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Solomon Medical
Sacramento, California

Nurse Practitioner or Physician Assistant (Post Acute & LTC)

Physician AssistantIncludes callFull-Time

Listed compensation

$150k-$170k

The week · per this posting · weekdays assumed

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

Posted 1h ago · Verified live

Job Description

Gain experience in the growing field of SNFist medicine. Become part of a well-respected practice that is elevating post-acute care. This role offers Autonomy (with the support of the Medical Director and Medical Coordinator), Clinical Variety, Longitudinal Care, Interdisciplinary Collaboration and Impactful Work!

Our fast growing, post-acute care practice is currently searching for a full-time Nurse Practitioner or Physician Assistant to assist at two skilled nursing facilities in Sacramento County. The clinician will provide intermittent coverage for post-acute rehab patients and long-term residents.

We are looking for an NP or PA who can monitor, deliver, and improve upon comprehensive quality patient care in a post-acute and long-term care setting. The successful applicant will have the opportunity to apply a team concept approach to post-acute care delivery. The clinician will work independently, as well as directly with the Medical Director and Medical Coordinator to deliver and coordinate comprehensive care plans.

Position Summary

This is an onsite clinical position where the NP/PA is responsible for providing direct patient care with an excellent support system. The clinician will provide intermittent coverage for post-acute rehab patients and long-term residents while operating in partnership with the Medical Director. The NP/PA will also have support from a dedicated Medical Coordinator. You would see approx. 17 patients a day depending on the daily census. Census will be provided daily.

The ideal candidate will be committed to making a real difference in their patients’ lives, continuing their education and strengthening their practice under the guidance of a skilled medical director.

Key Responsibilities/Essential Job Functions

  • Evaluate patients from admission and ensure that discharge and rehab plans are executed.
  • Monitor for acute changes; diagnose and treat common conditions.
  • Propose treatments for chronic and infectious diseases.
  • Maintain accurate records and schedules.
  • Participate in quality improvement programs.
  • Available via phone or text when on call.
  • Assist with initiating/documenting Advanced Directives/POLST form.

Daily Visits

  • Order diagnostic tests, reviews labs, radiology reports, and consults on all patients.
  • Talk to and examine assigned skilled-level patient on daily rounds.
  • Assess rehab progress.
  • Discuss concerns with the patient, family, rehab, and case management.
  • Educate patient and family members regarding acute and chronic illness management.
  • Attend family meetings as necessary.
  • Inform medical director of significant changes in medical condition.
  • Discharge: coordinate transition from skilled to long term placement or home with care coordinators.

Long-Term Care

  • Follow long-term patients every 30 days or as acutely needed.
  • Perform diagnostic and/or therapeutic procedures within your level of training and expertise.
  • Order, interpret and evaluate diagnostic tests for both regularly scheduled health maintenance and acute clinical issues.
  • Proven experience as an NP or PA in primary care or sub-specialty outpatient clinics, hospitals, or SNFs
  • Expertise in primary care/internal medicine/post acute care
  • Geriatric background preferred but not required
  • Valid NP or PA license in California
  • Active NP furnishing license
  • Current CA DEA certificate
  • Knowledge of health and patient care regulations
  • Strong ethics & excellent communication skills
  • Team spirit with a positive attitude
  • Patience and cool headedness
  • Willingness to continue gaining knowledge and clinical experience
  • This position has 2 openings - both in Sacramento CA
  • Job Type: Full-time
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Experience

Nurse Practitioner or Physician Assistant: 1 year (Required)

License/Certification

  • Nurse Practitioner or Physician Assistant license (Required)
  • Work Location: In person

Key Responsibilities

The clinician will provide direct patient care, monitor acute changes, and coordinate comprehensive care plans for post-acute rehab and long-term residents. They will also collaborate with the medical director, order diagnostic tests, and manage patient transitions between care settings.

Requirements

Candidates must hold a valid Nurse Practitioner or Physician Assistant license in California, along with an active DEA certificate. At least one year of experience in primary care, hospitals, or skilled nursing facilities is required.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

DEA License

Key Skills

Patient assessmentDiagnostic testingCare planningGeriatric careClinical documentationRehabilitation management

Post-Acute Care — Physician Assistant Career Context

Of the 50 active Physician Assistant listings this role was benchmarked against, 8% are remote, 70% have no call, 76% require no weekends.

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).

Physician Assistant by the numbers
MeasureThis jobMarket
Listed pay$150k–$170kPhysician Assistant median $128k (middle half $113k–$155k)37 comparable listings, Oct 2026
Cost-of-living adjusted pay~$145k in purchasing powerCalifornia index 110.7 (US = 100)BEA Regional Price Parities (2024)
Physician Assistant listings in California412 active4,648 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 8% remote · 70% no call · 76% no weekends50 benchmarked listings
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Oct 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
13
<$155k
8
$155k-170k
14
$170k-185k
11
$185k-200k
4
$200k+

Annual compensation range

Benefits & Perks

44 jobs · 39 employers
401k / retirement match
89% this job
CME allowance
68%
Sign-on bonus
57%
Relocation assistance
23%
Loan repayment
7%

Share of similar jobs offering each benefit

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Work-life snapshot

median 4.8this job 2.1
Better work-life than 20% of Physician Assistant roles listings

Listing-based score, 0–10, across 4,566 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call

Living in Sacramento

Typical 3-bedroom home value
$452k≈ 3.0× annual pay
Typical market rent
$2,045/mo≈ 16% 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.