Skip to main content

Nurse Practitioner or Physician Assistant-Skilled Nursing Facility

Job Title Nurse Practitioner or Physician Assistant-Skilled Nursing Facility Location Milton, PA Job Category Physician Assistants; Nurse Practitioners, Physician, Advanced Practice Schedule Days Work Type Full time Department Central Region Skilled Nursing Division Date posted 11/03/2022 Job ID R-35940

Job Summary

Geisinger is seeking an experienced or new graduate Nurse Practitioner or Physician Assistant to join our Skilled Nursing Facility team for an open position to work between the Milton and Watsontown facilities.

Job Duties

Nursing home/skilled nursing facility based Advanced Practitioner (NP or PA-C) works in conjunction with CMSL clinical staff, applicable insurance case management staff, and skilled nursing facilities to ensure patients are appropriately managed in the sub-acute and/or long-term care setting. The SNF advanced practitioner (AP) provides direct (hands-on) care in nursing homes/skilled facilities with a goal to improve quality and prevent unnecessary re-admissions to the acute care setting.


1. SNF AP is a field-based patient direct care position providing medical services for one or two facilities. Workload is 90% clinical, 10% administrative. The SNF AP works under the direction and supervision of the supervising/collaborating CMSL physician.

*2. Performs comprehensive SNF assessment to include psychosocial factors (when
applicable) identifying the anticipated short-term and long-term (ongoing) needs of the patient.

*3. Responsible for the treatment of patients in the nursing home and skilled nursing facility settings.

4. Educates facility staff, patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications.

5. Maintains open lines of communication with an emphasis on supportive relationships with assigned nursing homes/skilled nursing facilities,

*6. Maintains legible and accurate medical records which meet state and federal regulations and maintains patient confidentiality.

*7. Must be able to take weeknight call on all assigned patients and participates in weekend call rotations.

8. Works collaboratively with appropriate insurance management staff, including:

a. Communicating clinical issues with potential for high risk complications and barriers to positive outcomes and discharge (as appropriate);
b. Working collaboratively with insurance case management staff, CMSL, facility and the patient and family to establish a plan of care that identifies and continuously reassesses appropriate levels of care;
c. Identifying patients that would benefit from an alternative level of care;
d. Establishing short and long term goals that meet the patient's needs;

e. Try to prevent ED visits;

*9. Identifies and refers patients to appropriate disease and case management programs;

*10. Identifies the need for hospice care as appropriate in the terminal period of chronic diseases. Refers appropriate patients to a case manager for hospice program election or to be designated as a Potential Hospice candidate and monitored for decline.

*11. Will be responsible for meeting ongoing continuing medical education requirements and provide copy of documentation for internal and external continuing medical education attended to the office of credentialing.

12. All other duties as assigned.

*Denotes essential job functions.


Demonstrates strong professional level of knowledge and comprehensive clinical assessment skills in the elderly population and chronic disease management.

Demonstrates deep understanding and comprehensive knowledge of nursing home/skilled nursing facility regulations.

Demonstrates strong decision-making skills with ability to function in a collaborative care model.

Demonstrates the ability to effectively work with physicians, professional and non-professional staff and contracted vendors.

Demonstrates the ability to be a self-starter with ability to handle multiple projects at one time.

Demonstrates excellent organizational skills well organized, efficient and able to work under pressure.

Demonstrates customer service experience and skills.

Demonstrates strong written and verbal communication skills which will meet standards of practice and regulatory requirements.

Demonstrates strong interpersonal skills to include: effective listening skills, effective management/leadership skills, effective teaching skills.


Must have certification of completion from an approved program for Nurse Practitioners and have or be eligible for current license in the Commonwealth of Pennsylvania. Must have BLS and have or be eligible for ACLS.

Prior experience in nursing home/skilled nursing facility billing (codes, understanding of medical necessity).

Prior advanced practitioner experience in a long-term care setting and/or administrative experience in a skilled nursing facility or long-term care facility is preferred.


Ability and willingness to travel.

Ability and willingness to take call after hours and participate in weekend call rotation.

Work is typically performed in a skilled nursing facility.


Master's Degree-Physician Assistant (Required)

Certification(s) and License(s)

Basic Life Support Certification - Default Issuing Body; Certified Physician Assistant - National Commission on Certification of Physician Assistants (NCCPA)


Patients Rights; Health Information Documentation; Patient Safety; Care Management Knowledge; Patient Assessment And Care; Clinical Policies And Standards

About Geisinger

Founded more than 100 years ago by Abigail Geisinger, the system now includes ten hospital campuses, a 550,000-member health plan, two research centers and the Geisinger Commonwealth School of Medicine. With nearly 24,000 employees and more than 1,700 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at or connect with us on Facebook, Instagram, LinkedIn and Twitter.

Our Commitment to Diversity, Equity and Inclusion

Geisinger values who you are, where you are from, and where you are going. We seek out people of various backgrounds and cultures with unique abilities, non-traditional career paths and ambitious aspirations. We are an Affirmative Action, Equal Opportunity Employer. Women and Minorities are encouraged to apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status. Read more about Our Commitment to Inclusive Recruiting.

Our Vision & Values

Everything we do is about making better health easier for our patients, our members, our students, our Geisinger family and our communities.

KINDNESS: We strive to treat everyone as we would hope to be treated ourselves.

EXCELLENCE: We treasure colleagues who humbly strive for excellence.

LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow.

INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation.

SAFETY: We provide a safe environment for our patients and members and the Geisinger family.

Our Benefits

We offer healthcare benefits for full time and part time positions from day one, including vision, dental and prescription coverage.


Top 8 Most Innovative Healthcare Systems

– Becker's Hospital Review

Sign up for job alerts

Sign up below to receive communications about career opportunities with Geisinger.

Our Terms of Use and Privacy Policy explain how we collect and use information about you and the rights you have. By submitting your information you acknowledge you have read those documents and consent to receive SMS communications and email job alerts from Geisinger.

Returning Users