Advanced Practice Provider

Skilled Nursing & Long-Term Care Billings, Montana Full-Time | Flexible Daytime ScheduleMake a Meaningful Impact in BillingsPacific Medical Specialty Group is seeking a compassionate and clinically confident Nurse Practitioner or Physician Assistant to provide full-time medical care to residents in skilled nursing and long-term care settings in Billings, Montana.This is an excellent opportunity for a provider who values flexibility, professional autonomy, and the ability to build meaningful relationships with patients, families, and facility teams.Whether you are an experienced provider looking to supplement your current schedule or a new graduate interested in developing expertise in post-acute and geriatric medicine, we would welcome the opportunity to speak with you.Why This Position Stands OutFlexible full-time daytime scheduleConsistent patient population and facility relationshipsCollaborative physician and clinical supportAutonomy to practice at the top of your licenseOpportunity to make a visible difference in an underserved communityMeaningful work without the pace of a traditional clinic or hospital settingSupportive environment for experienced providers and qualified new graduatesAbout Pacific Medical Specialty GroupPacific Medical Specialty Group, LLC is a growing, physician-led medical group providing high-quality care in post-acute and long-term care settings.Founded in 2021 by healthcare professionals with more than 30 years of experience, we work closely with our facility partners to improve patient outcomes, strengthen continuity of care, and reduce avoidable hospital readmissions.Our multispecialty clinical team includes board-certified physicians in Family Medicine and Nephrology who collaborate closely with Advanced Practice Providers caring for medically complex and geriatric patients.Our values guide the way we serve our patients and work together:Respect. Integrity. Collaboration. Loyalty. Dignity. Selfless Service.Position OverviewThe 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 patientsValues flexibility and independenceCommunicates effectively with nursing staff, families, and physiciansIs comfortable making clinical decisions while having collaborative support availableWants to make a meaningful difference in a smaller communityKey ResponsibilitiesPatient CarePerform comprehensive history and physical examinationsEvaluate, diagnose, and manage acute and chronic conditionsDevelop individualized treatment and care plansOrder and interpret laboratory testing, imaging, and other diagnosticsPrescribe medications and therapies within scope of practiceProvide post-hospital and transitional care follow-upAddress cognitive, behavioral, functional, and medical changesEducate residents and families regarding diagnoses and treatment plansSkilled Nursing and Long-Term CareComplete admission assessments and required documentationConduct routine and medically necessary follow-up visitsParticipate in interdisciplinary care planningCollaborate with facility nursing, therapy, dietary, social services, and administrative teamsSupport initiatives that reduce avoidable emergency department visits and hospital readmissionsMaintain accurate and timely EMR documentationReview and sign laboratory results promptlyFollow applicable CMS, state, and facility requirementsCollaborationWork closely with an assigned collaborating physicianCommunicate effectively with facility staff, families, caregivers, and specialistsParticipate in multidisciplinary patient managementHelp create a consistent, responsive, and patient-centered clinical presence within the facilityQualificationsRequiredGraduate of an accredited Nurse Practitioner or Physician Assistant programActive and unrestricted Montana license, or ability to obtain oneNational board certification or board eligibility by the start dateDEA registration and prescriptive authority, or ability to obtain themNPI numberEligibility to participate in Medicare and MedicaidCurrent BLS certificationU.S. work authorizationPreferredExperience in skilled nursing, long-term care, geriatrics, internal medicine, family medicine, or post-acute careExperience managing medically complex patients and chronic conditionsFamiliarity with CMS documentation and regulatory requirementsQualified new graduates are encouraged to apply.Compensation and BenefitsCompetitive compensationFlexible part-time scheduling401(k), subject to eligibility requirementsCME and licensure supportCollaborative physician supportProfessional growth in post-acute and geriatric medicineMeaningful work serving residents in the Billings communityJoin Our TeamAt 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.