Care APP - Nurse Practitioner or Physician Assistant

Frontier Direct, LLC • McAllen, TX

3d

About The Position

Frontier Direct Care delivers direct primary care (DPC) to employer-sponsored patient populations. Providers manage a defined patient panel with an emphasis on continuity, preventive care, and chronic disease management, using lower daily patient volumes and longer visit times than traditional fee-for-service primary care.

The Primary Care APP serves as the primary clinician, providing patient support, treatment, and management. This is a full-scope, hands-on primary care role involving chronic disease management, in-office procedures, and long-term patient relationships. Visits are conducted in person, by phone, and by secure text or video, and typically last 30 minutes to one hour depending on patient need. The clinician works with an assigned Medical Assistant and under a collaborating or delegating physician in accordance with Texas Medical Board supervision requirements. The role includes 24/7/365 on-call access for patient communication using a company-provided secure line.

Requirements

• Active, unencumbered Texas licensure as a PA (NCCPA-certified) or APRN-FNP (national board certified).
• At least 2 years of post-graduate experience as a Family Nurse Practitioner or Physician Assistant in family practice or primary care.
• Demonstrated experience managing patients across the lifespan, from pediatric through geriatric.
• Hands-on experience performing I&Ds, suturing and suture removal, skin biopsies, IV placement, and men's and women's health exams.
• Active, unrestricted DEA registration, or ability to obtain it before starting.
• Current BLS certification, or ability to obtain it within 30 days of employment.
• Proficiency with electronic medical records and scheduling software.

Nice To Haves

• Prior experience in direct primary care, concierge medicine, or an employer-sponsored clinic model.
• Bilingual in English and Spanish.
• Experience owning or managing a patient panel with full clinical autonomy.
• Multistate licensure or telehealth experience.
• Comfort with a lower-volume, higher-touch practice model rather than high-throughput fee-for-service care.

Responsibilities

• Provide longitudinal primary care, including chronic disease management, preventive care, and acute visits.
• Perform in-office procedures, including incision and drainage, suturing and suture removal, skin biopsies, and men's and women's health exams.
• Conduct visits in person, by phone, and by secure text or video, with typical visit lengths of 30 minutes to one hour depending on patient need.
• Diagnose and manage chronic conditions such as diabetes, hypertension, and hyperlipidemia.
• Coordinate daily patient care and task delegation with an assigned Medical Assistant.
• Document all visits and maintain patient records in the EHR.
• Maintain 24/7/365 on-call access for patient communication through a company-provided secure line.
• Work under a collaborating or delegating physician in accordance with Texas Medical Board supervision requirements.
• Participate in weekly team meetings, 1:1s, and other clinical meetings as requested or required.

Benefits

• Medical, dental, and vision insurance.
• Frontier Membership for the employee and immediate family.
• Voluntary short-term disability, long-term disability, life insurance, and other supplemental insurance.
• 401(k) plan.
• Access to financial wellness platforms, financial advisors, and personal finance tools.
• Flexible paid time off; team members take an average of 20 days per year, including up to 5 unplanned days off per year.
• 9 company holidays per year.
• Parental leave policies.
• $1,500 per year toward professional development.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed