Legacy Care’s independent medical group is committed to delivering exceptional, person-centered healthcare in post-acute settings across Virginia. Our mission focuses on personalizing healthcare experiences to meet the individual needs of patients throughout the continuum of care. Clinicians thrive in an environment that supports professional autonomy, collaborative practice and flexible scheduling.

Role Overview: PRN Nurse Practitioner Opportunity, Hampton Roads, VA

We are seeking an experienced and collaborative Nurse Practitioner to support our Hampton Roads team on a PRN basis. This role provides high-quality, person-centered primary and post-acute care within skilled nursing, long-term care and assisted living settings. The successful candidate will assess patients, diagnose and manage acute and chronic conditions, develop individualized treatment plans, prescribe medications, monitor clinical progress, coordinate care with interdisciplinary teams and promote safe, effective continuity of care.

Benefits for Our Healthcare Professionals

• Flexible PRN scheduling to support patient care, professional development and work-life balance

• Competitive compensation-Daily rate, W2

• Professional autonomy within a collaborative and supportive clinical environment

• Opportunity to provide healthcare across post-acute, skilled nursing, long-term care and assisted living settings

• Comprehensive clinical and administrative support, including assistance with credentialing

• Streamlined in-house billing workflows and operational support

• Medical Malpractice coverage provided

Key Responsibilities

• Provide comprehensive primary and post-acute medical care to patients in skilled nursing, long-term care and assisted living settings

• Conduct initial, routine and follow-up patient evaluations, including review of medical history, symptoms, medications, diagnoses and current concerns

• Assess, diagnose and manage acute illnesses, chronic conditions, complex medical needs and changes in clinical status within the scope of practice

• Perform focused and comprehensive physical examinations and evaluate functional status, cognition, mobility, nutrition, pain and safety risks

• Develop, implement and review individualized treatment plans in collaboration with patients, families, facility staff and interdisciplinary care teams

• Prescribe, review and manage medications in accordance with applicable regulations, clinical guidelines and patient needs

• Monitor treatment response, therapeutic outcomes, adverse effects, drug interactions, polypharmacy and clinical risk

• Order, review and follow up on laboratory tests, diagnostic imaging and other investigations as clinically appropriate

• Recognize and manage changes in condition, urgent patient needs and potential clinical deterioration, escalating care appropriately when required

• Evaluate patients for falls, infection, pain, dehydration, malnutrition, delirium, sepsis and other safety or medical concerns, initiating appropriate interventions and referrals

• Coordinate hospital follow-up, specialist referrals, consultations, diagnostic testing and transitions of care

• Collaborate with physicians, nurse practitioners, nurses, therapists, pharmacists, specialists, hospitals and community healthcare resources

• Participate in care planning meetings, interdisciplinary reviews, family consultations and facility clinical meetings as required

• Provide education and support to patients, families and facility staff regarding diagnoses, medications, treatment plans, symptom management and prevention of clinical deterioration

• Promote evidence-informed practice, patient safety, person-centered care, infection prevention, risk management and quality improvement

• Maintain accurate, timely and clinically appropriate documentation in the Electronic Medical Record (EMR)

• Communicate effectively with the supervising or collaborating physician and other members of the care team, as applicable

Qualifications and Required Skills

• Master’s degree or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program

• Current, unrestricted Virginia Nurse Practitioner license and eligibility to practice in Virginia

• Current national board certification as a Nurse Practitioner through the appropriate certifying organization

• Current prescriptive authority and Drug Enforcement Administration (DEA) registration, as required

• Experience in primary care, post-acute care, skilled nursing, long-term care, assisted living, geriatric, hospital or related clinical settings preferred

• Experience caring for older adults and patients with complex medical, cognitive and functional needs preferred

• Strong clinical assessment, diagnostic reasoning, treatment planning and care coordination skills

• Knowledge of chronic disease management, geriatric medicine, pharmacology, acute illness assessment and transitions of care

• Proficiency with Electronic Medical Record systems and timely, accurate documentation practices

• Excellent communication, collaboration, organization and problem-solving abilities

• Compassionate, culturally sensitive and person-centered approach to patient care

• Ability to work independently while collaborating effectively with physicians and multidisciplinary care teams

• Availability to provide reliable PRN Nurse Practitioner coverage based on patient and facility needs

What Success Looks Like

• Timely, thorough patient assessments and individualized treatment plans that promote safety, stability, comfort and wellbeing

• Effective management of acute and chronic medical conditions within the Nurse Practitioner scope of practice

• Thoughtful, evidence-informed prescribing and medication management that supports positive clinical outcomes

• Clear, accurate documentation and effective communication with patients, families, facility staff and care teams

• Appropriate coordination of care, follow-up and escalation for changes in clinical status or safety risk

• Positive working relationships with physicians, facility staff, advanced practice providers and interdisciplinary clinicians

• Meaningful contribution to quality improvement, regulatory readiness and continuous improvement in healthcare delivery

• Reliable PRN Nurse Practitioner coverage that supports continuity and coordination of patient care

Equal Opportunity Employer/Veterans/Disabled

We provide equal opportunity for all applicants and will consider qualified candidates without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status or disability. We are committed to fostering an inclusive workplace that respects diversity and treats all candidates with dignity.