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Pulse Management Group
Dearborn, Michigan

Nurse Practitioner-Contingent

Nurse PractitionerPer Diem Physician-Supervised State

Listed compensation

$89-$92/hr

The week · per this posting

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

Posted 1h ago · Verified live

Job Description

  • Location: Grass Valley, CA
  • Reports To: Medical Director
  • Schedule: As needed for PTO, call-outs, and other provider coverage needs
  • Work Arrangement: Onsite preferred; telehealth coverage may be considered when onsite coverage is unavailable

Job Summary

Under the direction of the Supervising Physician, the Primary Care Nurse Practitioner (NP) / Physician Assistant (PA) is responsible for delivering comprehensive medical care, including assessing, diagnosing, treating, and managing both acute and chronic health conditions.

This position will provide coverage when regularly scheduled providers are unavailable due to PTO, illness, or other absences. The ideal candidate will have the flexibility to provide onsite coverage at our Grass Valley office when needed. If onsite coverage is not available, qualified providers who are able to provide telehealth-only coverage may also be considered.

Essential Duties and Responsibilities

  • Conduct thorough physical examinations and review patient medical histories.
  • Order, interpret, and evaluate diagnostic testing.
  • Diagnose and manage acute, chronic, and infectious conditions.
  • Prescribe medications and appropriate treatment plans within scope of practice.
  • Provide patient and family education regarding medical conditions, medications, treatment plans, and preventive health.
  • Maintain accurate and timely documentation in the EMR.
  • Collaborate with physicians, medical assistants, administrative staff, and other members of the care team.
  • Promote preventive care and healthy lifestyle practices.
  • Provide clinical coverage on an as-needed basis due to provider PTO, illness, or other absences.
  • Provide onsite patient care when available; telehealth coverage may be utilized when appropriate.

Qualifications

  • Active and unrestricted California Nurse Practitioner or Physician Assistant license.
  • Board certification as an NP or PA.
  • Clinical experience in primary care, urgent care, or family medicine.
  • Strong clinical judgment and communication skills.
  • Ability to work independently while collaborating with the clinical team.
  • Flexible availability for PRN coverage.
  • Ability to provide onsite coverage strongly preferred.

Key Responsibilities

The Nurse Practitioner will deliver comprehensive medical care by assessing, diagnosing, and treating acute and chronic health conditions. They will provide clinical coverage on an as-needed basis, collaborating with the care team to maintain accurate patient records.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Key Skills

Acute careChronic disease managementPrescribing medicationsPatient educationEMR documentationCollaboration

Family Medicine — Nurse Practitioner Career Context

The cost-of-living index for Michigan is 96.2 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$188k midpoint carries the purchasing power of roughly $196k in an average-cost state. 61.8% of Michigan clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Of the 40 active Family Medicine listings this role was benchmarked against, 43% are remote, 43% have no call, 57% require no weekends.

Family Medicine pay on WeekdayDoc is up 2.9% vs. the prior quarter (through Sep 2026).

Top contract/1099 Nurse Practitioner Jobs

40 matches · ranked by pay

Salary Distribution16 jobs

4
<$160k
1
$166k
4
$180k-200k
7
$200k-220k

Annual compensation range

Benefits & Perks14 jobs

401k / retirement match
71%
Sign-on bonus
14%
CME allowance
14%
PSLF eligible
7%

Share of similar jobs offering each benefit

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$140 per hour
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+ 38 more · ranked by pay

Work-life snapshot

median 6.4this job 3.0
Better work-life than 20% of Family Medicine (NP) listings

Listing-based score, 0–10, across 2,600 comparable listings. Shaded area = the share scoring below this one.

Living in Dearborn

Typical 3-bedroom home value
$249k
Typical market rent
$1,805/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
100.3
State income tax
Up to 4.3%
Sources & methodology

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

BEA 2024 · Detroit-Warren-Dearborn, MI metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.

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About Pulse Management Group

Hospitals and Health Care
11-50 employees