Full-Time

Advanced Practice RN

Palouse Medical & Palliative Care

Posted on 5/9/2026

Pullman Regional Hospital

Pullman Regional Hospital

201-500 employees

Acute care hospital offering comprehensive services

Compensation Overview

$125k - $150k/yr

Moscow, ID, USA

In Person

Clinic-based role in Pullman, WA; 3 days/week Primary Care, 1 day/week Palliative Care in same building.

Category
Medical, Clinical & Veterinary (1)
Requirements
  • Licensed to practice in the state of Washington as a Clinical Nurse Practitioner.
  • Experience working in a primary care or acute care setting.
  • Knowledge of interdisciplinary team concepts.
Responsibilities
  • Assist with diagnosis, treatment, and management of acute and chronic health conditions.
  • Perform preventive visits and help with the closure of care gaps while working towards the goals of our ACO metrics.
  • Prescribe medications to the extent delegated and licensed.
  • Generate referrals.
  • Participate in Provider Operations Council meetings that happen bi-monthly for 30 minutes each.
  • Provide consultation in palliative care, symptom management and supportive care to meet the needs of the patient as requested by the referring physician.
  • Conduct goals of care conversations to help the patient determine goals of treatment.
  • Consult with the referring physician, the acute care team, and other involved providers to contribute to the patient’s plan of care.
  • Prescribe medications including controlled substances to the extent delegated and licensed.
  • Order diagnostics/treatments as needed.
  • Prepare and maintain accurate patient records, charts, and documents to support the medical practice and reimbursement for services provided.
  • Manage patient portal and respond to messages.
Desired Qualifications
  • Experience with palliative care or hospice care.
  • Certified Palliative Care Advanced Registered Nurse Practitioner.
Pullman Regional Hospital

Pullman Regional Hospital

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Pullman Regional Hospital is an acute care facility serving the Palouse region from Pullman, Washington. It provides 24-hour urgent and emergency care with board-certified physicians, a fully digital imaging center, Nuclear Medicine, Oncology, Digital Mammography, MRI, and advanced surgical options including da Vinci robotic-assisted surgery, plus telemedicine (Telestroke) and therapy services, genetic counseling, and full-service obstetric care. The hospital operates with three surgical suites, a same-day surgical center, and is accredited by The Joint Commission, emphasizing patient well-being, comfort, and precision in treatment. It stands out through high patient satisfaction scores and recognition as a top workplace in healthcare, supported by technology investments that enable fast, accurate diagnoses and treatment in a rural area, with the goal of providing comprehensive, high-quality medical care close to home.

Company Size

201-500

Company Stage

N/A

Total Funding

N/A

Headquarters

Pullman, Washington

Founded

2001

Simplify Jobs

Simplify's Take

What believers are saying

  • Foundation Gala raised $150,000+ supporting hospital initiatives and community engagement efforts.
  • National CFO search attracted 55+ qualified applicants, indicating strong market interest.
  • Carstens' data analytics expertise positions hospital for operational efficiency and financial optimization.

What critics are saying

  • Bouten Construction inexperience with WA State Project Review Committee delays expansion project.
  • Carstens' transition from multi-role position risks compliance gaps in revenue cycle management.
  • Insufficient fundraising fails to cover expansion costs against regional competitor patient poaching.

What makes Pullman Regional Hospital unique

  • Craig Carstens brings 15+ years rural healthcare financial leadership experience to replace 30-year CFO.
  • Patient Care Expansion Project underway with Bouten Construction and Turner & Townsend Heery management.
  • Family Medicine Residency Center expanded with Dr. Brenna Harris joining clinical training program.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

401(k) Company Match

401(k) Retirement Plan

Professional Development Budget

Conference Attendance Budget

Company News

Big Country News Connection
Jan 12th, 2026
Pullman Regional Hospital Hires Craig Carstens, MHPA, as Chief Financial Officer

Pullman Regional Hospital hires Craig Carstens, MHPA, as Chief Financial Officer. PULLMAN - Pullman Regional Hospital has hired Craig Carstens, MHPA, as its new Chief Financial Officer, succeeding Steve Febus, who served in the role for more than 30 years. Carstens brings over 15 years of progressive financial leadership across hospital and clinic settings, including critical access hospitals and multi-site rural health systems. Prior to joining Pullman Regional, Carstens served as CFO, CIO, and Compliance Officer at Floyd County Medical Center in Charles City, IA, managing strategic financial planning, capital investment strategies, and revenue cycle enhancements. He has also served as CFO at Osceola Regional Health Center, and as Director of Financial Operations at Mercy Medical Center. Carstens holds a Master of Health Policy and Administration from Washington State University and a Bachelor of Business Economics with a minor in Accounting from South Dakota State University. He specializes in leveraging data and analytics to improve financial decision-making, operational efficiency, and alignment with mission-driven care delivery. "Craig brings strong educational credentials, extensive experience, and deep financial acumen across multiple healthcare organizations, with a particularly strong background in rural healthcare," said Matt Forge, CEO of Pullman Regional Hospital. "His skills and leadership will undoubtedly be a huge addition to our team." Carstens will oversee the hospital's financial strategy and operations, ensuring resources are effectively managed to support clinical services, facility development, and long-term sustainability. "My family couldn't be more thrilled to move to Pullman, settle into our new house and be part of this community," said Carstens. "Getting back to the Palouse has been a priority; I've never lost sight of Pullman Regional Hospital throughout my career, and I'm grateful to join this team and be an engaged and active member of the Pullman community." Castens will officially start at Pullman Region Hospital January 12, 2026. The national search to fill the role of Chief Financial Officer drew interest from more than 55 qualified applicants.

Pullman Radio
Dec 11th, 2025
Pullman Regional Hospital Nurse Kinsey Dewan Receives DAISY Award

Pullman Regional Hospital nurse kinsey Dewan receives DAISY Award. Kinsey Dewan, a Registered Nurse at Pullman Regional Hospital's BirthPlace, has been honored with a DAISY Award, part of an international recognition program celebrating compassionate nursing care. Dewan joined Pullman Regional as a Certified Nursing Assistant in 2020 and has spent five years providing maternity and newborn care at BirthPlace. The award came from a patient who praised Dewan's kindness and competence during the birth of her second child. When the baby experienced breathing complications, Dewan provided reassuring support throughout the challenging experience. "I work with the best people," Dewan said. "We have such a broad range of skills - every day is a different day, and I love that I get to be part of a patient's experience through every phase of care." To learn more about the DAISY Award or to nominate a nurse, visit Pullman Regional Hospital's website.

Pullman Radio
Aug 14th, 2025
Pullman Regional Hospital Earns Awards for Stroke and Heart Emergency Care

The Pullman Regional Hospital was recently awarded three Silver Achievement Awards by the American Heart Association after a successful first year of participation with their "Get With the Guidelines" quality improvement program.

Big Country News Connection
Sep 9th, 2024
Inland Orthopaedic Surgery & Sports Medicine Clinic Welcomes Back Dr. Steven Pennington

PULLMAN - Inland Orthopaedic Surgery & Sports Medicine Clinic, in partnership with Pullman Regional Hospital, is pleased to announce the return of Dr. Steven Pennington to their team.

Big Country News Connection
Mar 25th, 2024
Gesa Credit Union and Pullman Regional Hospital Foundation Partner to Support WA. High School Athletic Training Programs

RICHLAND - Gesa Credit Union has announced a collaboration with the Pullman Regional Hospital Foundation to enhance high school athletic training programs.