Job Summary Join a dynamic and compassionate team as a Geriatric Pain & Palliative Care NP or PA , caring for residents across Cincinnati-area skilled nursing facilities as one of the first providers in the practice's new Ohio market.

Pay is productivity-based:

$10 per completed visit, with a guaranteed $150 minimum per facility seen each day. Visits are focused, ~10-minute pain management follow-ups, and providers typically see 40-50 patients daily, working out to roughly $400-$500/day. Malpractice insurance with tail coverage is included. The practice wants clinicians who've handled this pace before, with backgrounds in pain management, orthopedics, physiatry, SNF, or hospice; motivated new grads with RN experience in ortho, pain management, SNF, or a high-acuity ER (county/trauma) are also considered. What Makes This Different This is a ground-floor opportunity in the truest sense. Pain management for older adults in skilled nursing is deeply needed and chronically underprovided, and the provider who steps in here will have visible, lasting impact on the residents they follow week after week, while shaping how care is delivered as the Ohio market grows around them. Your Responsibilities Conduct focused pain assessments and design individualized treatment plans (medication management, non-pharmacological approaches, interventional referrals) Prescribe and monitor pain medications, including controlled substances, per Ohio state and federal regulations Coordinate referrals for physical therapy, interventional options, and other specialty care Manage a 40-50 patient/day caseload, refining plans through consistent follow-up Document care accurately in TEBRA and PointClickCare What We're Looking For Active, unrestricted Ohio NP or PA license required, or eligibility to obtain, with AGACNP-BC, AGPCNP-BC, FNP-BC, or PA-C certification Comfortable managing a high-volume caseload of 40-50 focused, ~10-minute visits/day Active DEA registration (or readiness to obtain one) required — PAs, confirm current DEA status upfront Fully onsite, comfortable traveling between Cincinnati-area facilities Priority backgrounds: pain management, ortho, physiatry, SNF rounding, or hospice with controlled-substance prescribing New grads welcome with RN background in ortho, pain management, SNF, or high-volume/trauma ER; 5+ years relevant RN experience also counts

Preferred:

prior geriatric/palliative/hospice experience, TEBRA/PointClickCare familiarity Compensation and Benefits Productivity-based pay: $10 per completed visit, guaranteed $150 minimum per facility per day (typically ~$400-$500/day at 40-50 patients) Malpractice insurance with tail coverage included Formal onboarding program, full-time hours (schedule varies by facility and caseload) This is a rare chance to be among the first providers in a growing practice's Ohio expansion, delivering specialized geriatric pain care in Cincinnati while building something that will outlast your first year in the role.

Pay:

$90.00 - $150.00 per hour

Benefits:

Flexible schedule Application Question(s): Do you hold an active, unrestricted Ohio NP or PA license, or are you eligible to obtain one? Do you hold AGACNP-BC, AGPCNP-BC, FNP-BC, or PA-C certification? Are you available to work fully onsite at skilled nursing facilities across the Cincinnati area? Do you have an active DEA registration, or are you ready to obtain one? Do you have prior experience in pain management, ortho, physiatry, SNF rounding, or hospice with controlled-substance prescribing? (New grads: does your RN background include ortho, pain management, SNF, or high-volume/trauma ER?) What is the highest number of patients you've seen per day?

Work Location:

In person