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UnitedHealth Group
Centralia, Washington

Per Diem NP or PA, Senior Community Care - Lewis, Thurston WA

Nurse PractitionerNo callNo weekendsPer Diem Full Practice Authority

Listed compensation

$53-$79/hr

The week · per this posting

Ask the employer about the work setting, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

  • $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.

Key Responsibilities

Conduct comprehensive patient assessments and manage acute and chronic conditions for medically complex patients in residential settings. Collaborate with an interdisciplinary team to develop treatment plans and lead advance care planning conversations.

Requirements

Requires a graduate degree from an accredited Nurse Practitioner or Physician Assistant program and active, unrestricted licensure in the state of practice. Candidates must hold relevant board certification and possess a valid driver's license with access to reliable transportation.

Qualifications

Education
Master's degree (postgraduate degree)
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient assessmentChronic condition managementAcute condition managementTreatment planningInterdisciplinary collaborationChronic illness managementEnd of life carePatient educationDiagnostic testing

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Per Diem NP or PA, Senior Community Care - Lewis, Thurston WA at UnitedHealth Group a 7.2 out of 10 for work-life balance — classified as very good. This places the position in the top 25% in Geriatrics (NP) — ranked against 541 active Geriatrics (NP) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements.

Geriatrics — Nurse Practitioner Career Context

UnitedHealth Group holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 71/100, 1,666 active listings.

Of the 40 active Geriatrics listings this role was benchmarked against, 28% are remote, 33% have no call, 83% require no weekends.

Geriatrics by the numbers
MeasureThis jobMarket
Work-life score7.2 / 10 · top 25% in geriatrics (np)ranked against 541 Geriatrics (NP) listingslisting-based score, 0–10
Cost-of-living adjusted pay~$128k in purchasing powerWashington index 107.0 (US = 100)BEA Regional Price Parities (2024)
Geriatrics listings in Washington7 active558 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 28% remote · 33% no call · 83% no weekends40 benchmarked listings
Sign-on & loan repayment$5k sign-onWashington Nurse Practitioner listings: 20% state a sign-on bonus (median $13k) · 13% offer loan repayment323 active listings, Nov 2026
Geriatrics hiring demand#8 of 19 specialtiespostings stay open a median 32 days · 22% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 175 postings, 297 closed
New Geriatrics listings229 in the last 30 days209 the 30 days before (+10%)U.S., first seen on WeekdayDoc, Nov 2026
UnitedHealth Groupsilver tier, 71/100Top Employers work-life index1,666 active listings
Implied production pay~$250k$50/wRVU × 5,000 wRVUsCMS CPT frequencies; WeekdayDoc listing median $/wRVU
Sources: WeekdayDoc live listing index (541 Geriatrics (NP) listings), Top Employers work-life index, BEA Regional Price Parities (2024), CMS Physician Fee Schedule, WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states. At the posted ~$137k midpoint, that is roughly $5k–$10k a year versus a typical 4–7% state rate.

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Annual compensation range

Work-Life Balance Distribution

40 jobs · 20 employers
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Work-life snapshot

median 6.2this job 7.2
Better work-life than 80% of Geriatrics (NP) listings

Listing-based score, 0–10, across 541 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
UnitedHealth Group logo

About UnitedHealth Group

Hospitals and Health Care
Eden Prairie , Minnesota
10,000+ employees

Benefits & Perks

$5,000 Sign-on Bonus
No on-call, no weekends, no holidays
Flexible schedule
No productivity quotas or RVU requirements
Manage your own patient panel
Comprehensive benefits package
Equity stock purchase
401k contribution

Living in Centralia

Typical 3-bedroom home value
$408k
Typical market rent
$1,433/mo
Residents’ average commute
26 min
State income tax
None
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.