Advance Practice Registered Nurse - Perioperative Services

Pay Range:
The base pay range for this position is $-$ Annual.

Job Title:

Nurse Practitioner - Pre-Admit Clinic

Department:
Perioperative Services

Pullman Regional Hospital is seeking a Nurse Practitioner (NP) to join our Pre-Admit Clinic team. This NP will focus on optimizing patients for surgery, ensuring surgical readiness, and improving perioperative safety. The role is high‑impact and directly supports elective and urgent surgical patients (excluding low‑risk endoscopy or pain procedures) by performing comprehensive preoperative assessments, risk stratification, and optimization. The ideal candidate is an independent, patient‑focused NP who can manage moderate‑ to high‑risk surgical patients, coordinate care with anesthesia and surgeons, and participate in quality initiatives that reduce day‑of‑surgery cancellations and improve patient outcomes.

• Perform complete preoperative history and physical exams for all scheduled surgical patients.
• Independently clear patients for surgery, consulting with anesthesia (CRNA) for high‑risk cases.
• Order and interpret labs, imaging, and diagnostic tests relevant to preoperative optimization.
• Work closely with anesthesia, surgeons, nursing, and care coordination to ensure continuity of care.
• Provide education to staff and patients regarding pre‑admission optimization and perioperative best practices.
• Collaborate in the development and implementation of preoperative optimization pathways, ERAS protocols, and quality improvement initiatives.
• Identify and address safety concerns in the pre‑admit clinic and perioperative workflows.
• Support DNV certification goals through consistent documentation, standardized workflows, and adherence to evidence‑based guidelines.
• Track and report metrics related to surgical readiness, optimization, and day‑of‑surgery cancellations.
• Pursue ongoing professional education and certification.

• Graduate of an accredited Nurse Practitioner program.
• Licensure as a registered professional nurse and certification as a Nurse Practitioner in the state of Washington.
• Certification in Advanced Cardiac Life Support (ACLS).
• DEA registration and prescriptive authority in the state of Washington.
• Experience in perioperative or acute care preferred but not required.

• Medical, Vision, Dental coverage.
• Health Savings Account.
• Paid leave time.
• Employer‑paid life insurance and long‑term disability.
• Retirement with employer matching contributions.
• Voluntary benefits including life insurance, critical illness, accident insurance, and short‑term disability services.
• Discount and EAP resources.

Disability contacts:
Applicants with disabilities who require assistance or accommodation should contact Human Resources at human resources.