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Confluence Health
Brewster, New York

Nurse Practitioner - Brewster Family Medicine

Nurse PractitionerIncludes callFull-Time Physician-Supervised State

Listed compensation

$66.35–$76.92 /hr

The week · per this posting

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

Posted 1mo ago

Job Description

Salary Range

$66.35 - $76.92

Overview

Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.

  • Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation.
  • Medical, Dental & Vision Insurance
  • Flexible Spending Accounts & Health Saving Accounts
  • Paid Time Off
  • Generous Retirement Plans
  • Life Insurance
  • Long-Term Disability
  • Gym Membership Discount
  • Tuition Reimbursement
  • Employee Assistance Program
  • Adoption Assistance

Shift Differential

In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable.

For more information on our Benefits & Perks, click here!

Summary

Provides primary and appropriate specialized health care services to hospital and clinic patients. Performs examinations and provides treatment to minor/routine problems; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.

Position Reports To: Practice Manager

Essential Functions

Provide primary and specialized health care to patients. Examination, diagnosis, and treatment of both chronic and acute episodic illnesses and minor injuries. Refers to physician as needed.

Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment.

  • Educates patients and families and helps them understand issues related to physical and emotional health.
  • Participates in health promotional activities.
  • Participates in decisions, planning, and policies related to clinical care.
  • Maintains accurate and complete patient records in compliance with organizational policy.
  • Refers patients to specialty services when appropriate.
  • Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies.
  • Support physicians with on-call responsibilities.
  • Records statistics and conducts research as deemed necessary.
  • Collaborates with staff and physicians to identify patient’s needs and help develop plan to meet those needs.
  • Required to maintain active Basic Life Support (CPR) certification.
  • Other duties as assigned.

Demonstrate Standards of Behavior and adhere to the Code of Conduct in all aspects of job performance at all times.

Qualifications

Required

Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date.

Basic Life Support (CPR) certification (within 90 days of hire).

Desired

Related experience.

Physical/Sensory Demands

  • O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
  • F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
  • C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.

Physical/Sensory Demands For This Position

  • Walking - F
  • Sitting/Standing - F
  • Reaching: Shoulder Height - F
  • Reaching: Above shoulder height - O
  • Reaching: Below shoulder height - O
  • Climbing - O
  • Pulling/Pushing: 25 pounds or less - O
  • Pulling/Pushing: 25 pounds to 50 pounds - O
  • Pulling/Pushing: Over 50 pounds - O
  • Lifting: 25 pounds or less - F
  • Lifting: 25 pounds to 50 pounds - O
  • Lifting: Over 50 pounds - O
  • Carrying: 25 pounds or less - O
  • Carrying: 25 pounds to 50 pounds - O
  • Carrying: Over 50 pounds - O
  • Crawling/Kneeling - O
  • Bending/Stooping/Crouching - O
  • Twisting/Turning - O
  • Repetitive Movement - O

Working Conditions

Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others.

Job Classification

  • FLSA: Exempt
  • Hourly/Salary: Salary

Physical Exposures

  • Unprotected Heights - No
  • Heat - No
  • Cold - No
  • Mechanical Hazards - No
  • Hazardous Substances - Yes
  • Blood Borne Pathogens Exposure Potential - Yes
  • Lighting - No
  • Noise - No
  • Ionizing/Non-Ionizing Radiation - No
  • Infectious Diseases - Yes

Key Responsibilities

Provides primary and specialized health care services, including examinations, diagnosis, and treatment of chronic and acute illnesses. Collaborates with physicians and staff to develop patient care plans while maintaining accurate medical records.

Qualifications

Education
Professional certificate or licensure

Certifications

BLS

Key Skills

Primary health carePatient examinationDiagnostic testingPrescribing medicationPatient educationChronic illness managementAcute illness managementClinical documentationTreatment planningHealth promotionClinical protocolsPatient referral

Family Medicine — Nurse Practitioner Career Context

Of the 50 active Family Medicine listings this role was benchmarked against, 20% are remote, 58% have no call, 72% require no weekends.

The cost-of-living index for New York is 107.9 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$149k midpoint carries the purchasing power of roughly $138k in an average-cost state. 64.6% of New York clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Nurse Practitioner Jobs

39 matches · ranked by pay

Salary Distribution39 jobs · 29 employers

8
<$140k
7
$140k-155k
10
$155k-170k
9
$170k-185k
5
$185k+

Annual compensation range

Benefits & Perks29 jobs

401k / retirement match
86% this job
CME allowance
55%
Sign-on bonus
31%
Loan repayment
24%
PSLF eligible
21%

Share of similar jobs offering each benefit

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#3

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#4

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+ 37 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 2,347 comparable listings. Shaded area = the share scoring below this one.

  • On-site
  • Includes call

Living in Brewster

Typical 3-bedroom home value
$572k
Median resident rent
$1,657/mo
Residents’ average commute
23 min
State income tax
Up to 10.9%
Sources & methodology

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

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

Confluence Health logo

About Confluence Health

Hospitals and Health Care
Wenatchee, WA
1,001-5,000 employees

Benefits & Perks

Medical Insurance
Dental Insurance
Vision Insurance
Flexible Spending Accounts
Health Saving Accounts
Paid Time Off
Generous Retirement Plans
Life Insurance