bonusAbout Us

Five Valleys Urology (FVU) is a physician-owned urology specialty practice in Missoula, Montana — one of the most livable cities in the Northwest. Our team of four urologists and three APPs, along with a dedicated clinical staff, provides comprehensive urologic care across a full range of surgical and medical conditions. We are a close-knit, high-functioning practice that values clinical excellence, collaborative teamwork, and a patient-first culture.

We are growing, and we're looking for an Advanced Practice Provider — either a Physician Assistant (PA-C) or Nurse Practitioner (APRN/FNP) — to join our team in a full-time outpatient role. Whether you have prior urology experience or are looking to specialize, we provide comprehensive physician mentorship and training to help you build a rewarding career in one of medicine's most diverse and procedural specialties.

The Role

This is a clinically rich APP position in a specialty practice setting. You will carry your own patient panel, perform office-based procedures, support surgical and hospital care when needed, and participate in specialty clinic programs. You will work directly alongside our physician team with the autonomy that comes with a collaborative, well-run private practice. FVU offers patients cutting-edge care, right here; you will be part of a progressive and expert provider team

If you're looking to build deep expertise in urology rather than rotating through a broad generalist role — this position is for you.

What You'll Do

• Evaluate and manage new and established urology patients across a broad spectrum of acute and chronic conditions
• Perform office-based procedures, including cystoscopy assistance, catheter placement and removal, stent removal, bladder instillations, and injections
• Develop and implement treatment plans in collaboration with supervising physicians
• Order and interpret labs, imaging, and diagnostic studies
• Prescribe medications within your scope of practice
• Provide pre- and post-operative patient care and education
• Support hospital rounds and surgical assistance as assigned
• Participate in specialty clinic programs, including stone disease, male health, incontinence, advanced prostate cancer, and oncology follow-up
• Document accurately in our EMR and maintain compliance with HIPAA and clinical protocols

What We're Looking For

• Current Montana PA or APRN licensure (or eligibility)
• NCCPA certification (PA) or ANCC/AANP certification (NP)
• Active or eligible DEA registration
• BLS certification required
• Urology or surgical specialty experience preferred — but we will invest in the right candidate who brings strong clinical instincts, a desire to learn, and the right attitude
• Ability to obtain hospital and facility privileges
• Comfort working with EMR documentation; experience with urology workflows a plus

Why Five Valleys Urology

• Physician-owned private practice — decisions are made locally, by clinicians who care about the team
• Collaborative, low-drama work environment with experienced clinical staff
• Meaningful clinical variety — procedures, complex patient management, specialty programs
• Missoula, Montana: outdoor recreation, university town, strong community, no state income tax
• Competitive compensation commensurate with experience, including a generous bonus plan.

To Apply

Submit your resume and a brief cover letter. We review all applications and respond to qualified candidates promptly.

Five Valleys Urology is an equal opportunity employer.

Pay: $55.00 - $62.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Professional development assistance
• Referral program
• Relocation assistance
• Retirement plan
• Tuition reimbursement
• Vision insurance

Experience:

• Urology: 1 year (Preferred)

License/Certification:

• PA or NP license in the state of Montana (Preferred)
• NCCPA or ANCC/AANPO certification (Required)
• DEA registration (Required)

Work Location: In person