Geriatric Pain Management NP/PA – San Francisco, CA

NPHire; San Francisco (CA); On-site; USD 100,000 - 120,000; Full time

Benefits offered by this job

Malpractice tail coverage

Formal onboarding program

Full-time hours

Job summary

NPHire is expanding in the San Francisco area, seeking Nurse Practitioners or Physician Assistants to conduct comprehensive pain assessments in skilled nursing facilities. You will build individualized treatment plans, manage medications, and coordinate with facility staff weekly, focusing on geriatric pain—while traveling across multiple San Francisco facilities.

New graduates welcome with onboarding support; 5+ years RN experience counts toward requirements.

Qualifications

• Active, unrestricted California NP or PA license.
• AGACNP-BC, AGPCNP-BC, FNP-BC, or PA-C certification.
• Fully onsite availability; travel between facilities required.
• Ability to build relationships with facility staff and leadership.
• Willingness to stay current in geriatric pain management.

Responsibilities

• Conduct comprehensive pain assessments, including medical history, exams, and identifying pain source/severity.
• Build individualized, evidence-based treatment plans combining pharmacological, non-pharmacological, and interventional approaches.
• Prescribe and manage pain medications, monitoring dosages per state/federal regs.
• Coordinate referrals for physical therapy, acupuncture, spinal blocks, and other interventional techniques.
• Educate patients and families on pain management strategies and lifestyle changes.
• Collaborate with physicians, therapists, and other providers to keep care coordinated and outcomes on track.
• Monitor treatment effectiveness through follow-up visits and adjust plans as needed.
• Maintain accurate, timely documentation in TEBRA and PointClickCare.
• Build strong working relationships with leadership and staff at partner facilities.

Skills

NP license

PA license

Travel to facilities

Communication skills

Geriatrics knowledge

TEBRA

PointClickCare

Tools

TEBRA

PointClickCare

Job description

Geriatric pain in skilled nursing facilities is one of the most consistently overlooked areas of care, and this growing pain management practice is expanding into the San Francisco area to close that gap.

As a Nurse Practitioner or Physician Assistant, you'd round on the same residents week after week - conducting comprehensive pain assessments, building individualized treatment plans, managing medications, and coordinating closely with facility staff and physicians.

The practice is actively growing, and new positions open as additional facilities come on board.

Why You'll Love This Opportunity

A true ground-floor opportunity - you'd be shaping how this practice operates in a growing Bay Area market, not stepping into someone else's established routine, with more positions opening as additional facilities come on board.

Malpractice insurance with tail coverage included, protecting you against claims filed even after you leave the role - a benefit most employers don't offer, and exposure many providers otherwise carry quietly for years.

New graduates are genuinely welcome, supported by a formal onboarding program rather than being thrown in cold; 5+ years of relevant RN experience also counts toward the experience bar.

Deeply needed work - pain in older adults in skilled nursing facilities is chronically undertreated, and you'd be the provider who finally assesses and manages it properly, following the same residents week after week.

Key Responsibilities

• Conduct comprehensive pain assessments, including medical history review, physical exams, and identifying the source and severity of pain.
• Build individualized, evidence-based treatment plans combining pharmacological, non-pharmacological, and interventional approaches for acute and chronic pain.
• Prescribe and manage pain medications, monitoring dosages in line with state and federal regulations.
• Coordinate referrals for physical therapy, acupuncture, spinal blocks, and other interventional techniques.
• Educate patients and families on pain management strategies, coping mechanisms, and lifestyle changes.
• Collaborate with physicians, physical therapists, and other providers to keep care coordinated and outcomes on track.
• Monitor treatment effectiveness through follow-up visits, adjusting plans as needed.
• Maintain accurate, timely documentation in TEBRA and PointClickCare.
• Build strong working relationships with leadership and staff at each partner facility.

Required Qualifications

• Active, unrestricted California NP or PA license.
• AGACNP-BC, AGPCNP-BC, FNP-BC, or PA-C certification.
• Fully onsite availability - this role is not remote or hybrid.
• Able to travel between facilities across the San Francisco area.
• Strong communication skills, compassion, and critical thinking, with a commitment to staying current in the field.
• Ability to build and maintain professional relationships with facility leadership and staff.

Preferred Qualifications

• Prior experience caring for geriatric patients.
• Background in skilled nursing, long-term care, palliative care, or hospice.
• Solid understanding of pain mechanisms, pharmacology, and the psychosocial aspects of chronic pain.
• Experience with TEBRA or PointClickCare.

Compensation and Benefits

• Fee-for-service: $10 per patient visit (average 40 patients per day).
• Malpractice insurance, including tail coverage.
• Formal onboarding program.
• Full-time hours, with schedule varying by facility and caseload.
• Licensure costs are the candidate's responsibility; no sign-on bonus or relocation assistance offered.