Nurse Practitioner (NP) – Mobile Primary Care

Job Title: Nurse Practitioner (NP) – Geriatric Primary Care
Company: Twin Cities Physicians
Location: Western Minnesota
Schedule: Full-Time or Part-Time | Monday–Friday | No Evenings, Weekends, or Hospital Call
Compensation: $120,000–$160,000 Total Compensation (Base Salary Productivity Incentive Program) Mileage Reimbursement

What If You Could Get There Before the ER Does?

You've seen the cycle.

An older adult's condition begins to change. Something seems off. A chronic condition starts moving in the wrong direction.

Then suddenly, it's an ambulance ride, an emergency department, a hospital admission, and another complicated transition back home.

What if your primary care practice gave you more opportunities to intervene before things reached that point?

Twin Cities Physicians is hiring a Nurse Practitioner to provide proactive, on-site primary care to older adults throughout St. Cloud and surrounding communities, with additional coverage in the Willmar area as needed.

You'll bring medical care directly into assisted living, memory care, independent living, and skilled nursing communities, managing patients over time and working closely with the nurses and caregivers who see them every day.

The goal isn't simply treating illness.

It's recognizing what is changing and doing something about it.

Practice Upstream

Traditional healthcare can become incredibly reactive.

A patient gets sick. They make an appointment. They travel to a clinic. Or the situation becomes serious enough that they end up in urgent care or the hospital.

This model gives you another opportunity.

You'll manage a consistent panel of older adults with chronic and often complex medical conditions. You'll know their history, medications, previous hospitalizations, risks, and baseline.

And you'll have another incredibly valuable resource:

The people who see your patients every day.

When a senior living nurse says, “She's just not herself today,” you have the clinical context to start asking why.

That may mean evaluating the patient, adjusting a treatment plan, reviewing medications, ordering additional care, communicating with family, or determining that a higher level of care really is necessary.

Good geriatric primary care isn't about avoiding the hospital at all costs. It's about making sure patients receive the right care at the right time.

More Clinical Ownership. Less Assembly-Line Medicine.

You'll have significant autonomy to assess, diagnose, treat, prescribe, manage chronic conditions, and develop individualized care plans.

Twin Cities Physicians is a physician-led medical group, so independence doesn't mean practicing without support.

You'll have clinical collaboration and organizational resources behind you while maintaining meaningful ownership over your patients and daily practice.

And your schedule?

Monday through Friday. No evenings. No weekends. No hospital call.

What You'll Be Doing

• Provide comprehensive on-site primary care within senior living communities
• Round primarily throughout St. Cloud and surrounding communities, with additional Willmar coverage as needed
• Manage a panel of older adult and medically complex patients
• Diagnose and treat acute and chronic medical conditions
• Perform assessments, annual wellness visits, preventative care, and follow-ups
• Manage medications and chronic disease treatment plans
• Recognize and respond to changes in patient condition
• Coordinate care following hospitalizations, rehabilitation stays, and specialist visits
• Collaborate with physicians, nurses, therapists, pharmacists, caregivers, and families
• Identify clinical concerns early and help reduce avoidable hospitalizations and readmissions
• Maintain accurate and timely clinical documentation

We Want NPs Who Like Complex Patients

Geriatric medicine rarely gives you one diagnosis at a time.

Diabetes meets heart failure. Dementia complicates medication management. Mobility changes. A recent hospitalization creates new orders. Families have questions. Specialists are involved.

That's where strong clinical judgment matters.

Your background might include:

• Primary Care / Family Medicine
• Internal Medicine
• Geriatrics
• Hospital Medicine
• Skilled Nursing / Long-Term Care
• Post-Acute Care
• Home Health
• Hospice / Palliative Care
• Community-Based Medicine
• Assisted Living / Memory Care

You don't need senior living experience specifically.

You do need to be comfortable with older adults, chronic disease, clinical complexity, independent decision-making, and interdisciplinary care.

What This Career Gives You

• $120,000–$160,000 total compensation
• Base salary productivity incentive program
• Full-Time or Part-Time
• Monday through Friday
• No evenings, weekends, or hospital call
• Mileage reimbursement
• Significant clinical autonomy
• Your own ongoing patient panel
• Physician-led clinical support
• Comprehensive medical and dental benefits
• PTO paid holidays
• CME allowance
• Malpractice coverage
• DEA reimbursement
• Clinical and administrative resources

What We're Looking For

Required:

• Active Minnesota Nurse Practitioner license
• Strong assessment, diagnostic, and clinical decision-making skills
• Confidence managing acute and chronic medical conditions
• Ability to work independently while collaborating with a physician-led team
• Strong communication and care coordination skills
• Genuine interest in caring for older adults
• Reliable transportation and comfort traveling throughout St. Cloud and surrounding communities
• Flexibility to assist with Willmar-area coverage as needed

Experience with medically complex older adults, chronic disease management, geriatrics, senior living, or community-based medicine is highly valued. Wound Care Certification (WCC) is a plus.

Your Office Is Where Your Patients Need You.

This isn't a traditional clinic position.

You'll travel between senior living communities, work alongside different clinical teams, and care for patients where they actually live.

In return, you gain autonomy, variety, continuity, strong earning potential, and a predictable weekday schedule.

More importantly, you have an opportunity to practice medicine before every problem becomes a crisis.

About Twin Cities Physicians

Twin Cities Physicians is a growing physician-led medical group providing proactive primary care to older adults throughout Minnesota.

Our providers bring healthcare directly into assisted living, memory care, independent living, and skilled nursing communities, helping improve access, continuity, communication, quality of life, and patient outcomes while reducing avoidable hospitalizations.

We're continuing to expand throughout Central and Western Minnesota and looking for providers who want to be part of that growth.

Practice Before the Crisis.

If you're an NP who enjoys complex medicine, independent decision-making, chronic disease management, and caring for older adults, we'd like to talk.

Come practice in an environment where recognizing a subtle change today may help prevent a much bigger problem tomorrow.

To stand out, email Tom Lecy at tom.lecy@hhcare.net with your resume and tell us about your experience managing older adults, chronic disease, or medically complex patients, and what you're looking for in your next provider role.

Pay: $120,000.00 - $160,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Application Question(s):

• How to apply: Email Tom Lecy at tom.lecy@hhcare.net with a short summary of your clinical experience and what draws you to joining a physician-led rounding group serving seniors.

Work Location: On the road

Salary : $120,000 - $160,000