An established outpatient practice in Virginia's Shenandoah Valley is immediately hiring a new Pain Management Physician Assistant or Nurse Practitioner. The new APP must be comfortable prescribing controlled substances and performing intrathecal pump refills, no injections or procedures. Experience in pain management, internal medicine, neurology, and/or orthopedics is highly preferred. The office is open weekdays, with no weekend or call requirements. This is a full-time permanent position with bonus opportunity, medical benefits, 401K with match, CME, PTO, tuition assistance, and malpractice. This city in Northern Virginia offers affordable living and quick access to D.C. It blends historic charm with a vibrant downtown and endless outdoor recreation, making it easy to build a career