Hospital- Acute and Long-term Care - NP​/PA

We're a hospital-based practice — not a clinic or a private office. We care for medically complex patients across three settings: a long-term acute care (LTAC) hospital (our primary site and training ground), acute rehab units, and hospital backup units within area skilled nursing facilities — a specialized program our supervising physician helped pioneer for patients who are too medically complex for a standard nursing home but no longer need ICU-level care.

Our patients are often ventilator-dependent, medically fragile, and staying with us anywhere from a few weeks to a year, which means real relationships with patients and their families, not just quick visits. We're a small, tight-knit, family-run practice and it shows: several of our NPs have been with us for years, some for a decade or more. We welcome new graduates — plenty of our best long-term team members started here straight out of school, and we invest heavily in training everyone, regardless of experience level, the specific way we practice medicine.

You'll provide hospital-based medical care to a highly complex, high-acuity adult population — patients can range from med-surg-stable to critically ill on the same hallway, so the ability to shift gears constantly is essential. Every new team member, regardless of prior experience, rounds directly with our supervising physician for a minimum of 3 months before rounding independently — this is a genuinely mentorship-first practice, not a sink-or-swim one.

Twice a week, the whole care team does structured multidisciplinary rounds together (medicine, nutrition, and others at the table).

• Manage a caseload of medically complex, often ventilator-dependent patients across our LTAC and hospital backup unit sites.
• Round independently after your mentorship period, while continuing to loop in physicians and senior NPs on anything outside your comfort zone.
• Communicate extensively with patients' families — many of our patients can't advocate for themselves, so family communication is a core part of the job, not an afterthought.
• Participate in twice-weekly team rounds and respond to on-the-floor questions from nursing staff even outside your own assigned patients (this is a "whole unit is your responsibility" culture, not a "just my patients" one).
• Take phone call coverage as part of the on-call rotation (no in-person call required).
• Document thoroughly and consistently with the practice's established charting approach.
• Travel between facility sites as needed (compensated).

• Licensed (or in the process of obtaining licensure by start date) as a Family, Acute Care, or Adult-Gerontology Nurse Practitioner, or as a Physician Assistant, in Colorado.
• Genuinely coachable and willing to learn this practice's specific way of doing things, even if you're coming in with significant outside experience — this matters more than your resume.
• New graduates are welcome and encouraged to apply.
• Willing to commit to a minimum 3-month physician-supervised rounding period before practicing independently, and ideally to a 2–3 year commitment given the training investment involved.
• Comfortable working as part of a highly diverse team and serving a highly diverse patient population (varied ages, backgrounds, identities, and circumstances, including patients from correctional facilities) with respect and without judgment.
• Prior RN or clinical experience in acute/critical care or hospital settings is a plus, evaluated case-by-case toward experience requirements — not a hard prerequisite.
• DEA registration is not required to start if you are a new grad.
• Experienced NPs would be required to have a DEA license.

Every new…