Nurse Practitioner

Position Overview

The Advanced Practice Provider will manage the ongoing medical needs of residents in skilled nursing and long-term care facilities in the Billings area.

You will have the opportunity to develop long-term relationships with residents and facility staff while managing both acute concerns and chronic medical conditions.

This position is ideal for a provider who:

• Enjoys working with older adults and medically complex patients
• Values flexibility and independence
• Communicates effectively with nursing staff, families, and physicians
• Is comfortable making clinical decisions while having collaborative support available
• Wants to make a meaningful difference in a smaller community

Key Responsibilities

Patient Care

• Perform comprehensive history and physical examinations
• Evaluate, diagnose, and manage acute and chronic conditions
• Develop individualized treatment and care plans
• Order and interpret laboratory testing, imaging, and other diagnostics
• Prescribe medications and therapies within scope of practice
• Provide post-hospital and transitional care follow-up
• Address cognitive, behavioral, functional, and medical changes
• Educate residents and families regarding diagnoses and treatment plans

Skilled Nursing and Long-Term Care

• Complete admission assessments and required documentation
• Conduct routine and medically necessary follow-up visits
• Participate in interdisciplinary care planning
• Collaborate with facility nursing, therapy, dietary, social services, and administrative teams
• Support initiatives that reduce avoidable emergency department visits and hospital readmissions
• Maintain accurate and timely EMR documentation
• Review and sign laboratory results promptly
• Follow applicable CMS, state, and facility requirements

Collaboration

• Work closely with an assigned collaborating physician
• Communicate effectively with facility staff, families, caregivers, and specialists
• Participate in multidisciplinary patient management
• Help create a consistent, responsive, and patient-centered clinical presence within the facility

Join Our Team

At Pacific Medical Specialty Group, you will be more than a visiting provider. You will become a trusted clinical partner to residents, families, nursing teams, and facility leadership.

Bring your clinical skills, compassion, and commitment to Billings and join a growing medical group that values its providers and the communities they serve.

Apply today to learn more about this flexible full-time opportunity.

Qualifications

Required

• Graduate of an accredited Nurse Practitioner or Physician Assistant program
• Active and unrestricted Montana license, or ability to obtain one
• National board certification or board eligibility by the start date
• DEA registration and prescriptive authority, or ability to obtain them
• NPI number
• Eligibility to participate in Medicare and Medicaid
• Current BLS certification
• U.S. work authorization

Preferred

• Experience in skilled nursing, long-term care, geriatrics, internal medicine, family medicine, or post-acute care
• Experience managing medically complex patients and chronic conditions
• Familiarity with CMS documentation and regulatory requirements

Qualified new graduates are encouraged to apply.