Advance Practice Registered Nurse - Perioperative Services

Pay Range:

The base pay range for this position is

$135,000.00-$150,000.00 Annual

however, base pay offered may vary depending on job-related knowledge, skills, and experience.

Job Title: Nurse Practitioner - Pre-Admit Clinic

Department: Perioperative Services

Company Statement:

Pullman Regional is an innovative, patient-focused, multi-disciplinary based work environment where all members of the team contribute to the exceptional care of our patients and the community.

Position Overview:

Pullman Regional Hospital is seeking a Nurse Practitioner (NP) to join our Pre-Admit Clinic team. This NP will focus on optimizing patients for surgery, ensuring surgical readiness, and improving perioperative safety. The role is high-impact and directly supports elective and urgent surgical patients (excluding low-risk endoscopy or pain procedures) by performing comprehensive preoperative assessments, risk stratification, and optimization.

The ideal candidate is an independent, patient-focused NP who can manage moderate- to high-risk surgical patients, coordinate care with anesthesia and surgeons, and participate in quality initiatives that reduce day-of-surgery cancellations and improve patient outcomes.

A Day in the Life:

• Performs complete preoperative history and physical exams for all scheduled surgical patients.
• Independently clears patients for surgery, consulting with anesthesia (CRNA) for high-risk cases.
• Orders and interprets labs, imaging, and diagnostic tests relevant to preoperative optimization.
• Works closely with anesthesia, surgeons, nursing, and care coordination to ensure continuity of care.
• Provides education to staff and patients regarding pre-admission optimization and perioperative best practices.
• Collaborates in the development and implementation of preoperative optimization pathways, ERAS protocols, and quality improvement initiatives.
• Identifies and addresses safety concerns in the pre-admit clinic and perioperative workflows.
• Supports DNV certification goals through consistent documentation, standardized workflows, and adherence to evidence-based guidelines.
• Tracks and reports metrics related to surgical readiness, optimization, and day-of-surgery cancellations
• Pursues ongoing professional education and certification.

About You!

This Job is For You if You Have:

• Graduate of an accredited Nurse Practitioner program.
• Licensure as a registered professional nurse and certification as a Nurse Practitioner in the state of Washington.
• Certification in Advanced Cardiac Life Support (ACLS).
• DEA registration and Prescriptive Authority in the state of Washington.
• Experience in perioperative or acute care preferred but not required.

Company Perks:

Our employees are our most important asset and that's reflected in our benefits. Pullman Regional is proud to offer a variety of benefits to support employees and their families, including:

• Medical/Vision, Dental, Health Savings Account, and Paid Leave Time
• Employer Paid Life Insurance and Long-Term Disability
• Retirement with Employer Matching Contributions
• Voluntary Benefits that include: Life Insurance, Critical Illness, Accident Insurance, and Short-Term Disability
• Services Discount and EAP Resources

A Few More Important Points:

The job posting highlights the most critical responsibilities and requirements of the job. It is not all-inclusive. There may be additional duties, responsibilities, and qualifications for this job.

Disability Contacts:

Applicants with disabilities who require assistance or accommodation should contact Human Resources at humanresources@pullmanregional.org

Current Pullman Regional Employees:

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