Family Nurse Practitioner (FNP)

About Transhealth

Transhealth is an independent and comprehensive healthcare center dedicated to empowering and uplifting trans and gender-diverse individuals and families. Located in Western Massachusetts and led by trans and gender-diverse professionals, we are redefining what compassionate, gender-affirming healthcare looks like. Through expert care, community support, education, and advocacy, we?re creating a future where every trans and gender-diverse person feels celebrated and in control of their healthcare journey. Be part of a team that honors the resilience of our community and works to transform the world?one step, one story, and one life at a time.

Transhealth is committed to fostering a diverse and inclusive workplace. We strongly encourage applications from individuals of all backgrounds, including trans, LGBTQIA+ and BIPOC communities, and are an equal opportunity employer.

Why You Should Choose Transhealth

• Competitive benefits including low cost health and dental plans with employer-paid HSA covering 100% of deductible; generous paid time off and sick leave policies
• We prioritize patient-centered care by offering 30 to 60-minute appointment times, giving our providers the opportunity to build deeper connections with patients and minimize time charting outside of work hours.
• Full support team of wonderful medical assistants, nurses, and an integrated psychiatric prescriber
• Patient panel size far smaller than national average
• Flexible scheduling including options for in person and hybrid appointments depending on provider preference.
• No overnight or weekend work except one week of on-call every 5 weeks? supported by external nurse triage service so providers average 1-2 calls [compensated] during the course of the week.

Job Description Summary

This is a clinical role within the Primary Care department. Applicants must include an updated resume and cover letter detailing three years or more experience providing primary care, and three years or more experience providing gender affirming care.

This position is :

Salaried,

Full time,

Hybrid,

Monday thru Friday [dayshift], and

Unionized [UAW Local 2322]

The FNP is responsible for providing exceptional primary care to gender-diverse patients across the lifespan.

NOTE : This position currently involves some remote work including conducting telehealth visits with patients. Remote work hours and duties are subject to change based on patient demand, federal and state changes to work regulations, and payor reimbursement guidelines.

Objectives & Responsibilities

Clinical Duties (80%) :

Provide primary care to patients including management of chronic disease and episodic care. Collaborate with integrated behavioral health treatment interventions as needed.

All primary care providers are expected to provide gender-affirming care, including hormone provision, as part of our integrated care approach.

Other duties as assigned.

Administrative Duties (10%)

Complete medical record documentation, billing, prior authorization / referral documentation and attend staff meetings.

Community Duties (10%)

This time is designed to allow clinicians to participate in educational and / or community-based initiatives of their choice.

These activities should serve to develop Transhealth staff, improve care for our patients / clients, or amplify trans and gender-diverse care, services, or knowledge within the community.

LICENSURE, QUALIFICATIONS & EXPERIENCE NOTES :

Licensure & Certification

Must be licensed as an Advanced Practice Registered Nurse (APRN) by the Massachusetts Board of Registration in Nursing.

Must hold an RN license in Massachusetts.

Must graduate from an accredited nurse practitioner program (Master?s or Doctorate in Nursing).

Must be board-certified as a Family Nurse Practitioner (FNP) by American Association of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC).

Requires DEA registration to prescribe controlled substances.

Requires Massachusetts Controlled Substance Registration (MCSR).

Can practice independently in Massachusetts (does not require a physician agreement).

Experience & Qualifications

3+ years prior experience in family medicine or primary care required .

3+ years prior experience with gender-affirming hormone therapy is required .

Strong skills in patient-centered, affirming care required .

Completion of continuing education (CE) in transgender healthcare (e.g., WPATH, Fenway Institute training) is a plus.

Must be trained in inclusive, culturally competent care.

Strong understanding of hormone therapy protocols, lab monitoring, and patient-centered care for transgender and non-binary patients.

Behavioral Requirements

Must be able to adhere and champion the values of Transhealth

Able to understand and empathize with others

Able to be compassionate at work, for colleagues and patients

Able to be flexible, open-minded, conscientious and assumes positive intent

Is team oriented and willing to do jobs that might be outside of typical scope of work

Able to take accountability for their own actions and work for the betterment of Transhealth

Comfortable in a start-up environment / culture that promotes ongoing change toward process improvement

Excellent sense of humor

Physical Demands and Work Environment

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions.

While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle or feel objects, tools, or controls. The employee may be required to perform repetitive motions that may include the wrists, hands, and / or fingers. The employee is occasionally required to stand; walk; sit; and reach with hands and arms. The employee must occasionally lift and / or move up to 25 pounds. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate. There are no adverse environmental conditions expected.

Reasonable accommodations will be reviewed and considered upon request.

Job Type : Full-time

Pay : $117,000.00 - $155,000.00 per year

Benefits :

Dental insurance

Employee assistance program

Flexible spending account

Health insurance

Health savings account

Life insurance

Paid time off

Professional development assistance

Referral program

Retirement plan

Vision insurance

Medical Specialty :

Family Medicine

Internal Medicine

Primary Care

Schedule :

8 hour shift

Day shift

Monday to Friday

No nights

No weekends

On call

Work Location : Hybrid remote in Florence, MA 01062