Job Description

Job Description

Skilled Nursing & Long-Term Care

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Billings, Montana

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Full-Time | Flexible Daytime Schedule

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Make a Meaningful Impact in Billings

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Pacific 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 .

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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.

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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.

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Why This Position Stands Out

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• Flexible full-time daytime schedule
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• Consistent patient population and facility relationships
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• Collaborative physician and clinical support
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• Autonomy to practice at the top of your license
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• Opportunity to make a visible difference in an underserved community
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• Meaningful work without the pace of a traditional clinic or hospital setting
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• Supportive environment for experienced providers and qualified new graduates
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About Pacific Medical Specialty Group

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Pacific Medical Specialty Group, LLC is a growing, physician-led medical group providing high-quality care in post-acute and long-term care settings.

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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.

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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.

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Our values guide the way we serve our patients and work together:

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Respect. Integrity. Collaboration. Loyalty. Dignity. Selfless Service.

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Position Overview

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

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

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This position is ideal for a provider who:

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

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Patient Care

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

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

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

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Required

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

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• Experience in skilled nursing, long-term care, geriatrics, internal medicine, family medicine, or post-acute care
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• Experience managing medically complex patients and chronic conditions
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• Familiarity with CMS documentation and regulatory requirements
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Qualified new graduates are encouraged to apply.

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Compensation and Benefits

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• Competitive compensation
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• Flexible part-time scheduling
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• 401(k), subject to eligibility requirements
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• CME and licensure support
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• Collaborative physician support
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• Professional growth in post-acute and geriatric medicine
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• Meaningful work serving residents in the Billings community
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Join Our Team

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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.

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

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

Job Tags

Full time, Part time, Flexible hours

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