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 have a uniquely deep background in technology (and tech startups), which heavily influences our workflows and culture. Our vision is to build a new type of medical practice that melds the latest technologies and best practices with the caring hearts of top-tier providers.

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. We 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 do our best to keep clients out of the emergency room. While we don't yet offer in-home urgent care, we can often manage urgent situations remotely with help from our local network of in-home diagnostic services. These include mobile imaging, ultrasound, phlebotomy, and urinalysis/urine cultures.

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 like osteoarthritis with contractures and pain, Parkinson's disease, heart failure, and diabetes. That said, 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.

Be prepared to pull out your laptop and perform your visits on the family couch, at the dining room table, or perched on a client's bedside. Adult Family Homes are unique settings that genuinely feel like family for these older adults, where they live in a small and compassionate environment, and their caregivers know them well. Their intimate knowledge of each client's habits and expressions often helps us fill in the gaps when clients cannot speak for themselves.

We develop a rapport and work together with the caregivers since they have the knowledge that allows us to find the right fit for a client's treatment.

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…