Principle Spine and Pain is hiring an Advanced Practice Provider (Nurse Practitioner or Physician Assistant). We are a private practice offering interventional and pain management services in the Pasadena, Clear Lake, and Texas City, TX areas. Our Advanced Practice Provider will deliver high-quality, patient-centered pain management services within our Pasadena clinic and other locations as needed. This role will collaborate closely with physicians, clinical staff, facility teams, and administrative teams to ensure timely, compassionate, and compliant delivery of pain management services.

Compensation & Benefits

• $150,000-$200,000/year or more! (variable compensation plan based on production.)
• Health, vision, dentals, 4 weeks PTO, 9 paid holidays, matching 401k plan, short-term/long-term disability, life insurance, and Continuing Medical Education (CME)/licensure/membership/credentials reimbursement.
• Opportunity for professional advancement, growth, and mentorship

Schedule & Work Environment

• Primarily reports to the Pasadena clinic location
• Monday–Thursday 8:00am-5:30pm and Friday 8:00am-2:00pm (hours may vary based on patient volume and business needs)
• Clinic staffing coverage as needed (Pasadena, Clear Lake ,and Texas City)
• Rounding at SNF/LTAC facilities is optional (additional hours/patient volume)

Responsibilties

• Provide primary care medical (pain management) services typically performed by a mid-level provider, under the supervision of a physician.
• Provide acute and chronic care in the clinics and hospitals, including assessing and managing patients following established standards and practices.
• Rotate through assigned clinic shifts at any of the IPS clinic sites.
• Examine new patients to obtain information about their physical condition.
• Perform follow up appointments for chronic pain management patients.
• Administer and/or order diagnostic tests and laboratory tests. Interpret diagnostic test results for deviations from normal and determine the need for follow-up appointments and further treatment options.
• Perform the following injections: intra-articular, trigger-point, tendonitis, bursitis
• Manage and refill intrathecal pain pumps
• Make tentative diagnoses and decisions about management and treatment of patients.
• Make sure the patients follow their treatment plans, including compliance with tests and other treatment recommendations.
• Obtain, compile and record patient medical data, including health history, progress notes and results of physical examination.
• Instruct and counsel patients about prescribed therapeutic regimens. Serve as the resource patients need for ongoing care information, counseling and provide guidance for any patients with critical conditions.
• Prescribe therapy or medication.
• Visit and treat patients at hospitals as assigned, updating charts, ordering therapy, and reporting back to primary physician.
• Maintain patient confidentiality.
• Other duties as assigned

Requirements

• Must hold a current license to practice as a Nurse Practitioner or Physician Assistant in Texas.
• 3+ years’ experience as a professional Nurse Practitioner or Physician Assistant in a clinic setting.
• Current DEA certificate
• Pain, neurology ,or orthopedics experience is a plus.
• Team player, compassionate ,and puts patients first.

Physical Requirements

• Ability to stand, walk, and move between facilities frequently

Why You’ll Love Working Here We believe in supporting our team—both on the job and in life. Full-time employees enjoy a well-rounded benefits package designed to support your health, financial security, and overall well-being.

Principle Health Systems has earned multiple Top Workplaces honors, including national recognition as a Top Workplace in the USA and being named a Top Workplace in the Healthcare Industry for three years in a row—a reflection of our commitment to a positive and rewarding work environment.

Our Benefits Include:

• Comprehensive medical, dental, and vision insurance
• Company-paid basic life and long-term disability coverage
• Voluntary benefits, including short-term disability, accident, and critical illness insurance
• 401(k) retirement plan to help you plan for the future
• Generous Paid Time Off (20 days annually)
• 9 paid company holidays each year
• On-demand access to earned wages—get paid when you need it
• Confidential support services for you and your family
• Exclusive employee discounts on fitness memberships, car services, and more!

Ready to Make an Impact? Join a team that values your contribution, supports your growth, and is committed to delivering exceptional patient care. If you’re looking for a meaningful career with a company that puts people first, we’d love to hear from you.