Per Diem NP or PA, Senior Community Care - Lewis, Thurston WA
- $5,000 sign-on bonus
- PRN / per diem
- Driver's license
How this pay compares
This posting states $53–$79 an hour. Open advanced practice provider jobs in Washington post a median of $72.59 an hour, the middle half $72.59–$82.63, across 39 jobs that state their pay, so this one is below the middle half of what they post. Advanced practice providers employed in Washington earn a median of $75.05 an hour (source: BLS Occupational Employment and Wage Statistics), according to the Bureau of Labor Statistics (May 2025) (source: BLS Occupational Employment and Wage Statistics).
Advanced practice providers in Washington: pay by town and employer
Nurse practitioner and physician assistant jobs in our research
- How long these jobs stay listed: Still listed at 7 days 88.0%
- Applicant demand per open job on this site (1.00x is the average job): Index 0.85x · Clicks 35
- How often these jobs state their pay: Jobs stating any pay 44.3% · Stating an hourly rate 21.2%
From every open job we read and every apply click on this site, as of 9 Nov 2026. Every figure for Nurse practitioner and physician assistant jobs
About the job
$5,000 Sign-on Bonus for External Candidates
No on-call, no weekends, and no holidays required.
Practice at the Top of Your License with Flexibility, Autonomy and Work-Life Balance
Join Optum's Senior Community Care team and provide meaningful, longitudinal care to medically complex patients in community based residential settings throughout Lewis and Thurston Counties.
As the primary Advanced Practice Clinician for your patient panel, you make the clinical decisions while being supported by a fully integrated interdisciplinary team. Our value-based model focuses on quality of care, not patient volume or productivity quotas .
This is a per diem , field-based position providing longitudinal care to patients in a variety of community-based residential settings, including assisted living, independent living, adult family/foster homes, senior living apartments, and private homes.
Why Providers Love This Role
- $5,000 Sign-on Bonus for eligible individuals who have not previously participated in this program
Competitive compensation
- No on-call, weekends or holidays required
- Flexible schedule
- No productivity quotas or RVU requirements
- Manage your own patient panel and schedule
- Serve as a clinical decision-maker along with collaboration with the PCP for your patients
- Strong interdisciplinary support with clinical autonomy
Make an Impact with Complex Patient Care
As part of Senior Community Care, you'll care for some of Optum's highest-risk Medicare members, including patients with multiple co-morbidities, advanced disease states and complex treatment needs.
You'll address the whole patient, including medical, behavioral, functional and social needs, while partnering with caregivers, facility teams and other healthcare professionals to improve outcomes and quality of life.
Primary Responsibilities
- Conduct comprehensive patient assessments
- Manage acute and chronic conditions, including testing, diagnostics and interventions
- Develop and manage complex treatment plans
- Lead advanced illness, goals-of-care and advance care planning conversations
- Collaborate with the interdisciplinary care team, facilities and caregivers
- Provide patient and caregiver education
- Ensure accurate and complete clinical documentation
This opportunity is ideal for NPs and PAs who enjoy critical thinking, clinical independence, complex patient care and ownership of patient outcomes, without sacrificing work-life balance.
Optum Home & Community Care is transforming care delivery by connecting patients with comprehensive, personalized care across settings. Join us to start Caring. Connecting. Growing together.
Required Qualifications
- For Nurse Practitioners:
- Graduate of an accredited Master of Science Nursing or Doctor of Nursing Practice program
- Active and unrestricted Nurse Practitioner license in the state which you reside, or ability to obtain by start date
- Board certified through the American Academy of Nurse Practitioners or the American Nurses Credentialing Center, with certification in one of the following:
- Family Nurse Practitioner
- Adult Nurse Practitioner
- Gerontology Nurse Practitioner
- Adult-Gerontology Acute Care Nurse Practitioner
- Adult-Gerontology Primary Care Nurse Practitioner
- For Physician Assistants:
- Graduate of an accredited Physician Assistant degree program
- Active and unrestricted Physician Assistant license in the state which you reside, or ability to obtain by start date
- Board certified by the National Commission on Certification of Physician Assistants (NCCPA)
- Current, active DEA licensure/prescriptive authority or ability to obtain post-hire, per state regulations (unless prohibited in state of practice) (SCC04)
- Ability to gain a collaborative practice agreement, if applicable in your state
- Ability to complete physical requirements of the job including moving a 30-pound bag in and out of the car, navigating stairs and a variety of dwelling conditions, remain in a stationary position and position self to perform physical assessment
- Driver's license and access to reliable transportation
Preferred Qualifications
- 1+ years of clinical experience in practice (long-term care, SNF, ALF settings preferred)
- Experience in meeting the medical needs of patients with complex behavioral, social and/or functional needs
- Understanding of Geriatrics and Chronic Illness
- Understanding of Advanced Illness and end of life discussions
- Proficient computer skills, including the ability to document medical information with written and electronic medical records
- Strong communication and collaboration skills, with the ability to work effectively across an interdisciplinary care team, including RNs and Care Navigators.
Compensation for this specialty generally ranges from $53 - $79 per hour. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
At UnitedHealth Group, our mission is to help people live healthier lives and help make the health system work better for everyone. Together, we are shaping the future of healthcare by harnessing technology and innovation to make care simpler to navigate, more affordable and more connected for the people we serve. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.
UnitedHealth Group and its affiliated brands are an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group and its affiliated brands are a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
From UnitedHealth Group's job posting, checked 9 Nov 2026. The employer's own page is the final word on requirements and availability.
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About UnitedHealth Group
UnitedHealth Group, based in Eden Prairie, Minnesota, is one of the largest US health care companies. Its Optum business employs nurses, physicians, therapists, pharmacists and medical assistants in physician practices, clinics, home and community care, behavioral health and pharmacy services across the country, alongside its UnitedHealthcare insurance business.
Based in Eden Prairie, MNHires in 48 statesPay on its listings: 62.5% of its open jobs state an hourly rate
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