Pulmonology Nurse Practitioner

Job description: Nextgen is a med-tech organization specializing in post-acute care in skilled nursing and long-term care settings, delivering individualized, high-quality care through Nurse Practitioners and Physicians. By combining advanced clinical expertise with proprietary technology, Moxie streamlines patient census management and compliant documentation while supporting facilities in safely managing higher-acuity patients and reducing hospitalizations. With more than 100 providers serving skilled nursing facilities across TX, FL, OH and TN, our mission is to improve patient outcomes and operational efficiency through real-time clinical responsiveness, strong medical decision-making, and high-quality documentation.1. Location:Weatherford, TXMineral Wells, TX2. Work Location: In person3. Working Days: 3-5 days a week; Availability for after-hours on-call coverage in coordination with the clinical team4. Position Overview: Nextgen is seeking a compassionate and experienced Advanced Practice Registered Nurse to join our growing clinical team. This role focuses on delivering high-quality, patient-centered care in skilled nursing and long-term rehabilitation settings, including the evaluation, diagnosis, treatment, and ongoing management of complex and higher-acuity cardiology diseases.5. Responsibilities:Provide pulmonary and acute care services in skilled nursing, rehabilitation, long-term care, and post-acute settingsAdmit new patients and complete comprehensive pulmonary and acute care admission evaluationsManage and complete patient discharge evaluations, including respiratory stability assessment and care coordinationPerform comprehensive and focused respiratory assessments and physical examinationsEvaluate, diagnose, and manage acute and chronic pulmonary conditions (e.g., COPD, asthma, pneumonia, respiratory failure)Manage noninvasive ventilation therapies, including CPAP and BiPAP initiation, adjustment, and monitoringManage patients with tracheostomies, including routine trach care, assessments, and coordination of careCollaborate on ventilator and tracheostomy weaning plans in coordination with physicians and respiratory therapyPrescribe and manage respiratory and acute care medications in accordance with state regulations and clinical best practicesParticipate in initiatives focused on reducing hospital admissions through proactive pulmonary care managementInterpret and trend respiratory diagnostics, including ABGs, imaging, labs, pulse oximetry, and ventilatory data (as applicable)Monitor patient response to treatments and intervene promptly to prevent respiratory decompensationCoordinate care with pulmonologists, attending physicians, respiratory therapists, nursing staff, and facility leadershipParticipate in pulmonary rounds and interdisciplinary care planningComplete accurate and timely documentation in the EMR/EHREducate patients, families, and staff on respiratory conditions, CPAP/BiPAP use, tracheostomy care, and escalation protocolsParticipate in initiatives to reduce respiratory-related hospital readmissions and emergency transfersEnsure compliance with CMS, state regulations, and facility respiratory care and infection control policies6. Required Qualifications:Active Texas APRN licenseActive NPI numberMinimum of 3 years of nursing experience (tracheostomy care, skilled nursing or post-acute care preferred)Current BLS and ACLS certificationStrong clinical assessment, communication, and independent decision-making skillsExperience with EMR/EHR systems (PointClickCare and/or Matrix preferred)Ability to work independently in a fast-paced clinical environmentKnowledge of post-acute care and geriatric best practicesWorking knowledge of state and federal healthcare regulations, HIPAA, and patient safety standardsExcellent written and verbal communication skills for documentation and interdisciplinary collaborationCompassionate, patient-centered approach to careDEA registration (preferred)Job Type: 1099 Independent ContractorCompensation:Productivity-based compensation tied to daily patient volume Competitive compensation structureAnnual Compensation: $125k $175k (based on experience and qualifications)Benefits:Flexible scheduleAutonomy in daily workflowPaid onboarding period, including training and orientationProfessional liability (Malpractice) insurance coverage providedCensus planning support to optimize daily workloadQuarterly productivity-based bonus opportunitiesAI-assisted documentation through Moxie Link, combining technology and human oversight to save time on notes and enhance accuracyOngoing education and clinical development opportunities Job Type: Full-time Experience:Nursing home: 1 year (Preferred)License/Certification:Nurse Practitioner (NP) (Required)Ability to Commute:Weatherford, TX 76086 (Required) Work Location: In person

Created: 2026-02-04