Advanced Practice Provider (NP/PA)

Puzzle Healthcare; Mexia (TX); On-site; USD 83,000 - 103,000; Part time

Benefits offered by this job

Health benefits

Paid time off

Professional development

Remote charting tools

Job summary

Puzzle Healthcare seeks a Nurse Practitioner/Physician Assistant for two skilled nursing facilities in Mexia and Groesbeck, TX. This onsite, part-time role offers a weekday daytime schedule (2–3 days/week) with no nights or weekends and an RVU-based compensation model.

You will round at facilities, perform micro visits, collaborate with a multidisciplinary team, and document in Puzzle’s EHR, often remotely from home.

Qualifications

• RVU-based productivity expectations for post-acute care roles.
• Ability to perform focused clinical assessments and management of post-acute recovery.
• Strong collaboration with physicians, therapists, and facility staff.

Responsibilities

• Round in assigned facilities on a consistent weekday daytime schedule.
• Conduct micro visits to support recovery, manage pain, wounds, and functional decline.
• Collaborate with physicians, therapists, and facility staff on individualized recovery plans.
• Use Puzzle’s EHR to complete documentation (often remotely from home).
• Monitor readmission risk and close gaps in post-acute care.
• Maintain compliance with post-acute and PM&R-related regulations.

Skills

RVU-based productivity

Clinical assessment

Interdisciplinary collaboration

Documentation in EHR

Tools

Puzzle EHR

Job description

Puzzle Healthcare is a mission-driven, national post-acute care organization focused on protecting patients during their most vulnerable moments—right after a hospital stay. As a Nurse Practitioner/Physician Assistant in Mexia, TX, you’ll provide focused care in nursing facilities helping reduce readmissions and improve recovery while enjoying autonomy, a predictable schedule, and strong team support.

This is an onsite, multi-site position supporting 2 skilled nursing facilities (SNFs) in Mexia and Groesbeck, Texas. The provider will work across all two locations based on patient and facility needs.

FlexibleSchedule: Part-Time/RVU-Based, 2-3 days/week; no call, no weekends

What You’ll Do

• Round in assigned facilities on a consistent weekday daytime schedule

• Oversee daily patient interactions through timely micro visits that support focused assessments to assess recovery, manage pain, wounds, and functional decline
• Collaborate with physicians, therapists, and facility staff on individualized recovery plans

• Use Puzzle’s EHR to complete documentation (often remotely from home)

• Monitor readmission risk and help close gaps in post-acute care

• Maintain compliance with post-acute and PM&R-related regulations

What You’ll Gain

• Schedule: Weekday daytime hours only; no nights, weekends, or call

• Compensation: This position is compensated through an RVU-based productivity model. In accordance with pay transparency guidelines, the estimated hourly equivalent for this role is $60–$75 per hour, based on experience, productivity, and clinical performance. This hourly equivalent is provided for transparency purposes only and does not represent a guaranteed hourly wage.
• Benefits: Comprehensive health benefits, paid time off, professional development, and remote charting tools

• Culture: A supportive, mission-obsessed team that values collaboration, kindness, and career growth