Family Nurse Practitioner; FNP

Job Summary

Premise’s mission is to help people get, stay, and be well. As a Full‑Time Family Nurse Practitioner (FNP) in Elko, NV, you will provide comprehensive primary care to client employees and their dependents in our Health Center, supporting a Walk‑In/Acute Care service line.

Rotating 4x10 shifts: 8:00 am – 7:00 pm (Monday–Thursday and Tuesday–Friday) with 1–2 weekends per month (Saturday & Sunday, 8:00 am – 2:00 pm).

Base pay: $ – $ per year. $10,000 sign‑on bonus.

Benefits include medical, dental, vision, life and disability insurance; 401(k) with employer match; paid holidays and vacation; a company‑sponsored wellness program;
Employee Assistance Program (EAP); and virtual primary and behavioral health services at no cost for team members and dependents.

• Conduct physical exams and preventive health measures per guidelines
• Perform procedures such as injections, suturing, wound care, and infection management
• Develop patient care plans, record progress, and ensure continuity of care
• Educate patients on treatment plans, health maintenance, and development
• Order and interpret diagnostic tests to assess clinical conditions
• Collaborate with physicians and healthcare teams for comprehensive care
• Prescribe or recommend treatments, including medications and therapies
• Refer patients to specialists or physicians as needed
• Maintain accurate patient health records and documentation
• Educate and coach nursing staff on best practices
• Perform other duties as assigned

• Maintain state RN license(s) and Nurse Practitioner license(s) to practice
• Maintain state prescriptive authority (if applicable)
• Federal DEA license matching each state of practice
• State narcotic/controlled substance license, if required (list of applicable states)
• Current national certification (ANCC or AANP required)
• Master’s Degree in Nursing Science, or equivalently certified if not clearly stated; transcripts may be required
• Current hands‑on training in AHA, ARC, or equivalent Basic Life Support;
  Advanced Cardiac Life Support may also be required
• At least three years of clinical experience as a Nurse Practitioner in ambulatory care, occupational health, family practice, or emergency department setting

Premise is an equal‑opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin, ancestry, ethnicity, sex, gender identity or expression, sexual orientation, age, disability, genetic information, or any other characteristic protected under applicable law.

For questions about this posting, please email