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Grammar
Sacramento, California, United States

Advanced Practice Clinician (Nurse Practitioner / Physician Assistant)

Physician AssistantFull-Time

Listed compensation

$145k-$220k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1h ago · Verified live

Job Description

Role: Advanced Practice Clinician (Nurse Practitioner / Physician Assistant)

Join a mission-driven community health center providing comprehensive medical care to underserved patients through community clinics and mobile medicine programs. In this role, you will examine patients, evaluate symptoms, diagnose conditions, develop treatment plans, and administer medical care in collaboration with the Medical Director.

Key Responsibilities

Observe, assess, and document patient signs, symptoms, and responses to treatment; initiate appropriate reporting, referrals, or emergency procedures.

Examine patients using physical findings, lab results, and medical history to ascertain illnesses and prescribe treatments.

Develop and institute appropriate treatment plans per protocol for acute and chronic medical problems with Medical Director consultation.

Direct and oversee patient care services, including medication administration and therapeutic agents within the scope of licensure.

Provide patient education, counseling, and disease prevention services.

Maintain accurate patient medical records in accordance with agency and JCAHO standards.

Requirements

For Nurse Practitioners: Current California RN, NP, and NPF licenses, plus current Nurse Practitioner board certification.

For Physician Assistants: California Physician Assistant License, PA Certificate, and NCCPA board certification.

  • 1–2 years of clinical experience working with underserved, low-income, or homeless populations preferred.
  • Current BLS and DEA certifications.
  • Current and valid California driver’s license and proof of personal auto insurance.

Ideal Candidate

A dedicated Nurse Practitioner or Physician Assistant with experience serving low-income or homeless communities, possessing strong clinical judgment in managing acute and chronic conditions. Bilingual or multilingual skills (Spanish, Russian, Farsi, or Pashto) are a strong plus.

Qualifications

Education
Professional certificate or licensure

Certifications

DEA License

Key Skills

Patient AssessmentPhysical ExaminationClinical DiagnosisTreatment PlanningAcute and Chronic CareClinical DocumentationReferral CoordinationPatient CounselingBilingual Communication

Family Medicine — Physician Assistant Career Context

Grammar holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 71/100, 23 active listings.

In California, the Family Medicine weighted monthly median benchmark on WeekdayDoc is ~$169k (124 salary observations; 309 listings), vs ~$135k nationally (905 salary observations; 3,912 listings). Monthly aggregates cover 2025-12-01 through 2026-11-01; these are not the modal's selected comparable-job medians.

Family Medicine by the numbers
MeasureThis jobMarket
California vs national$169k median in California$135k nationally (+25%)124 state / 905 national salary observations
Cost-of-living adjusted pay~$165k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Family Medicine listings in California83 active818 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 18% remote · 52% no call · 70% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedCalifornia Physician Assistant listings: 26% state a sign-on bonus · 11% offer loan repayment401 active listings, Nov 2026
Family Medicine hiring demand#2 of 6 specialtiespostings stay open a median 52 days · 30% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 409 postings, 124 closed
New Family Medicine listings1,779 in the last 30 days1,398 the 30 days before (+27%)U.S., first seen on WeekdayDoc, Nov 2026
Family Medicine pay trend+5.4% vs prior quarter—through Oct 2026
Grammarsilver tier, 71/100Top Employers work-life index23 active listings
Sources: WeekdayDoc live listing index, Top Employers work-life index, BEA Regional Price Parities (2024), WeekdayDoc Hiring Index; as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Physician Assistant Jobs

50 matches · ranked by pay

Salary Distribution

50 jobs · 39 employers
15
<$155k
11
$155k-175k
15
$175k-195k
6
$195k-215k
3
$215k+

Annual compensation range

Benefits & Perks

47 jobs · 39 employers
401k / retirement match
85%
CME allowance
66%
Sign-on bonus
51%
Loan repayment
19%
Relocation assistance
15%

Share of similar jobs offering each benefit

#1

Primary Care Functional Medicine - Physician Assistant

OnePeak Medical · Medford, Oregon

$300K+
#2

Clinical Director, Physician Assistant

Pine Park Health · San Francisco, California

$200k-$240k
#3

Outpatient Advanced Practice Provider (APP), Nurse Practitioner or Physician Assistant/Associates

$172k-$229k
#4

Nurse Practitioner or Physician Assistant, Family Medicine (Virtualist)

$156k-$214k
+ 48 more · ranked by pay

Work-life snapshot

median 4.8this job 3.0
Better work-life than 20% of Family Medicine (PA) listings

Listing-based score, 0–10, across 791 comparable listings. Shaded area = the share scoring below this one.

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About Grammar

Staffing and Recruiting
Wilmington, Delaware

Benefits & Perks

Collaborative Practice Agreement Required
Mission-Driven Community Health
Mobile Medicine Programs

Living in Sacramento

Typical 3-bedroom home value
$452k≈ 3.1× annual pay
Typical market rent
$2,045/mo≈ 17% of gross pay
Residents’ average commute
25 min
Metro price indexU.S. average = 100
106.7
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 · Sacramento-Roseville-Folsom, CA metro prices. Housing figures are city-level.

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