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Optimal Care
Houghton Lake, Michigan

Nurse Practitioner or Physician Assistant

Nurse Practitioner 9.0 Work-LifeNo callNo weekendsNo nightsFull-Time Physician-Supervised State

Listed compensation

$110K - $125K

The week · per this posting · Monday – FridayWeekdays only

Ask the employer about the work setting and time off.

Posted 1mo ago · Verified live

Job Description

Optimal Care is where your dedication meets a rewarding career.

Top Work Places for 12 consecutive years, Great Places to Work certified for 6 consecutive years, and we believe that exceptional care starts with exceptional people. We’re committed to supporting your professional growth, valuing your expertise, and creating an environment where you can do your best work every day.

As a clinician-owned and operated organization, we empower our team members to provide personalized, compassionate care to patients and families every day.

We are a leading provider of Physician Services, Home Health, and Hospice that encourages collaboration, innovation, and clinical excellence. From chronic disease management and rehabilitation to end-of-life care, our focus is on improving outcomes and enhancing quality of life.

  • We live a simple Mission: Serve Together, Provide Value, and Deliver Exceptional Quality Care.
  • Why You'll Enjoy Working with Us
  • Enjoy no weekends, holidays, or on-call and flexible schedules that adapt to your lifestyle
  • Experience fast and easy credentialing so you can begin making an impact sooner
  • Join a tight-knit community with collaboration and support
  • Build meaningful connections with both your team and your patients
  • Leverage back-office support staff to handle administrative tasks, allowing you to focus on patient care
  • Utilize our dedicated education department with full-time training staff
  • Start strong with a tailored onboarding process that meets you where you are, with a single point of contact
  • Collaborate with colleagues to advance population health initiatives
  • Enjoy independent practice within a framework that values your expertise
  • Engage in weekly touchpoints with peers and management to stay connected and supported
  • Experience a limited patient census, allowing for meaningful time with your patients
  • Be part of a team that offers non-stereotypical healthcare, breaking away from the mold

About the Role

Practice medicine in a way that prioritizes time, connection, and meaningful patient relationships. As a Nurse Practitioner or Physician Assistant in Physician Services, you'll provide primary and consultative care to geriatric and medically complex patients, often in their homes or care settings, with the autonomy to focus on what matters most—delivering high-quality, patient-centered care that improves comfort, function, and quality of life.

In this role, you'll conduct comprehensive medical evaluations, develop and manage individualized treatment plans, prescribe and monitor medications, and coordinate closely with physicians, caregivers, and interdisciplinary team members. Working within a collaborative practice framework, you'll serve as a key clinical decision-maker while helping patients and families better understand diagnoses, manage chronic illness, and avoid unnecessary hospitalizations.

Location

  • Office Location: Saginaw, MI
  • Main Service Area: Houghton Lake, Roscommon, West Branch, and surrounding areas

This role is a high travel position and requires daily travel within the service area to provide care to patients in their homes, assisted living facilities, or nursing homes

Hours

Monday to Friday, 8 a. m. to 5 p. m.

  • Required Qualification
  • Master’s or doctoral degree as a Board-Certified Nurse Practitioner or Physician Assistant
  • Current State License as a Nurse Practitioner or Physician Assistant
  • Reliable transportation, valid driver’s license, and valid automobile insurance coverage

Preferred Qualifications

  • Minimum 2 years clinical experience in a post-acute or as a Nurse Practitioner or Physician Assistant
  • Adult, Family, or Gerontology certification
  • Experience with geriatric patients
  • Essential Skills and Competencies
  • Nursing skills as defined by accepted nursing standards

Demonstrates ability to assess and respond to the needs of patients, families and caregivers in post-acute care settings

Demonstrates skill in nursing practice, ability to cope with family emotional stress and tolerance of individual lifestyles

Ability to handle multiple priorities, documentation requirements and deadlines

Pay Range

This role provides a base annual salary (listed below) and has monthly bonus potential

Pay Range

  • $110,000—$125,000 USD
  • How We Care for You
  • Minimum of 3 Weeks Paid Time Off (PTO)
  • Medical, Dental, and Vision Insurance
  • HSA and FSA options including Dependent Care
  • Company paid Short Term Disability
  • Company paid Life Insurance
  • 401(k) with Employer Match
  • Mileage Reimbursement
  • Company Vehicle Program for field roles
  • Pet Insurance
  • ID and Fraud Protection
  • And more...

Background Screening

Employment is contingent upon the successful completion of a background check. Screening is completed by a third-party administrator, the Michigan Long-Term Care Partnership, and is performed in compliance with the Fair Credit Report Act.

Reasonable Accommodations

We offer reasonable accommodations throughout the application process, interview stages, and during employment to ensure all team members can thrive. Please reach out to us if you would like to request a reasonable accommodation.

Equal Opportunity Employer

We believe an exceptional place to work begins with diverse perspectives. We are proud to be an equal-opportunity workplace that prohibits discrimination and harassment of any kind based on race, color, religion, sex, national origin, age, disability, or any other protected characteristic.

Key Responsibilities

Provide primary and consultative care to geriatric and medically complex patients in their homes or care settings. Conduct comprehensive medical evaluations, manage individualized treatment plans, and coordinate with interdisciplinary teams to improve patient outcomes.

Requirements

Requires a Master’s or doctoral degree as a Board-Certified Nurse Practitioner or Physician Assistant with a current state license. Candidates must have reliable transportation and a valid driver's license for daily travel within the service area.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
2+ years of experience

Certifications

Board Certification

Key Skills

Primary careGeriatric careMedical evaluationTreatment planningMedication managementClinical decision-makingPatient educationInterdisciplinary collaboration

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Nurse Practitioner or Physician Assistant at Optimal Care a 9.0 out of 10 for work-life balance — classified as exceptional. This places the position in the top 5% in Geriatric Medicine (NP) — ranked against 48 active Geriatric Medicine (NP) listings on WeekdayDoc. Contributing factors include no on-call duties, no weekend requirements, no night shifts.

Geriatric Medicine — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 30% are remote, 64% have no call, 60% require no weekends.

Nurse Practitioner pay on WeekdayDoc is down 1.4% vs. the prior quarter (through Aug 2026).

The cost-of-living index for Michigan is 96.2 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$118k midpoint carries the purchasing power of roughly $122k in an average-cost state. 61.8% of Michigan clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

24 matches · ranked by pay

Salary Distribution24 jobs · 14 employers

3
<$125k
3
$125k-135k
14
$135k-175k
4
$175k+

Annual compensation range

Benefits & Perks22 jobs · 14 employers

401k / retirement match
100% this job
CME allowance
73%
Sign-on bonus
18% this job
Loan repayment
5%
Relocation assistance
5%

Share of similar jobs offering each benefit

#1

In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Ulster, NY

CVS Health · New York, New York

$96k-$206k
#2

In-Home Nurse Practitioner or Physician Assistant (Full Time) - Philadelphia

CVS Health · Pennsylvania

$87k-$187k
#3

In-Home Health - Nurse Practitioner or Physician Assistant (Full Time) - Minneapolis, MN

$87k-$187k
#4

Nurse Practitioner

$150k-$180k
+ 22 more · ranked by pay

Work-life snapshot

median 6.5this job 9.0
Among the best 10% of Geriatric Medicine (NP) listings for work-life

Listing-based score, 0–10, across 48 comparable listings. Shaded area = the share scoring below this one.

  • No call
  • No weekends
  • No nights

Living in Houghton Lake

Typical 3-bedroom home value
$238k≈ 2.2× annual pay
Median resident rent
$827/mo≈ 9% of gross pay
Residents’ average commute
25 min
State income tax
Up to 4.3%
Sources & methodology

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

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

Optimal Care logo

About Optimal Care

Medical Practices
Jackson, Michigan
201-500 employees

Benefits & Perks

No weekends, holidays, or on-call
Flexible schedules
Fast and easy credentialing
Back-office support staff
Dedicated education department
Tailored onboarding process
Limited patient census
Minimum of 3 Weeks Paid Time Off (PTO)