Nurse Practitioner; Pain Management & LTC Rounding

Advanced Practice Provider – Pain Management (Nurse Practitioner OR Physician Assistant)

Location:

Multi-site Pain Management Practice (SNF/LTAC + Clinic Coverage)

Reports To:

Medical Director / Practice Administrator Position Type:
Full-Time

Position Summary

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.

Compensation & Benefits

• $150,000-$200,000/year or more! (variable compensation plan based on production.)
• 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

Schedule & Work Environment

• Rounding at SNF/LTAC facilities
• Clinic coverage as needed (Pasadena, Clear Lake, and Texas City)
• Local travel between facilities and practice locations as required
• Monday–Friday schedule with 1 weekend required a month for rounding.

Key Responsibilities

Clinical Care & Rounding

• 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

Greenlight Visit Responsibilities

• 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

Provider Coverage

• 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

Care Coordination & Compliance

• 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

Teamwork & Professionalism

• 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

Qualifications

• Pain management, rounding/geriatrics experience required
• 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

Skills & Competencies

• 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

Physical Requirements

• Ability to stand, walk, and move between facilities frequently

Why…