Nurse Practitioner

Advanced Practice Provider - Primary Care

Nurse Practitioner or Physician Assistant

About the Role

Are you a Nurse Practitioner or Physician Assistant looking for a primary care role where you'll build real relationships with your patients - not just see them once in a walk-in? Thundermist Health Center is looking for Advanced Practice Providers to join our primary care teams across Rhode Island. You'll manage your own patient panel, deliver continuity-focused care including preventive, acute, and chronic disease management, and work within an integrated care model alongside physicians, behavioral health clinicians, care managers, and community health workers. This is not a Convenient Care or walk-in role - it's primary care with a panel, a team, and a community that depends on you. Thundermist is a multi-site FQHC serving over 65,000 patients, and we're committed to delivering care regardless of insurance status, immigration status, or ability to pay.

What You'll Do

Clinical Care & Panel Management

• Provide primary medical care to an assigned patient panel including scheduled visits, acute care, chronic disease management, and preventive care
• Perform comprehensive health histories, physical examinations, and diagnostic assessments; order, interpret, and follow up on labs, imaging, and testing
• Prescribe medications, including controlled substances, within scope of practice
• Provide anticipatory guidance and patient education, including pediatric well-child guidance where applicable to specialty
• Coordinate referred services including specialty care, pharmacy, and ancillary services
• Triage patient concerns and determine appropriate level of care, escalation, or transfer

Team-Based Care & Collaboration

• Collaborate with physicians, other APPs, nurses, MAs, behavioral health clinicians, care managers, community health workers, and social work staff
• Support warm hand-offs and integrated behavioral health workflows within primary care
• Partner with care management for high-risk and complex patients
• Coordinate with community agencies and social service partners to address social determinants of health
• Supervise and precept NP, PA, and medical students as assigned

Quality, Documentation & Compliance

• Complete clinical documentation in the EHR (eClinicalWorks) accurately and within same-day charting requirements
• Support HRSA UDS reporting and value-based care performance through consistent care gap closure, screening completion, and preventive care delivery
• Participate in peer chart review, quality improvement initiatives, and clinical care improvement efforts
• Maintain practice consistent with HRSA, OSHA, HIPAA, CLIA, and applicable state and federal regulations
• Maintain credentialing, licensure, national certification, DEA registration, and BLS/ACLS/PALS/NRP as applicable

What We're Looking For

You're a provider who chose primary care because you want to know your patients by name, manage their care over time, and be part of a team that wraps around the whole person. You're clinically sharp, compassionate, and motivated by Thundermist's mission.

• Master's degree from an accredited NP program with Rhode Island APRN licensure, OR Master's from an ARC-PA accredited PA program with Rhode Island PA licensure
• National certification in Family Medicine, Internal Medicine, Women's Health, or Pediatrics (ANCC, AANP, or NCCPA)
• Current DEA registration and Rhode Island Controlled Substance Registration
• Current BLS certification; ACLS, PALS, NRP as applicable to specialty
• Eligibility to enroll with Medicare, Medicaid, and commercial payers (current CAQH profile required)
• Working knowledge of electronic health records (eClinicalWorks preferred)

Preferred:

• Prior experience in an FQHC, community health center, or safety-net primary care setting
• Bilingual (Spanish/English or Portuguese/English) strongly preferred
• Experience with team-based care models, integrated behavioral health, and value-based care
• Experience with panel management, quality metric performance, and preventive care outreach
• Eligibility for NHSC or Rhode Island state loan repayment programs

Compensation & Provider Support

Competitive compensation and benefits including: malpractice coverage through the Federal Tort Claims Act; health, dental, and vision insurance; retirement plan with employer match; generous PTO and CME allowance; eligibility for state and federal loan repayment programs. Thundermist is committed to provider wellness and is an AMA Joy in Medicine practice site - you'll be supported by AI scribes, pharmacy technician refill assistance, prior authorization and referral support, cross-coverage support for PTO, and a nurse triage service as the first line for after-hours calls.

Schedule & Locations

Full-time (40 hours/week), benefit-eligible. Typical schedule is Monday through Friday during clinic hours, with some evening clinic sessions to support patient access. Clinic hours across all locations are Monday through Friday, 8:00 a.m. to 8:00 p.m. Occasional float coverage across other Thundermist sites may be required.

Openings available at:

• Thundermist - Woonsocket, RI
• Thundermist - West Warwick, RI

Benefits at Thundermist Health Center

Full-Time Employees Working 40+ Hours/Week

• Health, Dental, and Vision Insurance
• Life Insurance ($75,000) and Long-Term Disability - at no cost
• Flexible Spending Accounts (Health FSA up to $3,300 / Dependent Care FSA up to $5,000)
• Retirement Plan with 1:1 employer match up to 4%
• Critical Illness, Accident Insurance, and Hospital Indemnity
• Wellness Reimbursement up to $200/year
• PTO starting at 22 days, increasing with tenure, plus 6 paid holidays

Work Environment

• Onsite at Thundermist locations in an ambulatory clinical setting
• Moderate physical activity: walking, standing, stooping, and occasional lifting
• Potential exposure to blood-borne pathogens, respiratory disease, infectious diseases, and other biohazardous materials requiring universal standard precautions
• Manual dexterity required for clinical procedures and equipment handling

Our Values

Everything we do at Thundermist is guided by five core values: Integrity, Innovation, Excellence, Community, and Caring. If those resonate with you, you'll feel at home here.

Ready to join a team that truly cares?

Apply today.

Thundermist Health Center is an equal opportunity employer. We prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.