Nurse Practitioner - Pre-Anesthesia Clinic
Confluence Health · Wenatchee, WA
Posted September 30, 2026
Confluence Health Hospital | Central Campus · 1201 South Miller Street, Wenatchee, WA, US, 98801
**Salary Range
$66.35 - $76.92
Overview**
Located in the heart of Washington, we enjoy open skies, snow-capped mountains, and the lakes and rivers of the high desert. We are the proud home of orchards, farms, and small communities. Confluence Health actively supports the communities we serve and their quality of life through our community support program and through our individual efforts as involved community members.
Full Time Employees of Confluence Health receive a wide range of benefits in addition to compensation.
- Medical, Dental & Vision Insurance
- Flexible Spending Accounts & Health Saving Accounts
- Paid Time Off
- Generous Retirement Plans
- Life Insurance
- Long-Term Disability
- Gym Membership Discount
- Tuition Reimbursement
- Employee Assistance Program
- Adoption Assistance
- Shift Differential
In addition to the base salary, this position may receive additional compensation based on productivity and extra shift incentives as applicable.
For more information on our Benefits & Perks, click here!
Summary
Provides primary health care services to hospital and clinic patients. Performs examinations; performs or orders diagnostic test; establishes diagnosis; prescribes medication; instructs patients and family members about continuing care.
Position Reports To: Clinical Nursing Supervisor
Essential Functions
- Sees patients in the clinic and virtually for examination, assessment and optimization of chronic health conditions prior to undergoing anesthesia assisted surgeries or procedures. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment.
- Educates patients and families and helps them understand issues related to physical and emotional health and promotes wellness.
- Participates in decisions, planning, and policies related to clinical care.
- Maintains accurate, thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system.
- Refers patients to specialty services when appropriate.
- Collaborates with staff and physicians to identify patient’s needs and help develop a plan to meet those needs.
- Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies.
- Required to maintain active Basic Life Support (CPR) certification.
- Performs other duties as assigned.
Demonstrate standards of behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications
Required:
- Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date.
- Basic Life Support (CPR) certification (within 90 days of hire).
- Handles confidential medical information and problems in a discreet manner according to CH policies.
- Must possess basic computer skills related to EHR and Windows navigation, mouse usage, keyboarding, email communication, and password management.
Desired:
- Recent, relevant experience in family practice or internal medicine setting.
- Proficient in EPIC EHR documentation and navigation.
Physical/Sensory Demands
O = Occasional, represents 1 to 25% or up to 30 minutes in a 2 hour workday.
F = Frequent, represents 26 to 50% or up to 1 hour of a 2 hour workday.
C = Continuous, represents 51% to 100% or up to 2 hours of a 2 hour workday.
Physical/Sensory Demands For This Position:
- Walking - F
- Sitting/Standing - F
- Reaching: Shoulder Height - F
- Reaching: Above shoulder height - O
- Reaching: Below shoulder height - O
- Climbing - O
- Pulling/Pushing: 25 pounds or less - O
- Pulling/Pushing: 25 pounds to 50 pounds - O
- Pulling/Pushing: Over 50 pounds - O
- Lifting: 25 pounds or less - F
- Lifting: 25 pounds to 50 pounds - O
- Lifting: Over 50 pounds - O
- Carrying: 25 pounds or less - O
- Carrying: 25 pounds to 50 pounds - O
- Carrying: Over 50 pounds - O
- Crawling/Kneeling - O
- Bending/Stooping/Crouching - O
- Twisting/Turning - O
- Repetitive Movement - O
Working Conditions:
- Work is performed at in patient exam and treatment rooms, where space may be limited and confined. Requires a combination of working independently and also working closely with others.
Job Classification:
- FLSA: Exempt
- Hourly/Salary: Salary
Physical Exposures:
- Unprotected Heights - No
- Heat - No
- Cold - No
- Mechanical Hazards - No
- Hazardous Substances - Yes
- Blood Borne Pathogens Exposure Potential - Yes
- Lighting - No
- Noise - No
- Ionizing/Non-Ionizing Radiation - No
- Infectious Diseases - Yes
Responsibilities
- Sees patients in the clinic and virtually for examination, assessment and optimization of chronic health conditions prior to undergoing anesthesia assisted surgeries or procedures. Writes prescriptions and performs office procedures within the scope of expertise, protocols, and available equipment.
- Educates patients and families and helps them understand issues related to physical and emotional health and promotes wellness.
- Participates in decisions, planning, and policies related to clinical care.
- Maintains accurate, thorough and complete medical records in a timely manner and demonstrates proficiency in using the Electronic Medical Record documentation system.
- Refers patients to specialty services when appropriate.
- Collaborates with staff and physicians to identify patient’s needs and help develop a plan to meet those needs.
- Provides professional medical services within the scope of training and responsibility, in compliance with applicable laws, regulations and organizational policies.
- Required to maintain active Basic Life Support (CPR) certification.
- Performs other duties as assigned.
Demonstrate standards of behavior and adhere to the Code of Conduct in all aspects of job performance at all times.
Qualifications
Required:
- Active Registered Nurse and ARNP licensure with prescriptive authority in the state of Washington, required by start date.
- Basic Life Support (CPR) certification (within 90 days of hire).
- Handles confidential medical information and problems in a discreet manner according to CH policies.
- Must possess basic computer skills related to EHR and Windows navigation, mouse usage, keyboarding, email communication, and password management.
Desired:
- Recent, relevant experience in family practice or internal medicine setting.
- Proficient in EPIC EHR documentation and navigation.
Employer
Confluence Health
Our Mission and Vision
At Confluence Health, our mission is to provide local care by and for our community. In support of this mission, we have established a vision of serving our community with compassionate care through our dedication to enabling joy and pride in our work, focusing on local sustainability, ensuring access for all, and committing to excellent care and service. To learn more about our mission, vision, values and medical decision-making policy, please click here.
Who We Are
Confluence Health is an integrated healthcare delivery system that serves as the major medical provider in North Central Washington between Seattle and Spokane. With approximately 300 physicians, 170 advanced practice providers, 30 medical specialties, two hospitals and primary care services, Confluence Health provides high-quality, compassionate, cost-effective care close to home. Staying on the leading edge of healthcare innovation is important, so we invest in technology and resources to provide better care for our patients and to allow our providers to operate at the highest level.
Located in the heart of Washington, we enjoy open skies, snow-capped mountains and the lakes and rivers of the high desert. We are the proud home of orchards, farms and small communities. Confluence Health actively supports the communities we serve through our community support program and through our individual efforts as involved community members.
Affiliations*
Confluence Health values the partnerships we build with other organizations and programs. We have the honor of affiliating with the University of Washington.
WWAMI is a partnership between the University of Washington School of Medicine and the states of Washington, Wyoming, Alaska, Montana and Idaho (the first letter of each state forms the acronym "WWAMI"). This partnership provides publicly supported medical education to students from this five-state region.
Confluence Health has an affiliation with University of Washington / Harborview Medical Center to provide for expert stroke consultation services and neurosurgical coverage. This partnership allows for the rapid diagnosis and treatment of all types of strokes, and it also provides immediate transport to a level-1 comprehensive stroke center while allowing the majority of North Central Washington patients to remain at our local, level-2 primary stroke center.
The WRITE Program is a clinical medical education program developed by the University of Washington School of Medicine to help meet the need for rural primary care physicians in the WWAMI region (Washington, Wyoming, Alaska, Montana and Idaho). The Moses Lake Campus of Confluence Health is one of the training campuses for the WRITE Program. This opportunity provides selected third-year medical students an appropriate mix of ambulatory and hospital experience during a 20-week clinical education experience at a rural primary care teaching site.