Gary and Mary West PACE logo
Gary and Mary West PACE
San Marcos, California

Nurse Practitioner - Provider - $5,000.00 sign on bonus

Nurse PractitionerIncludes callIncludes weekendsFull-Time Physician-Supervised State

Compensation

Pay not listed

The week · per this posting · weekdays assumed

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Posted 1h ago · Verified live

Job Description

  • $5,000.00 sign on bonus
  • Join the Team Voted Best Place to Work!
  • Why Work for Gary and Mary West PACE?
  • Because you're looking for more than just a job - you want work/life balance and the opportunity to make a meaningful impact in the lives of North County seniors and their families.
  • At Gary and Mary West PACE, we support your personal and professional well-being with:
  • Generous pay and a comprehensive benefits package focused on your health and wellness.
  • 11 paid holidays, 16 days of PTO, and 5 days of sick time.
  • A 5% employer match to our 403(b) retirement plan.

We invest in our team with an annual education allowance and a commitment to professional growth, helping you expand your skills and advance your career.

You'll thrive in a supportive, mission-driven culture where collaboration feels like family. As part of our multi-disciplinary team, your voice is heard, and your work is truly valued.

Join us and do your best work-because here, your contribution matters.

About PACE

Philanthropists Gary and Mary West founded West Health with the mission of enabling seniors to successfully age in place with access to high-quality, affordable health and support services that preserve and protect their dignity, quality of life, and independence.

The Gary and Mary West PACE (Program of All-inclusive Care for the Elderly), affiliated with West Health, is a non-profit that delivers medical, social, and behavioral services to the frail elderly to the North County of San Diego.

This PACE center is entrepreneurial in nature and focuses on innovations and bringing new processes to the traditional PACE environment.

We're looking for passionate healthcare providers who want to be part of a team dedicated to enable seniors to live in their communities as independently as possible by providing compassionate, comprehensive health and supportive care.

One Team One Mission

Position Summary

Under supervision of the Medical Director and in collaboration with PACE Physicians, the Nurse Practitioner, Provider provides assessment, planning, primary care, and continuous medical coverage to PACE participants in an interdisciplinary team environment and in accordance with Gary and Mary West PACE (GMWP) standards

Essential Functions

Provide primary care and acute illness evaluation and treatment for participants in collaboration with PACE Physicians and Community-Based PACE Physicians both in the center and in participant's homes.

In collaboration with a physician, perform in-person comprehensive assessments (initial, semi-annual and unscheduled) on participants and coordinate with the IDT to develop a comprehensive care plan for each participant.

Collaborate with physician(s) and IDT in discharge planning from acute or long-term care settings.

In consultation with the PACE Physician and/or Community-Based PACE Physician, refer participants to medical specialists as indicated.

In collaboration with the PACE Physician and/or Community-Based PACE Physician, manage care of participants in the nursing home, making regular visits as dictated by GMWP standards and participant need.

Be an active member of the IDT communicating participant changes, collaborating on care planning decisions and coordinating 24-hour care delivery.

Work collaboratively with PACE Physicians, Community-Based PACE Physicians and other members of the IDT to ensure effective care coordination.

Participate in rotating night and weekend calls.

At the direction of the Medical Director, review outcomes and utilization data, including review of necessity of hospitalizations and use of specialists; establish best practices with the Medical Director, and collaborate with clinical staff, PACE Physicians, Community-Based PACE Physicians and IDT to make policy and procedural improvements to reduce unnecessary utilization and improve participant health.

Protect privacy and maintain confidentiality of all company procedures and information about employees, participants and families.

Follow GMWP policies and procedures and participate in any required QI activities, staff training and meetings.

  • Maintain professional licensure and certifications.
  • Act only within the scope of practice.

Education and Certification

  • Graduate of an accredited school of nursing.
  • RN State License.
  • Certification as a Nurse Practitioner with prescriptive authority.
  • Valid DEA.
  • Current Basic Life Support (BLS) and (CPR) training.
  • Current driver's license and proof of auto insurance.

Skills and Experience

Minimum of 1 year work experience as a NP doing adult chronic disease management and functioning in PCP role with or without MD oversight. Specific work experience with the frail, elderly population is preferred.

Current knowledge of chronic care/geriatric issues and best practices, experience with deprescribing and palliative care would be a bonus

Ability to build strong working relationships with other providers and an interdisciplinary team (IDT)

Creative and enthusiastic commitment to the "triple aim" – dedication to improving experience, health, and value for PACE participants

Ability to process information accurately and timely, and able to learn new EMR and health tech and communication platforms quickly

Excellent clinical, organizational, and communication skills in settings with frail, elderly participants, their families. Experience with having difficult goals of care and "What Matters" conversations would be preferred.

Working knowledge of PACE regulations would be a bonus but not required.

Medical Clearance

Employees must have medical clearance for communicable diseases and up-to-date immunizations before having direct participant contact.

Job offers are contingent upon a successful pre-employment drug screen, background check, and physical assessment.

Gary and Mary West PACE provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, pregnancy, military and veteran status, age, physical and mental disability, genetic characteristics, gender, gender identity, gender expression or sexual orientation or any other considerations made unlawful by applicable state or local laws.

Key Responsibilities

Provide primary and acute care to PACE participants, conduct comprehensive assessments, and coordinate individualized care plans with physicians and the interdisciplinary team. Support care transitions and nursing-home care, participate in rotating night and weekend calls, and contribute to quality improvement and efforts to reduce unnecessary utilization.

Requirements

Requires graduation from an accredited nursing school, an RN state license, nurse practitioner certification with prescriptive authority, a valid DEA registration, current BLS/CPR training, and a valid driver’s license with auto insurance. Requires at least one year of nurse practitioner experience in adult chronic disease management and a primary care role; experience with frail older adults is preferred.

Qualifications

Education
Professional certificate or licensure

Certifications

DEA License

Key Skills

Geriatric CareComprehensive Patient AssessmentInterdisciplinary Team CollaborationGoals Of Care ConversationsClinical CommunicationElectronic Medical Records

Geriatric Medicine — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 36% are remote, 56% have no call, 54% require no weekends.

The cost-of-living index for California is 110.7 (US average = 100; BEA Regional Price Parities (2024)). 63.6% of California clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Nurse Practitioner pay on WeekdayDoc is up 1.1% vs. the prior quarter (through Sep 2026).

Top Nurse Practitioner Jobs

49 matches · ranked by pay

Salary Distribution49 jobs · 40 employers

20
<$170k
9
$170k-205k
8
$205k-240k
10
$240k-275k
2
$285k

Annual compensation range

Benefits & Perks36 jobs

401k / retirement match
89% this job
CME allowance
56%
Sign-on bonus
36% this job
Loan repayment
6%
Relocation assistance
6%

Share of similar jobs offering each benefit

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$105.5-$136.83/hr
#2

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$105.5-$136.83/hr
#3

Nurse Practitioner, Psych PMHNP - San Mateo Transitions

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#4

Locum Women's Health Nurse Practitioner (NP)

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+ 47 more · ranked by pay

Work-life snapshot

median 6.6this job 3.0
Better work-life than 20% of Geriatric Medicine (NP) listings

Listing-based score, 0–10, across 53 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends

Living in San Marcos

Typical 3-bedroom home value
$867k
Typical market rent
$3,357/mo
Residents’ average commute
27 min
Metro price indexU.S. average = 100
111.9
State income tax
Up to 13.3%
Sources & methodology

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

BEA 2024 · San Diego-Chula Vista-Carlsbad, CA metro prices. Housing figures are city-level.

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

Gary and Mary West PACE logo

About Gary and Mary West PACE

Hospitals and Health Care
San Marcos, California
51-200 employees

Benefits & Perks

$5,000 sign-on bonus
11 paid holidays
16 days PTO
5 days sick time
5% employer match to 403(b)
Annual education allowance
Comprehensive benefits package