Nurse Practitioner - Pre-Anesthesia Clinic

Nurse PractitionerFull-Time Full Practice Authority

Listed compensation

$66.35–$76.92 /hr

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage 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 health care services to hospital and clinic patients. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.

Position Reports To: Clinical Nursing Supervisor

Essential Functions

Sees patients in the clinic and virtually for examination, assessment and optimization of chronic health conditions prior to undergoing anesthesia assisted surgeries or procedures. 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 and promotes wellness.

  • Participates in decisions, planning, and policies related to clinical care.
  • Maintains accurate, thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system.
  • Refers patients to specialty services when appropriate.

Collaborates with staff and physicians to identify patient’s needs and help develop a plan to meet those needs.

Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies.

Required to maintain active Basic Life Support (CPR) certification.

Performs 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).
  • Handles confidential medical information and problems in a discreet manner according to CH policies.

Must possess basic computer skills related to EHR and Windows navigation, mouse usage, keyboarding, email communication, and password management.

Desired

  • Recent, relevant experience in family practice or internal medicine setting.
  • Proficient in EPIC EHR documentation and navigation.

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 health care services, including patient examinations, diagnostic testing, and chronic condition optimization prior to surgery. Collaborates with medical staff to develop care plans and maintains accurate medical records within the electronic system.

Qualifications

Education
Professional certificate or licensure
Experience
2+ years of experience

Certifications

BLS

Key Skills

Patient examinationPrescribing medicationPatient educationClinical assessmentChronic health condition managementCollaborationMedical record maintenanceTreatment planning

Anesthesiology — Nurse Practitioner Career Context

Of the 50 active Nurse Practitioner listings this role was benchmarked against, 16% are remote, 50% have no call, 68% require no weekends.

The cost-of-living index for Washington is 107.0 (US average = 100; BEA Regional Price Parities (2024)). 59.8% of Washington 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).

Location & Logistics

Washington has no state income tax, which can significantly increase take-home pay compared to high-tax states.

Top Nurse Practitioner Jobs

30 matches · ranked by pay

Salary Distribution30 jobs · 27 employers

13
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9
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5
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2
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1
$250k

Annual compensation range

Benefits & Perks25 jobs

401k / retirement match
88% this job
CME allowance
48%
Sign-on bonus
44%
Relocation assistance
20%
Loan repayment
12%

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Work-life snapshot

median 6.1this job 3.0
Better work-life than 20% of Nurse Practitioner roles listings

Listing-based score, 0–10, across 14,075 comparable listings. Shaded area = the share scoring below this one.

Confluence Health logo

About Confluence Health

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

Benefits & Perks

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