Primary Care NP / PA | Ditch the RVU Churn: 4-Day Schedule, Generous Visits & $30K Sign-On
Listed compensation
$135k-$160k
The week · per this posting · Monday – Friday4-day week
Ask the employer about the work setting and nights and shift pattern.
Job Description
Primary Care Nurse Practitioner (NP) or Physician Assistant (PA)
Sky Lakes Primary Care Clinic | Klamath Falls, Oregon
$135,000 – $160,000 Base Salary | 4-Day Work Week | $30K Sign-On Bonus
If you entered healthcare to build lasting relationships with your patients rather than rushing through high-volume corporate quotas, your next chapter is here.
Sky Lakes Medical Center is seeking full-time Primary Care Nurse Practitioners and Physician Assistants to join a collaborative, rapidly expanding outpatient team.
Practicing right on our main medical campus, you will enjoy a sustainable four-day clinic schedule, generous patient visit times, 1:1 clinical support, and genuine autonomy backed by a collegial medical network.
The Opportunity
Sustainable Pace & Collaborative Outpatient Care
- Optimal Work-Life Schedule: Most providers work a 4-day work week with 1 dedicated administrative day (clinic open Monday–Friday, 8:00 AM – 5:00 PM; strictly outpatient care).
- Balanced Patient Pacing: Average of 16–18 patients per day. Default visit times are generously set at 40 minutes for new patients and 20–40 minutes for returning patients depending on provider preference.
- Dedicated Support: True 1:1 clinical support staff paired with each provider to keep daily flow seamless and charting manageable.
- Growing Team Culture: Join an established, growing group of 16 APPs within our primary care pavilion located directly across the parking lot from the main medical center.
- Minimal, Low-Stress Call: Phone-only triage call shared across a large 1:27 pool (~2 times per year, post-residency APPs only). The call schedule is published 6 months in advance with high peer flexibility, averaging 0 to 1 routine lab/SNF calls per night.
- No Mandatory Procedures: No surgical or in-office procedure requirements.
Premier Compensation & Incentives
- Base Salary: $135,000 – $160,000 annual base salary (dependent on experience).
- Annual Raises: Predictable 2% to 5% annual salary increases.
- Sign-On Incentive: $30,000 sign-on bonus distributed over 3 years.
- Annual Performance Bonus: $15,000 annual bonus structure plus potential volume bonus.
- Loan Repayment: Eligible for state/federal State Loan Repayment Program (SLRP) funding.
- CME Allowance: $3,000 annual CME funding plus 5 dedicated paid CME days off per fiscal year.
- Relocation & Benefits: Comprehensive relocation assistance and a standard health, dental, vision, and retirement benefits package.
- No RVU Pressure: Practice without RVU tracking or production churn.
Qualifications
- Credentials: Master’s degree or higher; certified Nurse Practitioner (FNP/AGNP) or Physician Assistant (PA-C); eligible for or holding an active, unrestricted Oregon license.
- Experience Level: Open to both experienced providers and motivated new graduates. Candidates with prior experience in Urgent Care or Emergency Department FastTrack are strongly encouraged to apply.
- Visa Sponsorship: J-1 and H-1B visa sponsorships are not accepted for this role.
Where You’ll Work: Sky Lakes Medical Center
Sky Lakes is an independent, community-owned teaching hospital, a Top 100 Rural & Community Hospital, and the proud winner of the 2026 AHA Foster G. McGaw Prize for Excellence in Community Service—the nation’s highest honor for community health leadership and the first hospital in Oregon to receive it. Serving a 10,000-square-mile catchment area, we pair modern outpatient facilities with a deep, mission-driven commitment to local community health.
Where You’ll Live: The Last Untamed Mountain Town
If your ideal lifestyle requires luxury shopping malls and five-star valet dining, Klamath Falls will not fit. But if you want a grounded, outdoor-driven lifestyle in the "Sunnyside" of Oregon, this community delivers:
- Outdoor Adventure: Located under an hour from Crater Lake National Park, with mountain biking trails 10 minutes away, premier fly-fishing rivers, and endless Cascade hiking.
- High Desert Sunshine: Over 300 days of sunshine each year across four distinct, mild seasons.
- High Financial Value: Benefit from Oregon's zero state sales tax, an affordable cost of living, and an easy path to homeownership.
- Connected Community: A welcoming town of 22,000 residents serving a broader regional hub—perfect for planting deep roots and knowing your neighbors.
SKY Lakes Medical Center Is an Equal Opportunity Employer Including
DISABILITY/VETERAN.
Key Responsibilities
Provide high-quality primary care services in an outpatient setting with a focus on building lasting patient relationships. Manage a balanced patient load with dedicated clinical support and participate in a shared, low-stress triage call rotation.
Qualifications
- Education
- Master's degree (postgraduate degree)
Key Skills
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Primary Care NP / PA | Ditch the RVU Churn: 4-Day Schedule, Generous Visits & $30K Sign-On at Sky Lakes Medical Center a 6.8 out of 10 for work-life balance — classified as good. This places the position in the Above average in Primary Care (NP) — ranked against 1,021 active Primary Care (NP) listings on WeekdayDoc. Contributing factors include no weekend requirements.
Primary Care — Nurse Practitioner Career Context
Of the 45 active Primary Care listings this role was benchmarked against, 40% are remote, 67% have no call, 67% require no weekends.
For production-based offers, this specialty runs a typical 5,000 wRVUs per year (derived from CMS CPT-frequency data), and WeekdayDoc listings compensate a median of about $50 per wRVU — implying roughly $250k in production-based pay. For reference, the 2026 CMS Medicare conversion factor is $33.40 per RVU.
| Measure | This job | Market |
|---|---|---|
| Work-life score | 6.8 / 10 · above average in primary care (np) | ranked against 1,021 Primary Care (NP) listingslisting-based score, 0–10 |
| Listed pay | $135k–$160k | Primary Care median $139k (middle half $130k–$160k)287 comparable listings, Nov 2026 |
| Cost-of-living adjusted pay | ~$143k in purchasing power | Oregon index 103.4 (US = 100)BEA Regional Price Parities (2024) |
| Primary Care listings in Oregon | 24 active | 1,022 nationallylive on WeekdayDoc, Nov 2026 |
| Work setting | on-site | peers: 40% remote · 67% no call · 67% no weekends45 benchmarked listings |
| Sign-on & loan repayment | loan repayment | Oregon Nurse Practitioner listings: 25% state a sign-on bonus (median $15k) · 11% offer loan repayment265 active listings, Nov 2026 |
| Primary Care hiring demand | #16 of 19 specialties | postings stay open a median 29 days · 15% state a sign-on bonusWeekdayDoc Hiring Index, October 2026 · 469 postings, 1,235 closed |
| New Primary Care listings | 853 in the last 30 days | 530 the 30 days before (+61%)U.S., first seen on WeekdayDoc, Nov 2026 |
| Implied production pay | ~$250k | $50/wRVU × 5,000 wRVUsCMS CPT frequencies; WeekdayDoc listing median $/wRVU |
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