Pulmonary/Acute Care NP

Location: Senior Nursing Home Facility/Long Term Care Rehab Center

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 5 days per week, with occasional after-hours on-call coverage.

• 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

• 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)

• 1099 Independent Contractor




• Productivity-based compensation tied to daily patient volume




• Competitive compensation structure




• Annual Compensation: $150k–$200k (based on experience and qualifications)




• 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