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Adventist Health
Selma, California

Nurse Practitioner (Outpatient)- Full-Time, AHMO Selma, Endocrinology

Nurse PractitionerIncludes callFull-Time Physician-Supervised State

Listed compensation

$132K - $199K

The week · per this posting · weekdays assumed

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

Posted 3mo ago · Verified live

Job Description

Lying just inland between the State's coastal mountain ranges and the Sierra Nevada Mountains, Adventist Health Reedley has been serving the Central Valley since 2011. We are comprised of a 49-bed acute care hospital and 60 clinics in 27 rural communities with primary and specialty care services.

Reedley is a perfect location for outdoor enthusiasts as it is located in the central San Joaquin Valley portion of California, close to Yosemite, Sequoia and Kings Canyon National Parks. In addition to the beautiful landscape, it also offers a great cost of living and close-knit communities.

Job Summary

Maintains responsibility for providing expert clinical care in general or specialty areas. Assesses, plans and provides patient care in collaboration with the attending physician.

Provides comprehensive health assessments, performs medical diagnosis of acute and chronic illnesses, writes prescriptions and formulates treatment plans. Diagnoses medical conditions, plans and implements interventions.

Assists in medical/surgical care of patients and evaluates responses in collaboration with the attending/consulting physicians.

Job Requirements

Education and Work Experience

  • Master's Degree in Nursing (MSN) or Doctor of Nursing Practice (DNP):

Required

  • Two years' relevant clinical experience: Preferred

Licenses/Certifications

  • Registered Nurse (RN) licensure in the state of practice: Required
  • Nurse Practitioner (NP) licensure in state of practice: Required
  • Cardiopulmonary Resuscitation (CPR) certification or Basic Life Support (BLS) certification from approved vendor per AH policy: Required

Facility Specific License/Certifications

  • AHA-BLS or ARC-BLS or AHA-CPR or ARC-CPR: Required

Essential Functions

  • Interviews patients, employees and/or family members. Constructs comprehensive medical histories. Performs initial and periodic physical examinations. Evaluates patient behavior and explores patient’s interpretation of health needs. Works under the scope of practice of a nurse practitioner and as an agent of the physician.
  • Provides appropriate patient education. Explains the diagnosis, treatment and prognosis. Secures appropriate informed consent for procedures. Instructs patients about health maintenance and preventive care. Provides patient education handouts. Makes referrals to health education classes when available. Provides continuity of care. Directly performs or orders appropriate diagnostic studies and interprets finished results.
  • Provides continuity of care including discussing the completion of treatment plans and administration of medications and injections. Follows-up on acute and chronic problems and significant abnormal tests.
  • Oversees the maintenance of adequate, concise, legible and up-to-date documentation of patient care. Makes note of problem medical, medication and discharge records, drug allergies, lab orders, subjective and objective data, diagnostic procedures, patient education and treatment. Provides treatment of patients as needed, including administering medications and/or vaccines and performing procedures. Works under the scope of practice of a nurse practitioner and as an agent of the physician. Writes orders to increase, decrease, or change medication (subject to checking and medical consultation as indicated).
  • Uses cost-containment measures which include, but are not limited to, prescribing only clinically necessary medications, prescribing generic medications when appropriate, making only clinically necessary referrals and ordering only clinically necessary diagnostic procedures.
  • Performs other job-related duties as assigned.

Organizational Requirements

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit

adventisthealth.org for more information about

E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

Adventist Health is a faith-based, nonprofit, integrated health system serving more than 100 communities on the West Coast and Hawaii with over 440 sites of care, including 27 acute care facilities.

Founded on Adventist heritage and values, Adventist Health provides care in hospitals, clinics, home care, and hospice agencies in both rural and urban communities.

Our compassionate and talented team of more than 38,000 includes employees, physicians, Medical Staff, and volunteers driven in pursuit of one mission: living God's love by inspiring health, wholeness and hope.

Key Responsibilities

Provide expert clinical care in endocrinology by assessing patients, diagnosing acute and chronic illnesses, and formulating treatment plans. Collaborate with attending physicians to implement interventions and maintain detailed patient documentation.

Requirements

Requires a Master's or Doctoral degree in Nursing and active RN and NP licensure in the state of practice. BLS/CPR certification is mandatory, and two years of relevant clinical experience is preferred.

Qualifications

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

Key Skills

Patient AssessmentTreatment PlanningPrescription WritingChronic Illness ManagementDiagnostic InterpretationMedical Documentation

Endocrinology — Nurse Practitioner Career Context

Of the 50 active Endocrinology listings this role was benchmarked against, 28% are remote, 56% have no call, 70% require no weekends.

Endocrinology pay on WeekdayDoc is down 3.5% vs. the prior quarter (through Sep 2026).

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$165k midpoint carries the purchasing power of roughly $149k in an average-cost state. 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

39 matches · ranked by pay

Salary Distribution39 jobs · 34 employers

16
<$165k
9
$165k-195k
8
$195k-225k
3
$225k-255k
3
$255k+

Annual compensation range

Benefits & Perks30 jobs

401k / retirement match
90%
CME allowance
53%
Sign-on bonus
47%
Loan repayment
13% this job
Relocation assistance
10%

Share of similar jobs offering each benefit

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Work-life snapshot

median 6.3this job 3.0
Better work-life than 20% of Endocrinology (NP) listings

Listing-based score, 0–10, across 62 comparable listings. Shaded area = the share scoring below this one.

  • Includes call

Living in Selma

Typical 3-bedroom home value
$351k≈ 2.6× annual pay
Typical market rent
$2,000/mo≈ 18% of gross pay
Residents’ average commute
24 min
Metro price indexU.S. average = 100
102.2
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · Fresno, CA metro prices. Housing figures are city-level.

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