Geriatric Nurse Practitioner Edmonds-Bothell Area

A New Approach to an Age-Old Need - Pathway Geriatrics is a nurse practitioner-owned medical practice headquartered in Redmond, WA, currently serving the Greater Seattle area. We provide in-home palliative primary care services for homebound older adults. Said differently, we bring our medical services to our clients, who often can't leave their homes to get the specialized care they need.

We are looking for an experienced Geriatric Nurse Practitioner to serve as a palliative primary care provider in our Edmonds/Lynnwood/Bothell region. You will work with high-complexity homebound clients primarily residing in Adult Family Homes (AFHs), assisted living facilities, and appropriately supported private residences. The position is fully field-based, though we do hold weekly team meetings at our Redmond office. Typical business hours are 9:00 AM to 5:00 PM, Monday - Friday.

Compensation typically ranges from $130,000 to $160,000 base, depending on experience. High performers may also earn very meaningful discretionary bonuses tied to panel stability, quality of care, and team contribution.

You will serve as the PCP for a panel of about 200 homebound older adults in your region. Most of our clients live in Adult Family Homes (AFHs), with some residing in private residences and assisted living facilities. We often have several clients at each home and aim to visit each location every 5 to 6 weeks, with individual visit frequency driven by medical necessity and provider judgment.

Our providers also facilitate each client's medication and chronic care management between in-person appointments. We strive to keep clients out of the emergency room and manage urgent situations remotely with help from our local network of in-home diagnostic services.

The nature of our services means we often work with multiple parties when coordinating patient care. We typically work with at least three stakeholders per patient: the patient, their medical power of attorney, and their caregiver (usually an Adult Family Homeowner). A typical client is 75+ years old and often in their final years. Most clients are homebound due to advanced dementia, but many also have other chronic diseases such as osteoarthritis with contractures and pain, Parkinson's disease, heart failure, and diabetes.

We also work with younger adults who are homebound due to traumatic brain injuries, strokes, or mental health conditions. Our clients' family members and powers of attorney have varying levels of engagement and knowledge; we are transparent and communicative with them and aim to serve as a resource for them and their loved ones.

The job is 100% field-based. On a given day, you will visit between one and five homes or facilities. Each Adult Family Home is someone's house in a regular neighborhood that the state has licensed to care for around six homebound adults.

This is not a role for someone who wants a predictable, clock‑punching job. Pathway Geriatrics attracts clinicians who hold themselves to a high standard—often higher than anyone else does. We care deeply about doing this work well, and we expect our providers to do the same. Our best clinicians are intellectually curious, clinically confident, and comfortable practicing near the top of their scope.

They keep learning, question assumptions, and take ownership of their panel, decisions, and outcomes. This role requires real engagement: you will build long‑term relationships with patients, families, and caregivers, think through complex situations, and occasionally think about your patients after hours. You won't be doing this alone—we operate as a tight clinical team and expect providers to lean on each other and challenge themselves.

If you're reading this and feeling a little intimidated, but also energized, that's usually a good sign.

Our practice approaches issues from a palliative care perspective. Our primary goal is to improve client comfort and quality of life while reducing unnecessary medications. We monitor disease progression and consider when clients should transition to hospice services.…