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Nurse Practitioner - Job Opportunity at Top Docs, Inc

Longview, WA, US
Contract
Mid-level
Posted: July 21, 2025
On-site
USD 75-80 per hour

Benefits

Comprehensive paid training program providing specialized knowledge in Veterans Affairs compensation and pension examination processes
Administrative time allocation for documentation completion ensuring work-life balance and quality assurance
Flexible 4-day work week schedule offering enhanced work-life integration compared to traditional healthcare positions

Key Responsibilities

Conduct comprehensive compensation and pension medical examinations for military veterans, directly impacting disability benefit determinations that affect veterans' quality of life and financial security
Execute thorough review and analysis of veterans' medical histories using advanced electronic systems with guided examination protocols to ensure accurate disability assessments
Complete detailed electronic Disability Benefits Questionnaires (DBQs) within strict 48-hour timeframes, requiring exceptional time management and documentation precision that influences federal benefit decisions
Perform specialized medical examinations including musculoskeletal, cardiovascular, and respiratory assessments that serve as critical evidence for VA disability determinations
Coordinate and interpret ancillary medical services including X-rays, laboratory tests, EKGs, pulmonary function tests, and ankle-brachial indices to provide comprehensive medical evaluations
Maintain compliance with federal VA standards and contract requirements through detailed documentation review and timely submission processes

Requirements

Education

Master's degree in Nursing (NP) or successfully completed an approved Physician Assistant (PA) program

Experience

Primary care experience is required

Required Skills

Actively licensed and able to work independently Ability to work as part of a team Good interpersonal skills Willingness to be flexible and adapt to changing situations Basic computer skills

Certifications

Active nursing practitioner or physician assistant license
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Sauge AI Market Intelligence

Industry Trends

The Veterans Affairs healthcare system is experiencing unprecedented demand for compensation and pension examinations due to increased veteran awareness of disability benefits and expanded eligibility criteria under recent legislative changes. This trend is driving significant contract opportunities for healthcare providers specializing in disability evaluations. Healthcare staffing shortages, particularly in rural and semi-rural markets like Longview, WA, are creating premium compensation opportunities for nurse practitioners and physician assistants willing to work in specialized government contract roles. The shortage is particularly acute in primary care and specialty examination services. The shift toward electronic documentation and streamlined examination processes in federal healthcare contracts represents a modernization trend that requires practitioners to adapt to technology-driven workflows while maintaining clinical excellence and regulatory compliance.

Salary Evaluation

The offered hourly rate of $75-80 represents competitive compensation for the Pacific Northwest region, potentially translating to $62,400-$66,560 annually based on the 4-day, part-time schedule. This rate is approximately 15-25% above standard clinical hourly rates due to the specialized nature of VA examinations and contract work premium.

Role Significance

Practitioners typically work independently with administrative support staff and coordinate with a regional team of 3-8 contracted clinicians, supported by medical review professionals and VA liaison personnel for quality assurance and compliance oversight.
This role represents a mid-level clinical position requiring independent decision-making and specialized knowledge, positioning practitioners as subject matter experts in veterans' disability medicine while operating with significant autonomy in examination and documentation processes.

Key Projects

Large-scale veteran disability evaluation initiatives supporting federal disability benefit determinations Implementation of streamlined electronic documentation systems for improved efficiency and accuracy in federal healthcare contracting Quality improvement initiatives focused on examination accuracy and timeliness to meet federal performance standards

Success Factors

Exceptional clinical documentation skills with attention to detail, as examination reports directly influence federal benefit decisions affecting veterans' financial security and quality of life Strong time management and organizational abilities to handle complex examination schedules while meeting strict 48-hour documentation deadlines and maintaining clinical quality standards Adaptability to federal regulatory requirements and electronic health record systems, combined with ability to work independently in a government contract environment with minimal direct supervision Cultural competency and communication skills for working effectively with veteran populations, including understanding of military service-related health conditions and trauma-informed care approaches

Market Demand

High demand driven by chronic shortage of qualified practitioners willing to perform VA compensation examinations, combined with increasing veteran population seeking disability evaluations and federal mandate to reduce examination backlogs.

Important Skills

Critical Skills

Clinical documentation expertise is absolutely essential as examination reports serve as legal documents influencing federal benefit decisions, requiring precision, clarity, and comprehensive detail that meets strict regulatory standards and withstands potential legal review Independent clinical decision-making skills are crucial since practitioners work with minimal direct supervision while conducting examinations that require clinical judgment, differential assessment, and accurate interpretation of complex medical histories Technology proficiency with electronic health records and web-based examination platforms is mandatory for efficient workflow management and compliance with federal documentation requirements in an increasingly digital healthcare environment

Beneficial Skills

Previous experience with government healthcare systems or federal contracting provides valuable context for navigating regulatory requirements and understanding the unique operational demands of VA healthcare delivery Military or veteran healthcare experience offers important cultural competency and clinical insight when working with veteran populations who may have service-connected conditions, trauma histories, or specific healthcare needs related to military service Quality assurance and compliance experience enhances ability to maintain the high standards required for federal healthcare contracts and reduces risk of documentation errors that could impact contract renewal or veteran benefits

Unique Aspects

This position offers exposure to specialized federal healthcare contracting that provides valuable experience in disability medicine and government healthcare systems, creating unique career pathways not available in traditional clinical practice
The role provides direct impact on veterans' lives through disability benefit determinations while offering flexible scheduling and premium compensation compared to traditional clinical positions
Practitioners gain expertise in electronic health documentation systems and federal compliance requirements that are increasingly valuable in the evolving healthcare technology landscape

Career Growth

Career advancement typically occurs within 2-3 years of specialized VA examination experience, with opportunities for expanded contracts, supervisory roles, or transition to direct VA employment with enhanced benefits and job security.

Potential Next Roles

Senior Clinical Examiner or Regional Medical Director roles within VA contract organizations Independent consulting positions specializing in disability medicine and federal healthcare contracting Leadership positions in healthcare organizations focusing on government contracts and veteran services

Company Overview

Top Docs, Inc

Top Docs, Inc operates as a specialized healthcare staffing and contracting organization focused on providing medical examination services to federal agencies, particularly the Department of Veterans Affairs. The company maintains a network of contracted healthcare providers across multiple states to support government healthcare initiatives.

Positioned as a mid-tier federal healthcare contractor with established relationships with the Veterans Affairs system, competing in a specialized market that requires significant regulatory compliance and quality assurance capabilities to maintain government contracts.
The company operates with a distributed model across various locations throughout the United States, focusing on areas with significant veteran populations and limited access to specialized examination services, particularly in smaller metropolitan and rural markets.
The organization emphasizes flexibility and professional autonomy for contracted providers while maintaining strict compliance with federal regulations and quality standards, creating a results-oriented environment that values clinical expertise and administrative precision.
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