Nurse Practitioner/Physician Assistant

• Evening Clinic Department:

  Family Medicine
• RHC (1 FTE)

Reports To :

Medical Director/Clinic Director / Chief Nursing Officer (or designee) Position Summary The Evening Clinic Nurse Practitioner provides primary and urgent care services during extended clinic hours (approx. 2:00 PM

• 10:00 PM) to improve access to timely care and reduce non-emergent emergency department utilization.

This role focuses on same-day and after-hours care, management of acute and chronic conditions, and coordination of follow-up services to ensure continuity of care. The position is a key component of the organization's strategy to shift care from reactive emergency services to accessible, community-based primary care. Primary Responsibilities 1. Direct Patient Care

• Provide comprehensive primary care services, including:
• Acute illness evaluation and treatment
• Chronic disease management
• Preventive care services
• Diagnose, treat, and manage a wide range of patient conditions
• Prescribe medications and therapies in accordance with scope of practice
• 2. Same-Day and After-Hours Access
• Deliver care for walk-in and same-day appointments
• Provide an accessible alternative to emergency department use for non-emergent conditions
• Ensure timely evaluation and treatment of patient needs 3. Chronic Disease Management
• Manage patients with: o Diabetes o Hypertension o Cardiovascular conditions Coordinate care with:
• Transitional Care RN
• Population Health Coordinator
• Registered Dietician 4. Care Coordination and Follow-Up
• Ensure appropriate follow-up for patients seen during evening hours
• Coordinate referrals to: o Home-based Nurse Practitioner/Physician Assistant (for high-risk patients) o Primary care providers o Specialty services as needed o Support continuity of care across the care team 5. Integration with Care Model
• Collaborate with care coordination staff to:
• Reduce avoidable ED utilization
• Improve access to care
• Support population health initiatives
• Utilize patient data and care plans to guide treatment decisions 6. Documentation and Compliance
• Document all patient encounters in the EHR accurately and timely
• Ensure compliance with organizational policies and regulatory requirements
• Support quality reporting and performance improvement initiatives Performance Expectations
• Increase same-day and after-hours appointment availability by ≥20%
• Contribute to a 10-15% reduction in non-emergent ED visits by Year 3
• Maintain high patient satisfaction and quality of care
• Ensure timely follow-up and continuity of care for patients seen Required Qualifications
• Current Nurse Practitioner (NP)/Physician Assistant (PA) license in the State of Texas
• Board certification as a Nurse Practitioner (NP), Adult-Gerontology (NP) and Physician Assistant (PA)
• Prescriptive authority in accordance with Texas regulations
• Minimum of 2-3 years clinical experience preferred Preferred Qualifications
• Experience in: o Primary care or urgent care settings o Rural or underserved populations o Chronic disease management o Familiarity with EHR systems (e.g., CPSI/TruBridge) Skills and Competencies
• Strong clinical decision-making and diagnostic skills
• Ability to manage a wide range of patient conditions independently
• Excellent communication and patient engagement skills
• Ability to work efficiently in a fast-paced environment
• Team-based care coordination skills Work Schedule
• Primary schedule: 2:00 PM
• 10:00 PM
• May include flexibility based on clinic needs Work Environment
• Clinic-based setting with support from Medical Assistants and reception staff
• Collaborative environment with multidisciplinary care team

Pay:

From $150,000.00 per year

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Retirement plan Vision insurance

Work Location:

In person