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Nurse Practitioner / Physician Assistant

NP

Posted Jun 18

Unit
Rehab

What the listing says

Role

Weekends
No weekends
Term
Permanent
On the floor
No call
Setting
Long Term Care
Accepts
NP

Ratio not posted. Ask in the interview.

Pay

Against the board
This role$31/hr
nursing in Michigan$36/hr

The median for nursing in Michigan is $36/hr, across 169 postings. It covers every nursing role in the state, so it is a bearing, not a like-for-like comparison.

About this role

*Company Overview*

Total Extended Care Services is a growing Physical Medicine and Rehabilitation (PM&R) group focused on improving patient outcomes in sub-acute and skilled nursing settings. Our team partners closely with rehabilitation professionals to help patients regain function, reduce hospital readmissions, and improve quality of life.

*The Opportunity*

This role offers the chance to work side-by-side with experienced PM&R physicians in a collaborative, interdisciplinary environment. It's a strong fit for a clinician who wants to focus on functional recovery, continuity of care, and measurable patient outcomes--without the burden of on-call responsibilities.

Read the full posting

You'll play a key role in helping patients transition successfully through rehabilitation while working with a team that values coordination, consistency, and long-term impact.

*What You'll Do*

  • Partner with a PM&R physician to manage patient care in skilled nursing and sub-acute rehab settings
  • Collaborate closely with therapy teams (PT/OT/ST) to align medical care with functional recovery goals
  • Coordinate with primary care providers, nursing staff, social workers, and families to ensure continuity of care
  • Provide ongoing evaluation and management with a focus on pain control, mobility improvement, and reducing hospital readmissions
  • Complete timely and accurate documentation, with flexibility to chart remotely

*What Success Looks Like*

  • Patients demonstrate measurable improvement in mobility, function, and overall rehabilitation outcomes
  • Reduced avoidable hospital readmissions through proactive care and coordination
  • Strong alignment between medical treatment plans and therapy goals
  • Consistent, timely documentation that supports high-quality, compliant care
  • Positive collaboration with interdisciplinary teams across multiple facilities

*What We're Looking For*

  • Licensed Nurse Practitioner or Physician Assistant (required)
  • Active certification as an NP or PA (required)
  • Current Michigan license (required)
  • Ability to work independently while collaborating across disciplines
  • Strong communication skills and a patient-centered approach to care
  • Reliable transportation to travel between facilities

*Compensation and Benefits*

  • Flexible schedule
  • No on-call responsibilities (evenings and weekends free)

*Work Location / Schedule*

  • In-person at skilled nursing facilities
  • Flexible scheduling options available
  • Part-time opportunities available

*How to Apply* Submit your application to join a team focused on delivering high-quality rehabilitation care and improving patient outcomes.

Pay: $59,171.94 - $71,260.83 per year

Benefits

  • 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Retirement plan
  • Vision insurance

Work Location: In person

Sourced from a public job board.

Requirements

  • Nurse Practitioner
  • Physician Assistant
  • Michigan license

Benefits highlights

  • Dental
  • Vision

Place

City
Big Rapids, MI
Median rent
$929/mo

rent and tenant-paid utilities · Census ACS 2024

Local household income
$43,858/yr

all local households, not nurse pay · Census ACS 2024

State price level
4% below the national average

Michigan index 96.2, where 100 is the national average.

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.

Map showing the location of Big Rapids, MI
Approximate location in Big Rapids, MI. · © Mapbox © OpenStreetMap· Open the live map

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

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About the employer

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Total Extended Care Services
Hiring organization

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. Rather than operating as a standalone facility, TECS partners with rehabilitation facilities to provide…

On your path

Nurse Practitioner is advanced-practice territory. The long route; independence depends on your state.

Worth asking

The posting doesn’t answer these. Good ones to ask a recruiter or in the interview.

  • How does the productivity or RVU formula work?
  • Are there differentials or other recurring incentives?
  • Does the employer cover malpractice and tail coverage, plus CME, licensing, and DEA support?
  • What should I expect for shifts, weekly hours, holiday, and rotation?
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