Nurse Practitioner or Physician AssistantAbout the RoleAre 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 DoClinical 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 ForYou'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 SupportCompetitive 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 & LocationsFull-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 CenterFull-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 $3,400 / Dependent Care FSA up to $7,500)
- 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
Employees Working 30-39 Hours/Week- Health, Dental, and Vision Insurance
- Flexible Spending Accounts
- Retirement Plan with 1:1 employer match up to 4%
- Critical Illness, Accident Insurance, and Hospital Indemnity
- Wellness Reimbursement up to $200/year
- Pro-rated PTO, plus 6 paid holidays
Employees Working 20-29 Hours/Week- Vision Insurance
- Retirement Plan with 1:1 employer match up to 4%
- Critical Illness, Accident Insurance, and Hospital Indemnity
- Pro-rated PTO, 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
Ready to join a team that truly cares?Apply today. 
