Pulmonary and Acute Care Nurse Practitioner
Location: Senior Nursing Home Facility/Long Term Care Rehab Center
Job Summary
We are seeking an experienced APRN in pulmonary and acute care to deliver high-quality, patient-centered care in skilled nursing and long-term rehabilitation settings. This in-person role focuses on managing complex respiratory and acute conditions, including higher-acuity patients, and requires availability 2 days per week, with occasional after-hours on-call coverage.
Responsibilities
• Provide pulmonary and acute care services in skilled nursing, rehabilitation, long-term care, and post-acute settings
• Admit new patients and complete comprehensive pulmonary and acute care admission evaluations
• Manage and complete patient discharge evaluations, including respiratory stability assessment and care coordination
• Perform comprehensive and focused respiratory assessments and physical examinations
• Evaluate, diagnose, and manage acute and chronic pulmonary conditions (e.g., COPD, asthma, pneumonia, respiratory failure)
• Manage noninvasive ventilation therapies, including CPAP and BiPAP initiation, adjustment, and monitoring
• Manage patients with tracheostomies, including routine trach care, assessments, and coordination of care
• Collaborate on ventilator and tracheostomy weaning plans in coordination with physicians and respiratory therapy
• Prescribe and manage respiratory and acute care medications in accordance with state regulations and clinical best practices
• Manage acute care conditions in post-acute settings, including early identification and treatment of clinical deterioration
• Implement timely interventions to prevent unnecessary hospitalizations and Return-to-Hospital (RTH) events
• Collaborate with interdisciplinary teams to manage acute changes in condition and escalate care appropriately
• Participate in initiatives focused on reducing hospital admissions through proactive pulmonary and acute care management
• Interpret and trend respiratory diagnostics, including ABGs, imaging, labs, pulse oximetry, and ventilatory data (as applicable)
• Monitor patient response to treatments and intervene promptly to prevent respiratory decompensation
• Coordinate care with pulmonologists, attending physicians, respiratory therapists, nursing staff, and facility leadership
• Participate in pulmonary rounds and interdisciplinary care planning
• Complete accurate and timely documentation in the EMR/EHR
• Educate patients, families, and staff on respiratory conditions, CPAP/BiPAP use, tracheostomy care, and escalation protocols
• Participate in initiatives to reduce respiratory-related hospital readmissions and emergency transfers
• Ensure compliance with CMS, state regulations, and facility respiratory care and infection control policies
Required Qualifications
• Active State APRN license
• Active NPI number
• Minimum of 3 years of nursing experience (tracheostomy care, skilled nursing or post-acute care preferred)
• Current BLS and ACLS certification
• Strong clinical assessment, communication, and independent decision-making skills
• Experience with EMR/EHR systems (PointClickCare and/or Matrix preferred)
• Ability to work independently in a fast-paced clinical environment
• Knowledge of post-acute care and geriatric best practices
• Working knowledge of state and federal healthcare regulations, HIPAA, and patient safety standards
• Excellent written and verbal communication skills for documentation and interdisciplinary collaboration
• Compassionate, patient-centered approach to care
• DEA registration (preferred)
Compensation and Benefits
• 1099 Independent Contractor
• Productivity-based compensation tied to daily patient volume
• Competitive compensation structure
• Flexible schedule
• Autonomy in daily workflow
• Paid onboarding period, including training and orientation
• Professional liability (Malpractice) insurance coverage provided
• Census planning support to optimize daily workload
• Quarterly productivity-based bonus opportunities
• AI-assisted documentation through Moxie Link, combining technology and human oversight to save time on notes and enhance accuracy
• Ongoing education and clinical development opportunities