About this role
Legacy Health offers an exciting growth opportunity to join a well-established team of collaborative and energetic Neonatal Nurse Practitioners (NNPs). This role provides the opportunity to practice across both Level III and Level IV NICU settings within the Legacy system.
NNPs are integral to delivery attendance and the medical management of high-risk neonates and infants, including daily rounding on NNP service patients. The role includes telemedicine resuscitation coverage for Legacy Level I nursery sites and opportunities to contribute to non-clinical initiatives that support high standards of care.
The Level IV, 45-bed NICU at Randall Children's Hospital provides comprehensive care with a full range of pediatric subspecialties, including cardiac and neurosurgical services. The Level III, 22-bed NICU at Legacy Salmon Creek Medical Center is a growing unit with flexible scheduling options including 12-, 16-, and 24-hour shifts.
NNPs rotate between both sites with frequency tailored to individual preferences while ensuring 24/7 coverage. A well-established self-scheduling model and structured holiday tracks contribute to provider satisfaction and balance. Dual licensure in Oregon and Washington is required for this Portland/Vancouver area position.
Requirements
- Master's or doctoral degree in nursing (as required for NNP licensure)
- Current Neonatal Nurse Practitioner certification (e.g., NCC certification)
- Unencumbered RN and NNP licensure in Oregon and Washington (or ability to obtain dual licensure)
- Eligibility for prescriptive authority in both states
- NRP (Neonatal Resuscitation Program) certification
- Experience managing high-risk neonates in Level III or Level IV NICU settings
- Ability to practice autonomously with strong clinical decision-making skills
- Proficiency in telemedicine resuscitation and procedural skills (e.g., intubation, line placement)
Responsibilities
- Collaborate with neonatologists, pediatric subspecialists, pediatricians, and obstetricians to guide the care of neonates and infants across the care continuum
- Practice autonomously utilizing technical procedural skills and essential decision-making in patient care
- Provide ongoing support to nursing staff through unit presence and formal education opportunities
- Lead patient care projects that support both nursing care and medical management
- Attend deliveries in person at each medical center and via telehealth at Level I nursery sites
- Participate in daily rounding on NNP service patients in Level III and Level IV NICU settings
- Contribute to discharge planning as part of an integrated family care experience
- Engage in non-clinical initiatives to support the highest standards of care for NICU patients and families
Benefits
- Competitive compensation
- License reimbursement
- Generous annual continuing education support
- Full benefits package including medical, dental, and retirement
- Self-scheduling model and structured holiday tracks for work-life balance
- Opportunity to practice across both Level III and Level IV NICU settings
- Supportive team environment with dedicated pediatric transport team (no transport responsibilities)
Similar roles

Neonatal Nurse Practitioner / Physician Assistant
1w1 week agoCorewell Health
Dearborn, US · Full-time · $110,000 – $140,000

Labor and Delivery Critical Care Staff Nurse
1w1 week agoChildren's Mercy KC
Kansas City, US · Full-time · $66,000 – $66,000

Neonatal Nurse Practitioner (NNP) - NICU - Part-Time
1w1 week agoUAB St.Vincent's
Birmingham, US · Full-time · $90,000 – $120,000

Staff Nurse - Neonatal ICU / Transport - Night
1w1 week agoNewYork-Presbyterian Hospital
US · Full-time · $133,595 – $153,220
