IVI America logo
IVI America
Palo Alto, California

Advanced Practice Provider - NP or PA

Nurse PractitionerIncludes weekendsFull-Time Physician-Supervised State

Listed compensation

$150k-$170k

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

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

Posted 2mo ago

Job Description

Join IVI RMA North America in Palo Alto, a nationally recognized leader in reproductive medicine, and become part of a compassionate, collaborative team dedicated to helping patients grow their families.

We are seeking an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) who is passionate about women’s health and patient-centered care.

This is an exciting opportunity to work alongside leading fertility specialists in a fast-paced, innovative environment in San Francisco, where you can make a meaningful impact every day while advancing your career in reproductive medicine.

Advanced Practice Provider (APP) – Nurse Practitioner or Physician Assistant

The Advanced Practice Provider (APP) — Nurse Practitioner (NP) or Physician Assistant (PA) — is responsible for delivering the highest level of patient care at a premier fertility center. The APP assesses, diagnoses, and treats patients, orders and interprets diagnostic testing, provides patient education, and supports the medical management of women and men seeking reproductive and fertility-related services.

The APP works collaboratively with physicians, nurses, embryologists, and clinical staff in a team-based approach to provide exceptional patient care and outcomes.

Essential Functions and Responsibilities

  • Obtain detailed medical histories, review medical records, and perform comprehensive physical examinations.
  • Conduct infertility evaluations, including gynecologic exams, ultrasonography, mock embryo transfers, and other reproductive health assessments.
  • Perform “morning monitoring,” including ultrasound monitoring of stimulation cycles, early pregnancy monitoring, and intrauterine inseminations (IUI).
  • Order, review, and interpret laboratory and diagnostic test results.
  • Develop and implement individualized treatment plans in collaboration with supervising/collaborating physicians.
  • Prescribe medications and provide appropriate referrals in accordance with state regulations and scope of practice.
  • Provide detailed patient counseling and education regarding fertility treatment plans, procedures, medications, and outcomes.
  • Serve as a liaison between physicians and clinical staff to ensure continuity and quality of patient care.
  • Maintain accurate and timely documentation in the electronic medical record (EMR).
  • Participate in performance improvement initiatives and support best practices in patient care and safety.
  • Maintain patient confidentiality and ensure compliance with HIPAA and all regulatory standards.

Education, Licensure, and Certifications

Nurse Practitioner Requirements

  • Current state license as a Nurse Practitioner with prescriptive authority required.
  • Board certification as a Family Nurse Practitioner (FNP) or Women’s Health Nurse Practitioner (WHNP) required.
  • Master of Science in Nursing (MSN) or Doctor of Nursing Practice (DNP) required.

Physician Assistant Requirements

  • Current state license as a Physician Assistant required.
  • Current NCCPA certification required.
  • Graduate of an accredited Physician Assistant program required.

Additional Requirements

  • Current BLS certification required.
  • ACLS certification may be required depending on location or operational needs.

Qualifications and Experience

  • Previous experience in women’s health, reproductive endocrinology, infertility, OB/GYN, or fertility care preferred.
  • Experience performing ultrasound examinations and reproductive procedures preferred.
  • Strong interpersonal, organizational, and communication skills.
  • Ability to provide compassionate, patient-centered care in a fast-paced clinical environment.
  • Must be able to work weekends and holidays as assigned.
  • May require flexibility to work beyond scheduled shifts based on patient care needs.

Technical Skills

  • Proficient in using electronic medical records (EMR) and other healthcare technology systems.
  • Ability to access, input, and retrieve data accurately from a computer system.

Benefits

IVI-RMA offers a comprehensive benefits package to all employees working a minimum of 30 hours per week, including:

  • Medical, Dental, and Vision Insurance Options
  • 401(k) Retirement Plan
  • Paid Time Off and Paid Holidays
  • Company-Paid Life Insurance, Long-Term Disability, and AD&D
  • Flexible Spending Accounts (FSA)
  • Employee Assistance Program (EAP)
  • Tuition Reimbursement

About Ivirma Global

IVIRMA is the largest group in the world devoted exclusively to Assisted Reproductive Technology (ART). Along with the privilege of providing fertility care to our patients, IVIRMA embraces the responsibility of advancing the field of human reproduction through innovation, research, and science.

Learn More

  • rmanetwork.com
  • ivirma.com

Equal Employment Opportunity Statement

IVIRMA is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. IVIRMA is committed to providing equal employment opportunities for all employees and applicants and maintaining a work environment free of discrimination and harassment.

Employment decisions are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, age, or any other status protected by applicable federal, state, or local laws. IVIRMA encourages applicants of all ages and backgrounds to apply.

Monday - Friday 8am - 4pm with rotating weekends in San Francisco office

Key Responsibilities

The Advanced Practice Provider will assess, diagnose, and treat patients while performing reproductive health assessments and monitoring stimulation cycles. They will work collaboratively with a multidisciplinary team to develop individualized treatment plans and provide patient education.

Requirements

Candidates must hold a current state license as a Nurse Practitioner or Physician Assistant with relevant board certifications. Previous experience in women's health, reproductive endocrinology, or fertility care is preferred.

Qualifications

Experience
2+ years of experience

Key Skills

Patient AssessmentInfertility EvaluationTreatment PlanningMedication PrescriptionClinical DocumentationIntrauterine InseminationRegulatory Compliance

Reproductive Endocrinology & Infertility — Nurse Practitioner Career Context

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$160k midpoint carries the purchasing power of roughly $145k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 40% are remote, 52% have no call, 62% require no weekends.

What does the Nurse Practitioner market look like in California?
MeasureThis jobMarket
Listed pay$150k–$170kNurse Practitioner median $160k (middle half $137k–$180k)29 comparable listings, Nov 2026
Cost-of-living adjusted pay~$145k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Nurse Practitioner listings in California1,092 active13,790 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 40% remote · 52% no call · 62% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia Nurse Practitioner listings: 17% state a sign-on bonus (median $20k) · 12% offer loan repayment1,000 active listings, Nov 2026
Nurse Practitioner pay trend+2.2% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Advanced Practice Provider - NP or PA at IVI America a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 35% of all Reproductive Endocrinology & Infertility nurse practitioner listings evaluated on our platform.

Top Nurse Practitioner Jobs

31 matches · ranked by pay

Salary Distribution

31 jobs · 23 employers
9
<$145k
8
$145k-170k
9
$170k-195k
3
$195k-220k
2
$220k+

Annual compensation range

Benefits & Perks

27 jobs · 23 employers
401k / retirement match
93% this job
CME allowance
70%
Sign-on bonus
44%
Loan repayment
15%
Relocation assistance
11%

Share of similar jobs offering each benefit

#1

Clinical Nurse Midwife - Labor and Delivery (Full Time)

Beth Israel Lahey Health · Massachusetts

$146k-$250k
#2

Nurse Practitioner - Ute Mountain Ute Health Center - Towaoc, COContract

Akicita Federal · Towaoc, Colorado

$229k-$239k
#3

Clinic Director - Physician Assistant (PA-C) or Nurse Practitioner (NP)

$210k
#4

Family Nurse Practitioner

$160k-$210k
+ 29 more · ranked by pay

Work-life snapshot

median 6.0this job 6.0
Better work-life than 50% of Nurse Practitioner roles listings

Listing-based score, 0–10, across 13,527 comparable listings. Shaded area = the share scoring below this one.

  • Includes weekends
IVI America logo

About IVI America

Hospitals and Health Care
Waltham, Massachusetts
201-500 employees

Benefits & Perks

Medical, Dental, and Vision Insurance
401(k) Retirement Plan
Paid Time Off and Paid Holidays
Company-Paid Life Insurance, Long-Term Disability, and AD&D
Flexible Spending Accounts (FSA)
Employee Assistance Program (EAP)
Tuition Reimbursement

Living in Palo Alto

Typical 3-bedroom home value
$3.28M≈ 21.9× annual pay
Typical market rent
$4,558/mo≈ 36% of gross pay
Residents’ average commute
21 min
Metro price indexU.S. average = 100
110.4
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · San Jose-Sunnyvale-Santa Clara, CA metro prices. Housing figures are city-level.

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.