Nurse Practitioner-PRN

Legacy Care’s independent medical group is committed to delivering exceptional, person-centered healthcare in post-acute settings across Virginia. Our mission focuses on personalizing healthcare experiences to meet the individual needs of patients throughout the continuum of care. Clinicians thrive in an environment that supports professional autonomy, collaborative practice and flexible scheduling.

We are seeking an experienced and collaborative Nurse Practitioner to support our Richmond team on a PRN basis. This role provides high-quality, person-centered primary and post-acute care within skilled nursing, long-term care and assisted living settings. The successful candidate will assess patients, diagnose and manage acute and chronic conditions, develop individualized treatment plans, prescribe medications, monitor clinical progress, coordinate care with multidisciplinary teams and promote safe, effective continuity of care.

• Flexible PRN scheduling to support patient care, professional development and work-life balance
• Competitive daily-rate compensation as a W-2 employee
• Professional autonomy within a collaborative and supportive clinical environment
• Opportunity to provide healthcare across post-acute, skilled nursing, long-term care and assisted living settings
• Comprehensive clinical and administrative support, including assistance with credentialing
• Streamlined in-house billing workflows and operational support
• Medical malpractice coverage provided

• Provide comprehensive primary and post-acute medical care to patients in skilled nursing, long-term care and assisted living settings
• Conduct initial, routine and follow-up patient evaluations, including review of medical history, symptoms, medications, diagnoses and current concerns
• Assess, diagnose and manage acute illnesses, chronic conditions, complex medical needs and changes in clinical status within the scope of practice
• Perform focused and comprehensive physical examinations and evaluate functional status, cognition, mobility, nutrition, pain and safety risks
• Develop, implement and review individualized treatment plans in collaboration with patients, families, facility staff and interdisciplinary care teams
• Prescribe, review and manage medications in accordance with applicable regulations, clinical guidelines and patient needs
• Monitor treatment response, therapeutic outcomes, adverse effects, drug interactions, polypharmacy and clinical risk
• Order, review and follow up on laboratory tests, diagnostic imaging and other investigations as clinically appropriate
• Recognize and manage changes in condition, urgent patient needs and potential clinical deterioration, escalating care appropriately when required
• Evaluate patients for falls, infection, pain, dehydration, malnutrition, delirium, sepsis and other safety or medical concerns, initiating appropriate interventions and referrals
• Coordinate hospital follow-up, specialist referrals, consultations, diagnostic testing and transitions of care
• Collaborate with physicians, nurse practitioners, nurses, therapists, pharmacists, specialists, hospitals and community healthcare resources
• Participate in care planning meetings, interdisciplinary reviews, family consultations and facility clinical meetings as required
• Provide education and support to patients, families and facility staff regarding diagnoses, medications, treatment plans, symptom management and prevention of clinical deterioration
• Promote evidence-informed practice, patient safety, person-centered care, infection prevention, risk management and quality improvement
• Maintain accurate, timely and clinically appropriate documentation in the Electronic Medical Record (EMR)
• Communicate effectively with the supervising or collaborating physician and other members of the care team, as applicable

• Master’s degree or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program
• Current, unrestricted Virginia Nurse Practitioner license and eligibility to practice in Virginia
• Current national board certification as a Nurse Practitioner through the appropriate certifying organization
• Current prescriptive authority and Drug Enforcement Administration (DEA) registration, as required
• Experience in primary care, post-acute care, skilled nursing, long-term care, assisted living, geriatric, hospital or related clinical settings…