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PACS Services

Post-acute care facility operator and investor

Registered Nurse

Full-TimePosted on 10/21/2026
$34 - $38/hr+ Shift differentials
Mid, Senior
Bachelor's
Orangeburg, SC, USA
In Person
Medical, Clinical & VeterinaryNursing & Frontline Patient Care

About the job

Requirements
  • A nursing degree from an accredited college or university is required.
  • Training in rehabilitative and restorative nursing practices is required.
  • Two or more years of experience is required, preferably in a long-term care facility.
  • An active, unencumbered registered nurse license in South Carolina is required.
  • Current CPR certification is required.
  • The employee must maintain required continuing education and licensing and remain in good standing with the State Board of Nursing.
  • The employee must be able to work 12-hour shifts.
  • The employee must read, write, speak, and understand English, read technical procedures and policy and procedure manuals, and present information and respond to questions from managers and employees.
  • The employee must apply mathematical concepts such as fractions, percentages, ratios, and proportions to practical situations.
  • The employee must make independent decisions, solve practical problems, and deal tactfully with personnel, residents, families, visitors, and government representatives.
  • The employee must have leadership and supervisory ability and be willing to work harmoniously with and supervise other personnel.
  • The employee must be able to plan, organize, develop, implement, and interpret programs, goals, objectives, policies, and procedures for quality care.
  • The employee must demonstrate knowledge and skills for providing age-appropriate resident care and knowledge of nursing and medical practices, procedures, laws, regulations, and guidelines applicable to nursing care facilities.
  • The employee must be able to communicate information about a resident’s condition and work effectively with residents, personnel, and support agencies.
  • The employee must meet facility health requirements, including a medical and physical examination, and be able to move intermittently, see and hear adequately, and cope with the mental and emotional stress of the position.
  • The employee must be able to push, pull, move, or lift at least 25 pounds to a height of five feet and carry or move that weight at least 50 feet; assisting with resident evacuation may be necessary.
  • The employee must not pose a direct threat to the health or safety of others in the workplace.
Responsibilities
  • Supervise the facility’s day-to-day nursing activities during the assigned shift in accordance with applicable standards, guidelines, regulations, and directions from nursing leadership.
  • Assist the Director of Nursing Services in directing daily nursing activities and developing, maintaining, and updating nursing-service policies, procedures, manuals, and reference materials.
  • Ensure nursing-service personnel follow procedures, meet job-description requirements, and maintain current practice resources; make recommendations and reports to the Director as needed.
  • Coordinate nursing services with other resident services and participate in the nursing department’s quality assurance program and facility inspections.
  • Review and help update resident discharge plans, plan nursing services for discharge, and participate in staff and support-personnel planning meetings.
  • Admit, transfer, and discharge residents; complete incident reports, forms, evaluations, studies, and charting; interpret department policies and procedures to personnel, residents, visitors, and government agencies.
  • Protect resident and facility information by safeguarding user credentials and protected health information and reporting suspected unauthorized access or disclosure.
  • Attend facility committee meetings, prepare requested nursing-program reports, provide information to the Quality Assurance and Assessment Committee, support Care Plan Committee meetings, and implement committee recommendations.
  • Ensure adequate registered nurse, licensed practical nurse, and certified nursing assistant coverage for the shift; develop work assignments and delegate authority and accountability to charge nurses.
  • Ensure nursing assistants are enrolled in or have graduated from approved training and nurse aide trainees are directly supervised by a licensed nurse.
  • Make daily rounds, monitor attendance and staffing levels, ensure policies are followed, review personnel complaints and grievances, maintain working relationships across departments, and address shift-level problems and service improvements.
  • Evaluate the nursing workforce and make recommendations regarding staffing requirements, performance evaluations, discipline, dismissals, and transfers; administer disciplinary action fairly.
  • Report occupational exposures and suspected fraud, and ensure unattended computer workstations are secured.
  • Inform nursing personnel of new admissions and prepare rooms; greet and escort newly admitted residents as needed.
  • Make rounds with physicians, encourage timely physician documentation, report delayed visits, and consult residents, families, and physicians on care, treatment, and rehabilitation.
  • Visit residents daily to observe and evaluate physical and emotional status; notify physicians and next of kin of changes in condition and keep the Director informed through written and oral reports.
  • Ensure qualified personnel provide direct nursing care, review nurses’ notes, provide direct care as necessary, start intravenous lines, collect specimens, take vital signs, and assist with monitoring seriously ill residents.
  • Authorize restraints when necessary under facility policy; ensure compliance with medication administration, storage, and control procedures; monitor medication passes and treatments and review medication records for accuracy and completeness.
  • Inspect treatment areas, ensure residents unable to call for help are checked frequently, meet with residents and families, arrange transportation for discharged residents, and notify families of deaths and contact funeral homes when requested.
  • Participate in planning and conducting in-service training, assist with annual facility training programs and clinical supervision of nurse aide trainees, and attend continuing education programs.
  • Assist in developing nursing-service safety standards; identify exposure risks, ensure staff training and availability and proper use of personal protective equipment, and monitor safe equipment use.
  • Maintain clean and sanitary nursing-service work areas and resident-care areas; ensure hand hygiene, fire and disaster drills, infection-control procedures, and hazardous-condition reporting; support infection-control programs and safe resident handling.
  • Recommend and maintain appropriate levels of equipment, medications, and supplies; support preventive maintenance and safe equipment-operation procedures, ensure only trained personnel operate equipment, and prevent supply waste.
  • Participate in resident assessments and care-plan development and review; encourage resident participation, ensure personnel know and follow care plans, review nursing notes, and assist with Minimum Data Set scheduling and revisions, including Resident Assessment Protocols and triggers.
  • Monitor economic conditions and recommend nursing-service adjustments and equipment needs; report suspected fraud involving false billing, cost reports, or kickbacks.
  • Work in offices and throughout nursing-service areas; work beyond normal hours, weekends, and holidays when necessary, respond to emergency call-backs, attend continuing education, and maintain liaison with residents, families, and support departments.
Desired Qualifications
  • Knowledge and experience with PointClickCare (PCC) is preferred.

About the company

PACS Group is a holding company that runs a national platform of post-acute care facilities. It acquires, owns, and manages skilled nursing facilities, assisted living centers, and other long-term care sites, then provides healthcare services to patients after hospital stays. Revenue comes from services provided at these facilities and is paid by Medicare, Medicaid, private insurance, and patient payments. The company’s performance depends on occupancy, reimbursement rates, and how efficiently the facilities are run. Compared with competitors, PACS stands out as a large, publicly traded operator with a broad national footprint focused on growing its post-acute care platform through acquisitions and operational improvements. Its goal is to expand access to post-acute care and create value by owning and optimizing a network of care facilities that serve elderly and chronically ill patients.

Company Size

11-50

Company Stage

IPO

Headquarters

San Francisco, California

Founded

2015

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Simplify's Take

What believers are saying

  • Q2 2026 revenue hit $1.43 billion, up 9.1%, with net income up 49.8%.
  • Management raised 2026 Adjusted EBITDA guidance to $640 million-$660 million on August 4, 2026.
  • Board authorized $250 million buybacks on May 7, 2026, signaling cash generation.

What critics are saying

  • DOJ and SEC probes remain open, including Medicare claims, referrals, and accounting controls.
  • Manchin v. PACS and derivative actions target 2024 disclosures; dismissal motions remain pending.
  • A DOJ billing conviction threatens PACS's Medicare-dependent model before 2027 closings.

What makes PACS Services unique

  • Locally led, centrally supported operations standardize quality while preserving market-level clinical execution.
  • Durable scale across 324 communities in 17 states creates acquisition density and referral leverage.
  • 2026 acquisitions in Alaska, Idaho, Texas, and Montana broaden PACS's western footprint.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k) Company Match
  • Paid Vacation
  • Unlimited Paid Time Off
  • Health Savings Account/Flexible Spending Account
  • Employee Assistance Plan

Growth & Insights and Company News

6 month growth

0%

1 year growth

0%

2 year growth

0%
Yahoo Finance
May 13th, 2026
PACS Group beats Q1 estimates with $0.50 EPS and $1.42B revenue despite 12.5% year-to-date stock decline

PACS Group reported quarterly earnings of $0.50 per share, beating the Zacks Consensus Estimate of $0.42 per share by 19%. This compares to earnings of $0.17 per share a year ago. The medical services company posted revenues of $1.42 billion for the quarter ended March 2026, surpassing estimates by 5%. Year-ago revenues were $1.28 billion. The company has topped consensus revenue estimates three times over the past four quarters. Despite the strong results, PACS shares have declined 12.5% year-to-date, underperforming the S&P 500's 8.1% gain. The company currently holds a Zacks Rank of Buy, suggesting shares may outperform the market near-term. Current consensus estimates project earnings of $0.54 per share on revenues of $1.41 billion for the coming quarter.

Business Wire
May 1st, 2026
PACS Group acquires Alaska care facility, plans 150-bed skilled nursing centre by 2028

PACS Group has acquired Ridgeway Senior Living, a post-acute care facility in Anchorage, Alaska, marking its fourth property in the state. The company has also purchased adjacent land to construct a 150-bed skilled nursing facility, expected to be completed by 2028. The expansion brings PACS' portfolio to 325 communities across 17 states, with nearly 36,000 beds. Chief executive Jason Murray said the new campus will provide a full continuum of care and become a valuable community asset. Founded in 2013, PACS Group is one of the largest post-acute platforms in the United States, serving over 31,000 patients daily. The company provides technology and administrative support services to reduce operational burdens on healthcare facilities.

Associated Press
Apr 27th, 2026
PACS Group appoints Carey Hendrickson as chief financial officer

PACS Group has appointed Carey P. Hendrickson as chief financial officer, effective 27 April 2026. Hendrickson brings nearly four decades of financial leadership across healthcare, senior living and media sectors. Most recently, Hendrickson served as CFO of U.S. Physical Therapy, overseeing 779 outpatient clinics across 44 states. He previously held CFO roles at Capital Senior Living Corporation, managing 128 communities across 23 states, and Belo Corp. He succeeds Mark Hancock, PACS's co-founder and executive vice chairman, who will retire by 30 June 2026 whilst remaining on the board as vice chairman. PACS operates over 320 post-acute care and senior living facilities across 17 states, serving more than 31,700 patients daily.

Business Wire
Apr 27th, 2026
PACS Group co-founder and CFO Mark Hancock to retire after growing company from 2 facilities to $5.29B revenue

PACS Group has announced that co-founder and chief financial officer Mark Hancock will retire on 30 June 2026. He will continue serving on the company's board of directors as vice chairman. Hancock co-founded PACS in 2013 with Jason Murray, starting with two post-acute care facilities in San Diego. Under his leadership, the company expanded to 323 facilities across 17 states, serving over 31,700 patients daily and generating $5.29 billion in revenue in 2025, representing 29.3% year-on-year growth. Hancock guided PACS through its successful initial public offering on the New York Stock Exchange in April 2024 and served as interim CFO from September 2025. He will be succeeded by Carey P. Hendrickson, who was appointed CFO on 27 April 2026.

Yahoo Finance
Mar 5th, 2026
PACS Group appoints Optum CEO Dr Patrick Conway, former CMS deputy administrator, to board

PACS Group, a leading post-acute healthcare platform, has appointed Dr Patrick Conway to its board of directors. Dr Conway currently serves as CEO of Optum, UnitedHealth Group's health services division with revenues exceeding $200 billion. From 2011 to 2017, Dr Conway served as deputy administrator for innovation and quality at the Centers for Medicare and Medicaid Services, where he also held roles as director of the Center for Medicare and Medicaid Innovation and chief medical officer. During his tenure, he led the transformation of Medicare payment policy, increasing payments in alternative payment models from virtually zero to over 30% of total Medicare payments. Jason Murray, chairman and CEO of PACS Group, described the appointment as transformative for the post-acute and skilled nursing sector.