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How to hire an internal medicine nurse practitioner

Internal medicine nurse practitioner hiring summary. Here are some key points about hiring internal medicine nurse practitioners in the United States:

  • The median cost to hire an internal medicine nurse practitioner is $1,633.
  • It takes between 36 and 42 days to fill the average role in the US.
  • HR departments typically allocate 15% of their budget towards recruitment efforts.
  • Small businesses spend $1,105 per internal medicine nurse practitioner on training each year, while large companies spend $658.
  • It takes approximately 12 weeks for a new employee to reach full productivity levels.
  • There are a total of 201,201 internal medicine nurse practitioners in the US, and there are currently 35,972 job openings in this field.
  • New York, NY, has the highest demand for internal medicine nurse practitioners, with 6 job openings.

How to hire an internal medicine nurse practitioner, step by step

To hire an internal medicine nurse practitioner, you should create an ideal candidate profile, determine a budget, and post and promote your job. Here's a step-by-step guide on how to hire a internal medicine nurse practitioner:

Here's a step-by-step internal medicine nurse practitioner hiring guide:

  • Step 1: Identify your hiring needs
  • Step 2: Create an ideal candidate profile
  • Step 3: Make a budget
  • Step 4: Write an internal medicine nurse practitioner job description
  • Step 5: Post your job
  • Step 6: Interview candidates
  • Step 7: Send a job offer and onboard your new internal medicine nurse practitioner
  • Step 8: Go through the hiring process checklist

What does an internal medicine nurse practitioner do?

An international medicine nurse practitioner is responsible for the coordination, organization, and medical management of internal medicine, which is also sometimes known as general medicine. A nurse practitioner provides proper care to patients, especially when they do not have visitors. They typically work in a hospital, nurse stations, outpatient departments, and other medical institutions. This position requires them to have a nursing license.

Learn more about the specifics of what an internal medicine nurse practitioner does
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  1. Identify your hiring needs

    Before you post your internal medicine nurse practitioner job, you should take the time to determine what type of worker your business needs. While certain jobs definitely require a full-time employee, it's sometimes better to find an internal medicine nurse practitioner for hire on a part-time basis or as a contractor.

    Determine employee vs contractor status
    Is the person you're thinking of hiring a US citizen or green card holder?

    Hiring the perfect internal medicine nurse practitioner also involves considering the ideal background you'd like them to have. Depending on what industry or field they have experience in, they'll bring different skills to the job. It's also important to consider what levels of seniority and education the job requires and what kind of salary such a candidate would likely demand.

    Here's a comparison of internal medicine nurse practitioner salaries for various roles:

    Type of Internal Medicine Nurse PractitionerDescriptionHourly rate
    Internal Medicine Nurse PractitionerNurse anesthetists, nurse midwives, and nurse practitioners, also referred to as advanced practice registered nurses (APRNs), coordinate patient care and may provide primary and specialty healthcare. The scope of practice varies from state to state.$27-84
    PractitionerThe duties of a practitioner depend on one's line of work or industry of employment. In the medical field, a practitioner is a doctor who provides medical services to patients according to their health issues or concerns, primarily by diagnosing and treating illnesses and injuries... Show more$24-66
    Palliative Care Nurse PractitionerA Palliative Care Nurse Practitioner provides emotional support to patients and their family members faced with life-threatening illnesses. They collaborate with the primary care physician or medical director.$26-91
  2. Create an ideal candidate profile

    Common skills:
    • Patients
    • Primary Care
    • Patient Education
    • Direct Patient Care
    • Epic
    • Acute Care
    • Physical Exams
    • Internal Medicine Practice
    • Discharge Planning
    • Quality Care
    • EMR
    • Home Health
    • Diabetes
    • Diagnostic Tests
    Check all skills
    Responsibilities:
    • Manage continuity of care for complex general internal patients with limit resources-diabetes, hypertension, psychiatric, and homeless.
    • Work cohesively with primary care doctors while functioning autonomously in daily care of patients.
    • Work with collaborating physician to provide care to hospitalize patients with multiple co-morbid conditions.
    • Prescribe age-specific physical therapy and rehabilitation.
    • Prescribe age-specific physical therapy and rehabilitation.
    More internal medicine nurse practitioner duties
  3. Make a budget

    Including a salary range in your internal medicine nurse practitioner job description helps attract top candidates to the position. An internal medicine nurse practitioner salary can be affected by several factors, such as geography, experience, seniority, certifications, and the prestige of the hiring company.

    For example, the average salary for an internal medicine nurse practitioner in Arkansas may be lower than in New Jersey, and an entry-level internal medicine nurse practitioner usually earns less than a senior-level internal medicine nurse practitioner. Additionally, an internal medicine nurse practitioner with certifications may command a higher salary, and working for a well-known company or start-up may also impact an employee's pay.

    Average internal medicine nurse practitioner salary

    $101,247yearly

    $48.68 hourly rate

    Entry-level internal medicine nurse practitioner salary
    $58,000 yearly salary
    Updated January 22, 2026

    Average internal medicine nurse practitioner salary by state

    RankStateAvg. salaryHourly rate
    1New Jersey$139,977$67
    2California$123,406$59
    3Massachusetts$123,032$59
    4Minnesota$122,457$59
    5New Hampshire$115,765$56
    6Connecticut$114,755$55
    7New York$112,454$54
    8Oregon$112,255$54
    9Arizona$111,875$54
    10Washington$111,857$54
    11Maryland$110,443$53
    12Montana$104,071$50
    13Ohio$99,735$48
    14Michigan$99,216$48
    15Pennsylvania$98,734$47
    16Wisconsin$92,136$44
    17Texas$89,908$43
    18Colorado$87,393$42
    19Iowa$81,468$39
    20Kansas$77,298$37

    Average internal medicine nurse practitioner salary by company

    RankCompanyAverage salaryHourly rateJob openings
    1Fairview Health Services$162,387$78.0776
    2Mercy Corps$157,102$75.531
    3Pacific Medical Centers$152,621$73.3812
    4Mayo Clinic$150,828$72.51107
    5St Joseph Medical Group$142,332$68.43161
    6Hawaii Pacific Health$138,516$66.5921
    7Charles Cole Memorial Hospital$135,476$65.13
    8Emerson Hospital$133,723$64.294
    9SAC Health$132,785$63.84
    10UTMB HEALTHCARE SYSTEMS$130,967$62.9671
    11Northwell Health$130,787$62.8831
    12Marin General Hospital: Foley Pamela MD$127,765$61.434
    13Dignity Health$127,417$61.2688
    14Private Practice$126,852$60.9960
    15Kittitas Valley Healthcare$126,005$60.582
    16Baylor Scott & White Health$125,956$60.56339
    17Licking Memorial Hos$119,953$57.672
    18Physician Affiliate Group of New York$119,250$57.3314
    19MaineGeneral Health$118,003$56.739
    20My.com$117,255$56.372
  4. Writing an internal medicine nurse practitioner job description

    A good internal medicine nurse practitioner job description should include a few things:

    • Summary of the role
    • List of responsibilities
    • Required skills and experience

    Including a salary range and the first name of the hiring manager is also appreciated by candidates. Here's an example of an internal medicine nurse practitioner job description:

    Internal medicine nurse practitioner job description example

    Fenway Health is New England's premiere provider of healthcare to the LGBT community. It is a Federally Qualified Health Center with competitive salaries, strong leadership, excellent organizational supports, and a compelling patient mix. We're seeking a dynamic Internal Medicine Nurse Practitioner or Physician Assistant.

    Reporting to the Site Medical Director or Physician Floor Leader and in collaboration with a Team Physician, the Fenway Health Team Nurse Practitioner (NP) or Physician Assistant (PA) provides health maintenance, acute episodic, and chronic disease focused patient care to assigned patients.

    Primary responsibilities - provides direct medical services to Fenway Health patients; provides psychosocial screening and evaluation to patients; provides appropriate documentation and credentials; continues educational growth.

    NOTE: Position currently involves some remote work including conducting telehealth visits with patients. Remote work hours and duties are subject to change based on patient demand, federal and state changes to work regulations, and payor reimbursement guidelines.
    Requirements

    + Education: Graduate degree from a certified Family or Adult NP or PA program is required

    + Current Massachusetts license is required

    + Ability to work harmoniously with diverse groups of individuals is required

    + At least two years of clinical experience as an NP or PA in primary care is preferred

    + Experience working in an ethnically, culturally, and racially diverse environment is preferred

    + Ability to work harmoniously and effectively with colleagues, patients, clients and vendors across the spectrum of diversity, including but not limited to race, ethnicity, color, gender identity, sexual orientation, age, socio-economic status, national origin and immigrant status, religious or spiritual identity, disability (physical, mental, emotional and developmental), veteran status, and/or limited English proficiency.

    + Willingness to contribute towards Fenway's efforts in becoming an anti-racist organization and promoting a culture dedicated to ongoing development in service of humility, equity, diversity, inclusion, and belonging, where differences are acknowledged and valued.

    We offer competitive salaries, and for those who qualify, an excellent benefits package; including comprehensive medical and dental insurance plans, and a retirement plan with employer match. We also provide 12 paid holidays, paid vacation, and more.

    LGBTQIA+ identified persons, Black, Indigenous, and other people of color (BIPOC), and individuals from other historically underrepresented communities are strongly encouraged to apply.
  5. Post your job

    There are a few common ways to find internal medicine nurse practitioners for your business:

    • Promoting internally or recruiting from your existing workforce.
    • Ask for referrals from friends, family members, and current employees.
    • Attend job fairs at local colleges to meet candidates with the right educational background.
    • Use social media platforms like LinkedIn, Facebook, and Twitter to recruit passive job-seekers.
    Post your job online:
    • Post your internal medicine nurse practitioner job on Zippia to find and recruit internal medicine nurse practitioner candidates who meet your exact specifications.
    • Use field-specific websites such as healthcarejobsite, health jobs nationwide, hospitalcareers, medreps.com.
    • Post a job on free websites.
  6. Interview candidates

    To successfully recruit internal medicine nurse practitioners, your first interview needs to engage with candidates to learn about their interest in the role and experience in the field. You can go into more detail about the company, the role, and the responsibilities during follow-up interviews.

    You should also ask about candidates' unique skills and talents to see if they match the ideal candidate profile you developed earlier. Candidates good enough for the next step can complete the technical interview.

    The right interview questions can help you assess a candidate's hard skills, behavioral intelligence, and soft skills.

  7. Send a job offer and onboard your new internal medicine nurse practitioner

    Once you've selected the best internal medicine nurse practitioner candidate for the job, it's time to write an offer letter. In addition to salary, this letter should include details about the benefits and perks you offer the candidate. Ensuring that your offer is competitive is essential, as qualified candidates may be considering other job opportunities. The candidate may wish to negotiate the terms of the offer, and you should be open to discussion. After you reach an agreement, the final step is formalizing the agreement with a contract.

    It's equally important to follow up with applicants who don't get the job with an email letting them know that the position has been filled.

    Once that's done, you can draft an onboarding schedule for the new internal medicine nurse practitioner. Human Resources should complete Employee Action Forms and ensure that onboarding paperwork is completed, including I-9s, benefits enrollment, federal and state tax forms, etc. They should also ensure that new employee files are created for internal recordkeeping.

  8. Go through the hiring process checklist

    • Determine employee type (full-time, part-time, contractor, etc.)
    • Submit a job requisition form to the HR department
    • Define job responsibilities and requirements
    • Establish budget and timeline
    • Determine hiring decision makers for the role
    • Write job description
    • Post job on job boards, company website, etc.
    • Promote the job internally
    • Process applications through applicant tracking system
    • Review resumes and cover letters
    • Shortlist candidates for screening
    • Hold phone/virtual interview screening with first round of candidates
    • Conduct in-person interviews with top candidates from first round
    • Score candidates based on weighted criteria (e.g., experience, education, background, cultural fit, skill set, etc.)
    • Conduct background checks on top candidates
    • Check references of top candidates
    • Consult with HR and hiring decision makers on job offer specifics
    • Extend offer to top candidate(s)
    • Receive formal job offer acceptance and signed employment contract
    • Inform other candidates that the position has been filled
    • Set and communicate onboarding schedule to new hire(s)
    • Complete new hire paperwork (i9, benefits enrollment, tax forms, etc.)
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How much does it cost to hire an internal medicine nurse practitioner?

Hiring an internal medicine nurse practitioner comes with both the one-time cost per hire and ongoing costs. The cost of recruiting internal medicine nurse practitioners involves promoting the job and spending time conducting interviews. Ongoing costs include employee salary, training, benefits, insurance, and equipment. It is essential to consider the cost of internal medicine nurse practitioner recruiting as well the ongoing costs of maintaining the new employee.

You can expect to pay around $101,247 per year for an internal medicine nurse practitioner, as this is the median yearly salary nationally. This can vary depending on what state or city you're hiring in. If you're hiring for contract work or on a per-project basis, hourly rates for internal medicine nurse practitioners in the US typically range between $27 and $84 an hour.

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