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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 4 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