Advanced Practice Provider

Pacific Medical Specialty Group is seeking a compassionate and clinically confident Nurse Practitioner or Physician Assistant to provide full-time medical care to residents in skilled nursing and long-term care settings in Helena, Montana
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This is an excellent opportunity for a provider who values flexibility, professional autonomy, and the ability to build meaningful relationships with patients, families, and facility teams.

Whether you are an experienced provider looking to supplement your current schedule or a new graduate interested in developing expertise in post-acute and geriatric medicine, we would welcome the opportunity to speak with you.

• Consistent patient population and facility relationships
• Collaborative physician and clinical support
• Autonomy to practice at the top of your license
• Opportunity to make a visible difference in an underserved community
• Meaningful work without the pace of a traditional clinic or hospital setting
• Supportive environment for experienced providers and qualified new graduates

Pacific Medical Specialty Group, LLC is a growing, physician-led medical group providing high-quality care in post-acute and long-term care settings.

Founded in 2021 by healthcare professionals with more than 30 years of experience, we work closely with our facility partners to improve patient outcomes, strengthen continuity of care, and reduce avoidable hospital readmissions.

Our multispecialty clinical team includes board-certified physicians in Family Medicine and Nephrology who collaborate closely with Advanced Practice Providers caring for medically complex and geriatric patients.

Our values guide the way we serve our patients and work together:

Respect. Integrity. Collaboration. Loyalty. Dignity. Selfless Service.

The Advanced Practice Provider will manage the ongoing medical needs of residents in skilled nursing and long-term care facilities in the Helena area.

You will have the opportunity to develop long-term relationships with residents and facility staff while managing both acute concerns and chronic medical conditions.

• Enjoys working with older adults and medically complex patients
• Values flexibility and independence
• Communicates effectively with nursing staff, families, and physicians
• Is comfortable making clinical decisions while having collaborative support available
• Wants to make a meaningful difference in a smaller community

• Perform comprehensive history and physical examinations
• Evaluate, diagnose, and manage acute and chronic conditions
• Develop individualized treatment and care plans
• Order and interpret laboratory testing, imaging, and other diagnostics
• Prescribe medications and therapies within scope of practice
• Provide post-hospital and transitional care follow-up
• Address cognitive, behavioral, functional, and medical changes
• Educate residents and families regarding diagnoses and treatment plans

• Complete admission assessments and required documentation
• Conduct routine and medically necessary follow-up visits
• Participate in interdisciplinary care planning
• Collaborate with facility nursing, therapy, dietary, social services, and administrative teams
• Support initiatives that reduce avoidable emergency department visits and hospital readmissions
• Maintain accurate and timely EMR documentation
• Review and sign laboratory results promptly
• Follow applicable CMS, state, and facility requirements
• Work closely with an assigned collaborating physician
• Communicate effectively with facility staff, families, caregivers, and specialists
• Participate in multidisciplinary patient management
• Help create a consistent, responsive, and patient-centered clinical presence within the facility

Required

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• Active and unrestricted Montana license, or ability to obtain one
• National board certification or board eligibility by the start date
• DEA registration and prescriptive authority, or ability to obtain them
• NPI number
• Eligibility to participate in Medicare and Medicaid
• Curre…