Coverage area: Middlesex County

• Old Bridge (08857) and East Brunswick; Monmouth County
• Holmdel, Shrewsbury, Long Branch, Neptune and Wall. Lead and grow a palliative care APP team — while maintaining meaningful clinical practice and protected leadership time as the team grows. Base salary $160,000
• 190,000/year plus annual performance bonus up to $25,000. This is a clinical leadership role with protected leadership time, not a full staff caseload with management layered on top. Direct patient load is calibrated to team size, creating real capacity to lead. Setting

License:

Outpatient

• SNF & community, Middlesex & Monmouth NJ
• New Jersey NP or PA license required About us & the role: NJ Palliative Care Solutions is on a mission to deliver palliative care without walls across New Jersey, partnering with skilled nursing facilities, home-based providers, and leading health systems.

We are hiring a Lead Advanced Practice Provider (NP/PA) to guide Nurse Practitioners and Physician Assistants delivering outpatient and SNF palliative care across Middlesex & Monmouth. The role combines direct patient care, APP mentoring, quality oversight, documentation standards, and practical program-building.

Leadership model:

A clinical leadership role with protected leadership time. May be mostly clinical at launch; as the team grows, direct patient load decreases to create capacity for APP onboarding, shadowing, 1:1 mentorship, case and chart review, clinical escalation, referral relationship management, and performance improvement. Visibly different from a staff APP role: the Lead helps set standards, strengthen execution, and improve the team's quality, productivity, and consistency. Why you'll want this role: Real ownership: shape clinical standards, mentor APPs, and help build the program. Protected leadership time, with the operational and clinical support to use it well. Data-guided mentorship and a collaborative interdisciplinary team behind you. Academic pathways, CME, and a clear path to grow your leadership. Primarily a Monday-Friday schedule with flexibility to swap workdays. What you'll do: Provide day-to-day leadership, mentoring, and clinical support to NPs and PAs. Carry a focused clinical caseload calibrated to team size — performing at the top of your license with best-practice, holistic, patient-centered, evidence-based interdisciplinary palliative medicine. Provide palliative care consultations and follow-up visits across skilled nursing settings, including short-stay subacute/rehab patients with recent hospitalizations, high symptom burden, or complex goals-of-care needs, as well as ongoing management of long-term care residents. Lead goals-of-care and advance care planning conversations with patients and families, coordinating with partner home health and/or hospice agencies if and when appropriate. Promote evidence-based standards, quality, and consistent documentation across the team, shaping the palliative medicine practice across the region's facilities. Support transition planning across the SNF stay

• from admission after hospitalization through discharge home, return to long-term care, rehospitalization decisions, hospice transition, or other next-site-of-care planning.

Support onboarding, shadowing, case review, quality review, and escalation workflows. Build referral relationships and represent NJPCS with SNFs and community organizations. Support local and regional coverage planning across Middlesex & Monmouth, with mileage reimbursement and clinical/EMR support.

What you bring:

Active New Jersey NP or PA license and national board certification.

DEA + CDS

registration, or ability to obtain by start date. 5+ years across palliative care, hospice, geriatrics, oncology, internal/family/hospital medicine, SNF/LTC, or complex chronic care; palliative experience preferred. 1-2+ years of leadership, mentoring, precepting, team lead, or supervisory experience. Palliative care certification (e.g., ACHPN / CHPN) preferred. Strong communication, clinical judgment, operational follow-through, and interdisciplinary collaboration. Compensation & total rewards: Competitive base salary: $160,000

• 190,000/year.

Annual performance bonus up to $25,000, rewarding both productivity (RVUs) and quality of care. 28 days of paid time off your first year, growing to 33 days at 2 years, in one flexible bank. Malpractice & professional liability ($1M / $3M), license & DEA renewals, up to $1,000/year CME, up to $2,000 tuition reimbursement. Medical via Cigna PPO, including a $0/month employee-only option, plus dental, vision, and an HSA. Short

• and long-term disability, voluntary life & AD&D, and accident / critical-illness / hospital coverage.

401(k) retirement plan, plus pre-tax FSA, dependent-care FSA, HSA, and commuter benefits. 24/7 Employee Assistance Program, identity-theft protection, legal plan, pet benefits, and member discounts.

Apply:

Upload your resume. A real person will follow up. Questions? careers@njpalcare.org This position is full-time, and full-time is our strong preference. That said, we know exceptional clinicians sometimes need a different arrangement — for the right candidate, we're open to discussing part-time or per-diem schedules. If that's you, please apply and tell us what schedule you have in mind.