Nurse Practitioner or Physician Assistant - (Floater) Texas

LiveWell Choice, LLC · Galena Park, TX Full Time
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Job Description

APP Float will float around the state of Texas 3-5 days weekly. all expenses covered including flights, rental car & gas, hotel, food. Join us in transforming healthcare. About Longevity At Longevity, we're dedicated to advancing healthcare through innovation, compassion, and excellence. We're looking for passionate individuals to join our team and help us make a difference. The individual holding this position is required to support and demonstrate their commitment to Longevity Health's purpose: To optimize the quality of life of people in long-term care by focusing on their individualized health needs. About the Role An Advanced Practice Practitioner (APP) - Market Floater is a licensed and board- certified nurse practitioner or physician's assistant specifically assigned to Longevity Health Plan members for purposes of executing the Institutional Special Needs Plan Model of Care. These APPs are not permanently assigned to one facility, but instead float within a state market for purposes of filling vacancies, absences, and the like. Schedule of travel and frequency will vary by market and will be mutually agreed to by the MDCS and new hire for that market. APPs who require regulatory oversight/supervision will be hired based on the available supervisory/collaborative practice physicians and oversight processes in place in each Longevity Health Plan state. The APP - Market Floater will be responsible to effectively medically manage a panel of Longevity Health Plan enrolled nursing home level of care/institutional members in partnership with primary care team and deliver the Longevity Health Plan Model of Care. The APP conducts a comprehensive assessment, develops, and delivers the member's individualized plan of care, attends nursing facility care team meetings, communicates frequently with the resident's family/loved ones and ensures the care team understands the member's goals of care and needs. The APP focuses on treating in place, uses clinical practice guidelines to guide treatment decisions and effectively documents member's health status, functional status, and diagnoses. As part of the Clinical team the APP will be supported by the Clinical Manager/Director and local medical director who provide education and guidance on best practices to effectively care for their members. Key Tasks and Responsibilities: Provides collaborative primary care and services to a panel of Longevity Health Plan Services including treating in the most appropriate setting based on the member's goals of care. Executes/delivers Longevity Health Plan Model of Care activities, treating in the most appropriate setting, develops and implements advanced care planning, embraces and executes treating in place model. Facilitates, administers Health Plan clinical operations functions- prior authorization, Part A and B services, Medication Reviews, HEDIS and STARs quality gap closure, promoting membership growth. Serves as a trusted advisor to members, loved ones and nursing home staff and member advocate, educates care teams on member needs and early identification of changes in condition, notifying APP and telehealth partners for member changes. Delivers effective and frequent communication and coordination with members' PCPs, loved ones and care team members om members care needs, goals of care, treatment plans/changes. Supports overall market goals/targets and balances member caseloads demands with other team member support needs. Promotes Longevity Health Plan with members, loved ones and nursing facilities and other stakeholders. Is able to function autonomously and is accountable for practice. Establishes meaningful relationships and is able to effectively function in the nursing home environment. Is member centric and customer service orientated establishing meaningful relationships that ensures effective and high-quality care for Longevity Health Plan members. Performs other related duties as assigned.

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What Most Job Listings Don’t Tell You

General overview for this role type — specific duties and requirements vary by employer.

Support roles in senior living — housekeeping, maintenance, activities, and social work — are far more resident-facing than similar positions in other industries. Housekeepers and maintenance staff interact with residents in their personal living spaces daily, which requires discretion, patience, and genuine respect for the people who live there. In Texas, even non-clinical staff must complete facility-specific training on topics like abuse prevention, infection control, and emergency procedures.

Activities coordinators and social workers play a direct role in resident well-being — isolation and depression are significant concerns in senior living, and programming that keeps residents socially engaged has measurable health outcomes. Maintenance staff in senior care need to understand life-safety systems (fire alarms, emergency generators, call systems) and are often the first responders for building emergencies. Background checks are required for all positions, and many facilities prefer candidates who have previous experience working with older adults.

What to Expect in This Role Day-to-Day

Based on typical senior living facilities in the Houston area.

For housekeeping roles, the day follows a room-by-room schedule — cleaning resident rooms, sanitizing common areas, managing laundry, and responding to spill or accident cleanups as they happen. Infection control protocols are more rigorous than in hotels or commercial cleaning, especially during flu season or respiratory illness outbreaks.

Maintenance staff handle a daily work order queue — everything from changing light bulbs and fixing call buttons to HVAC maintenance and plumbing repairs. Life-safety equipment checks (fire extinguishers, exit lighting, generator testing) happen on set schedules. Activities professionals plan and lead group programming — exercise classes, crafts, music sessions, outings — and also provide one-on-one engagement for residents who cannot participate in group settings. Social workers manage care conferences, discharge planning, family mediation, and community resource referrals. Across all these roles, the common thread is that you become a familiar, trusted presence in residents' daily lives.

Houston Area Salary Data

According to the Bureau of Labor Statistics, Home Health and Personal Care Aide positions in the Houston metro area earn a median wage of $11.27/hr ($23,442/yr). The typical range is $10.92 – $13.35/hr (25th–75th percentile).

Entry Level (10th) $22,235/yr
Houston Median $23,442/yr
Experienced (90th) $31,928/yr
vs. National Median -34.5%

Source: Bureau of Labor Statistics, Occupational Employment & Wage Statistics (Houston-Pasadena-The Woodlands, TX Metro Area). Salary data provided by Houston Senior Living Guide.

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