Nurse Practitioner - Acute Care (FT, PT, or PRN)

myLaurel; Everett (WA); On-site; USD 165,000 - 175,000; Full time

Benefits offered by this job

Discretionary PTO

Medical, dental, and vision

401(k)

Company-provided laptop

Job summary

myLaurel is seeking a Nurse Practitioner to deliver acute care in patients' homes across Seattle Metro and Everett, WA. This field-based role offers autonomy, high-acuity home visits, and the chance to prevent hospitalizations while improving patient outcomes.

Choose your schedule: Full-Time, Part-Time, or PRN with competitive pay, sign-on bonuses, and full benefits. The role requires WA licensure, an acute care background, and flexibility for evenings, weekends, and holidays.

Qualifications

• Current, unrestricted NP or PA-C licensure in WA.
• Minimum 2 years acute care experience in acute settings (ED, hospital medicine, acute post-acute).
• Ability to function as solo on-site clinical authority.
• Certifications in AGACNP-BC, ENP-BC, or PA-C with NCCPA CAQ in Emergency or Hospital Medicine are a plus.
• Active driver's license and ability to lift up to 60 lbs; BLS required; ACLS preferred.
• Evenings, weekends, and holiday coverage required to ensure patient care.

Responsibilities

• Conduct home-based assessments and administer IV fluids and medications.
• Order and interpret diagnostic tests and develop holistic care plans with referring clinicians.
• Participate in quality initiatives to reduce hospital readmissions and improve outcomes.

Skills

Licensed NP/PA-C

Acute care experience

Autonomous on-site practice

Certifications in acute care (AGACNP--

Education

Nurse Practitioner license (WA)

Job description

Nurse Practitioner (Acute Care at Home Provider)

Job Title: Nurse Practitioner (Acute Care in the Home) - Choose Your Schedule

Location: Seattle Metro & Everett, WA (Field-Based)

Job Type: Full-Time, Part-Time, or PRN / Contract

Choose Your Schedule (8:30 AM - 8:30 PM Shifts)

We know one size doesn't fit all. We are offering complete flexibility so you can choose the track that fits your life and reclaims your work-life balance. (Note: Flexibility is required for evenings, weekends, and holiday coverage).

• Full-Time (3 x 12-Hour Shifts/Week): $165,000 - $175,000/year + Sign-On Bonus & Full Benefits (4 days off per week!)
• Part-Time (2 x 12-Hour Shifts/Week): $99,000 - $105,000/year + Sign-On Bonus & PT Benefits (5 days off per week!)
• Contractor / PRN (Minimum 1 x 12-Hour Shift/Week): $100/hour flat rate

The Role

This role brings your advanced clinical expertise beyond the walls of the hospital and into the home, where you can see the full picture. You'll practice with greater autonomy, deliver high-acuity care in a more personal setting, and use your clinical judgment to prevent complications, reduce hospitalizations, and make a lasting difference in your patients' lives.

You will practice at the top of your license- performing hands-on assessments, independent IV access, medication administration, wound care, and splinting completely autonomously. Reporting to the Field Provider Manager, you will have the freedom to assess, decide, and act.

What You Will Do

• Deliver Care That Follows the Patient: Perform problem-focused assessments and deliver therapeutic interventions (e.g., IV fluids, medication administration) in the home.
• Own the Care Plan: Order and interpret diagnostic tests (labs, EKGs, POCUS), and collaborate with referring clinicians to create holistic care plans that integrate patient goals and palliative principles.
• Improve Outcomes That Matter: Participate in quality initiatives that have a measurable impact, helping us achieve our 49% reduction in hospital readmissions and 97 NPS score.

Who You Are & Required Qualifications

Because of the highly autonomous, high-acuity nature of this role, we have strict clinical requirements. Please note: We are unable to accept new graduates or providers whose primary experience is in primary care, urgent care, telehealth, or aesthetics for this specific role.

• Licensed Professional: Current, unrestricted state licensure as an NP (ARNP) or PA-C in Washington. You must have U.S. residency and be eligible to work without sponsorship.
• Acute Care Veteran: You have a minimum of 2 years (or 3,600 hours) of clinical experience specifically in acute settings: Emergency Department, Inpatient Medicine (hospitalist, med-surg, telemetry, step-down), or Acute Post-Acute (LTACH, acute rehab, SNF).
• Solo Procedural Fluency: You are comfortable operating as the solo on-site clinical authority. You possess demonstrated procedural fluency in independent IV access, medication administration, and point-of-care diagnostics.
• Highly Desirable Certifications/Experience: AGACNP-BC, ENP-BC, or PA-C with NCCPA CAQ in Emergency or Hospital Medicine. 5+ years of acute practice, pre-licensure EMS background (paramedic/critical care transport), or previous Hospital-at-Home experience is a massive plus.
• Mobile & Adaptable: You possess an active, unrestricted driver's license. You have the physical capacity to carry up to 60 lbs of equipment, navigate stairs, and deliver unpredictable, autonomous care in non-clinical home environments.
• Certified & Flexible: Current BLS certification is required; ACLS is preferred. You are available for evenings, weekends, and holiday coverage to ensure our patients receive care when they need it most.

Company Benefits

Benefits vary by track. Full-Time includes all of the below; Part-Time includes PTO, 401k, and Supplemental options.

• Discretionary Time Off (After 90 Days without a cap) for FT / Vacation (PTO) eligible for PT
• Medical (Aetna; choice of 6 plans), Dental, & Vision
• Company Paid Life Insurance
• Flexible Spending Account & Health Savings Account
• Continuing Education Reimbursement
• 401(k)
• Numerous Supplemental Plans to Choose From (Life, LTD, STD, Commuter Benefits)
• Company-provided laptop & accessories

About myLaurel

myLaurel was founded on the belief that a meaningful portion of hospital care can-and should-be delivered in the comfort of home. As a tech-enabled medical group, we partner with health systems, payers, and provider groups to improve the patient experience while maintaining the highest standards of clinical quality and safety. We stand behind our outcomes by putting our fees at risk, demonstrating both accountability and confidence in the results we deliver.

Our Impact

• 33% lower ED utilization
• 49% absolute reduction in readmissions
• An average of 15 bed-days saved daily
• A Net Promoter Score (NPS) of 97

Recognized for innovation and industry leadership, myLaurel has been named to Fast Company's Most Innovative Companies and the New York Digital Health 100. The company is headquartered in New York City.

Nobis, LLC d/b/a myLaurel is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.