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Total Extended Care Services

Hiring organization · Based in Big Rapids, MI

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1
open role, live count
5.0
Google rating

The city

Living in Big Rapids, MI

Big Rapids is a small West Michigan college town along the Muskegon River, home to Ferris State University. Outdoor recreation shapes the local lifestyle, with nearby trails, fishing, and kayaking. It's a quiet, tight-knit community ideal for nurses seeking a slower pace away from big-city congestion.

Browse roles in Big Rapids
Map showing the location of Big Rapids, MI
Big Rapids, MI on the map · © Mapbox © OpenStreetMap· Open the live map
State price level · Michigan
4% below the national average
State index 96.2 (100 = national)
Median gross rent
$929/mo
rent and tenant-paid utilities
Median household income
$43,858/yr
all local households, not nurse pay

U.S. Bureau of Economic Analysis · 2024 Regional Price Parities · Census ACS 2024

Who they are

Total Extended Care Services (TECS) is a growing Physical Medicine and Rehabilitation (PM&R) group that focuses on improving patient outcomes in sub-acute and skilled nursing settings.

More about Total Extended Care Services

Rather than operating as a standalone facility, TECS partners with rehabilitation facilities to provide expert physiatry support, working closely with interdisciplinary teams including occupational therapy, physical therapy, and nursing staff. The organization emphasizes evidence-based care, seamless interdisciplinary communication, and measurable improvements in patient outcomes across the continuum of care. For nursing professionals, TECS offers a collaborative environment where clinicians work side-by-side with experienced PM&R physicians to manage patient care in skilled nursing and sub-acute rehab settings. The role is described as focusing on functional recovery, continuity of care, and measurable patient outcomes without the burden of on-call responsibilities.

TECS is committed to delivering expert, evidence-based physiatry support that measurably improves patient outcomes across the continuum of care. Their values center on interdisciplinary collaboration, patient-centered care, clinical expertise in managing pain and complex comorbidities, and seamless communication among care teams. The organization emphasizes helping patients regain function, reducing hospital readmissions, and improving quality of life through coordinated rehabilitation care.

Working here

Culture and working life

CollaborativeInterdisciplinaryPatient-centeredEvidence-basedOutcome-focusedCoordinatedGrowing

What to consider

The good

  • No on-call responsibilities, as explicitly stated in job descriptions
  • Collaborative, interdisciplinary environment partnering with PM&R physicians, OT, and PT teams
  • Strong focus on functional recovery, continuity of care, and measurable patient outcomes
  • Positive testimonials from interdisciplinary team members citing clinical expertise and patient-centered approach
  • Growing organization with 37 job openings listed on Indeed, indicating expansion and opportunity

The hard parts

  • Limited publicly accessible workplace reviews or ratings on Glassdoor and Indeed
  • Complex patient caseload involving pain management and multiple comorbidities, as described in team testimonials
  • Relatively new or growing organization with limited established online presence and review history

The reality check

Before you decide

Quick facts

Roles last seen active
Jun 19, 2026
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Open roles

Roles from Total Extended Care Services

Refreshed throughout the day.

Nurse Practitioner / Physician Assistant

$31/hr

Total Extended Care Services logoTotal Extended Care Services

Big Rapids, MI

  • NP
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