Nurse Practitioner-PRN-Richmond, VA

Legacy Care’s independent medical group is committed to delivering exceptional, person-centered healthcare in post-acute settings across Virginia. Our mission focuses on personalizing healthcare experiences to meet the individual needs of patients throughout the continuum of care. Clinicians thrive in an environment that supports professional autonomy, collaborative practice and flexible scheduling.
Role Overview: PRN Nurse Practitioner Opportunity, Richmond, VA
We are seeking an experienced and collaborative Nurse Practitioner to support our Richmond team on a PRN basis. This role provides high-quality, person-centered primary and post-acute care within skilled nursing, long-term care and assisted living settings. The successful candidate will assess patients, diagnose and manage acute and chronic conditions, develop individualized treatment plans, prescribe medications, monitor clinical progress, coordinate care with multidisciplinary teams and promote safe, effective continuity of care.
Benefits for Our Healthcare Professionals
Flexible PRN scheduling to support patient care, professional development and work-life balance
Competitive daily-rate compensation as a W-2 employee
Professional autonomy within a collaborative and supportive clinical environment
Opportunity to provide healthcare across post-acute, skilled nursing, long-term care and assisted living settings
Comprehensive clinical and administrative support, including assistance with credentialing
Streamlined in-house billing workflows and operational support
Medical malpractice coverage provided
Key Responsibilities
Provide comprehensive primary and post-acute medical care to patients in skilled nursing, long-term care and assisted living settings
Conduct initial, routine and follow-up patient evaluations, including review of medical history, symptoms, medications, diagnoses and current concerns
Assess, diagnose and manage acute illnesses, chronic conditions, complex medical needs and changes in clinical status within the scope of practice
Perform focused and comprehensive physical examinations and evaluate functional status, cognition, mobility, nutrition, pain and safety risks
Develop, implement and review individualized treatment plans in collaboration with patients, families, facility staff and interdisciplinary care teams
Prescribe, review and manage medications in accordance with applicable regulations, clinical guidelines and patient needs
Monitor treatment response, therapeutic outcomes, adverse effects, drug interactions, polypharmacy and clinical risk
Order, review and follow up on laboratory tests, diagnostic imaging and other investigations as clinically appropriate
Recognize and manage changes in condition, urgent patient needs and potential clinical deterioration, escalating care appropriately when required
Evaluate patients for falls, infection, pain, dehydration, malnutrition, delirium, sepsis and other safety or medical concerns, initiating appropriate interventions and referrals
Coordinate hospital follow-up, specialist referrals, consultations, diagnostic testing and transitions of care
Collaborate with physicians, nurse practitioners, nurses, therapists, pharmacists, specialists, hospitals and community healthcare resources
Participate in care planning meetings, interdisciplinary reviews, family consultations and facility clinical meetings as required
Provide education and support to patients, families and facility staff regarding diagnoses, medications, treatment plans, symptom management and prevention of clinical deterioration
Promote evidence-informed practice, patient safety, person-centered care, infection prevention, risk management and quality improvement
Maintain accurate, timely and clinically appropriate documentation in the Electronic Medical Record (EMR)
Communicate effectively with the supervising or collaborating physician and other members of the care team, as applicable
Qualifications and Required Skills
Master’s degree or Doctor of Nursing Practice (DNP) from an accredited Nurse Practitioner program
Current, unrestricted Virginia Nurse Practitioner license and eligibility to practice in Virginia
Current national board certification as a Nurse Practitioner through the appropriate certifying organization
Current prescriptive authority and Drug Enforcement Administration (DEA) registration, as required
Experience in primary care, post-acute care, skilled nursing, long-term care, assisted living, geriatric, hospital or related clinical settings preferred
Experience caring for older adults and patients with complex medical, cognitive and functional needs preferred
Strong clinical assessment, diagnostic reasoning, treatment planning and care co-ordination skills
Knowledge of chronic disease management, geriatric medicine, pharmacology, acute illness assessment and transitions of care
Proficiency with Electronic Medical Record systems and timely, accurate documentation practices
Excellent communication, collaboration, organization and problem-solving abilities
Compassionate, culturally sensitive and person-centered approach to patient care
Ability to work independently while collaborating effectively with physicians and multidisciplinary care teams
Availability to provide reliable PRN Nurse Practitioner coverage based on patient and facility needs in the Richmond area
What Success Looks Like
Timely, thorough patient assessments and individualized treatment plans that promote safety, stability, comfort and wellbeing
Effective management of acute and chronic medical conditions within the Nurse Practitioner scope of practice
Thoughtful, evidence-informed prescribing and medication management that supports positive clinical outcomes
Clear, accurate documentation and effective communication with patients, families, facility staff and care teams
Appropriate co-ordination of care, follow-up and escalation for changes in clinical status or safety risk
Positive working relationships with physicians, facility staff, advanced practice providers and interdisciplinary clinicians
Meaningful contribution to quality improvement, regulatory readiness and continuous improvement in healthcare delivery
Reliable PRN Nurse Practitioner coverage that supports continuity and co-ordination of patient care in Richmond
Equal Opportunity Employer/Veterans/Disabled
We provide equal opportunity for all applicants and will consider qualified candidates without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status or disability. We are committed to fostering an inclusive workplace that respects diversity and treats all candidates with dignity.