NP/PA - Surgery Float Per Diem

Advanced Practice Nurse Or Physician Assistant

The Advanced Practice Nurse (APN) or Physician Assistant utilizes a patient-centered coordinated care model, demonstrating competencies in leadership, direct clinical practice, consultation/collaboration, coaching/guiding, research, and ethical decision-making. The APN works collaboratively with the practice/hospital team to assess, plan, and implement care for individuals with health and safety needs.

We are seeking an experienced per diem PA or NP to function as an outpatient float provider, covering gaps when primary APPs (PAs/APNs) are out due to PTO, leave, or temporary vacancies.

This role is designed to ensure continuity of care and operational support in the outpatient setting during short-term absences, with occasional opportunities for longer coverage (e.g., maternity leave).

This is not a panel-based role. The provider will not carry their own patient panel and is expected to step in briefly across multiple services to support physicians and clinical teams.

Per diem, as-needed coverage, no set days or standing schedule.

The initial onboarding may include approximately two days per week for one month for shadowing and orientation across multiple specialties.

The float APP will provide general outpatient support, including but not limited to:

• Seeing post-operative and follow-up patients
• Assisting with patient phone calls, messages, and care coordination
• Supporting physicians by entering orders, managing results, and closing care gaps
• Helping ensure orders, documentation, and workflows are completed accurately and timely
• Providing coverage to maintain smooth handoffs when an APP is unexpectedly or temporarily out
• Collaborating with physicians, nursing staff, and office teams to keep clinics running efficiently

Scope & Flexibility:

Expected to support multiple outpatient specialties, rather than a single focused service line

Must be comfortable working without long-term patient relationships and adapting quickly to different practice environments

Strong generalist skill set preferred over narrow subspecialization

Experienced PA or NP with outpatient clinical experience

Comfortable stepping into new workflows and specialties with minimal ramp-up

Strong clinical judgment, communication, and EMR proficiency

Flexible, adaptable, and team-oriented

Prior float, locums, or cross-specialty experience is a plus

Purpose of the Role

This position exists to fill operational and clinical gaps, not replace permanent providers. The goal is to ensure continuity, reduce physician burden, and maintain outpatient clinic flow during short-term absences.

Responsibilities

Nurse Practitioner:

1. Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem.
2. Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate.
3. Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities.
4. Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed.
5. Seeks opportunities to promote Hackensack Meridian Health (HMH) APN practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations.
6. Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease.
7. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges.
8. Adheres to HMH nursing protocols, standards of care, and disease-specific quality indicators.
9. Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes.
10. Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self-management promotion for chronic conditions.
11. Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty.
12. Completes medication reconciliations as appropriate.
13. Participate in annual APN peer review.
14. Translates `best practice' into clinical practice by evaluating current protocols and standards of care.
15. Provides culturally sensitive and educationally appropriate health management education to patients and families.
16. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds.
17. Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate.
18. Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities.
19. Participates in organizational and departmental meetings, committees, and workgroups as necessary.
20. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding patient confidentiality, informed consent, and adverse outcomes.
21. Collaborates with medical staff to support nursing-led protocols.
22. Mentors other APNs, precepts students in APN programs and participates in educational programs for nursing as a clinical expert.
23. Identifies patient/family educational needs and collaborates to implement appropriate teaching materials.
24. Facilitates and participates in nursing educational programs as a clinical expert.
25. Promotes a collaborative work environment supporting the organizational mission, behavior expectations, values, and pillars.
26. Promotes innovation by integrating new clinical knowledge into practice.
27. Participates in clinical research activities and disseminates findings through practice, education, presentations, and publications.
28. Identifies ethical care issues and coordinates interdisciplinary meetings to resolve them.
29. Adheres to the legal framework and scope of practice defined by the NJ Division of Consumer Affairs, ensuring compliance with all applicable statutes and professional standards.
30. Comply with HMH and department-specific scope of services, policies and procedures as applicable to role.
31. Other duties and/or projects as assigned.
32. Adheres to HMH Organizational competencies and standards of behavior.

Physician Assistant:

1. Provide medical services under the supervision of a licensed physician, consistent with the PA's education, training and experience.
2. Performs and documents accurate, complete, and relevant history and physical assessments appropriate for the patient's age, gender, and clinical problem.
3. Orders, performs, and interprets laboratory tests and diagnostic studies/procedures in collaboration with physicians and consultants as appropriate.
4. Manages general medical and surgical conditions based on comprehensive knowledge of etiologies, risk factors, pathophysiology, and the indications and contraindications of pharmacologic agents and other treatment modalities.
5. Prescribes medication safely and effectively in accordance with best practices, hospital policy, and NJ regulations, providing patient education as needed.
6. Seeks opportunities to promote Hackensack Meridian Health (HMH) PA practice recognition (locally, nationally, and internationally) through conferences, publications, and presentations.
7. Provides care that is patient- and family-centered, compassionate, and effective for the promotion of health and treatment of disease.
8. Practices as a healthcare provider according to the rules and regulations of the Medical Staff and bylaws as outlined in the delineation of privileges.
9. Applies evidence-based and value-based medicine to systematically analyze and improve patient care practices and outcomes.
10. Evaluates patient/family transition of care planning, considering resource utilization, cost, quality, safety and self-management promotion for chronic conditions.
11. Demonstrates clinical expertise through advanced assessment and procedural skills pertinent to the practice specialty.
12. Translates `best practice' into clinical practice by evaluating current protocols and standards of care.
13. Provides culturally sensitive and educationally appropriate health management education to patients and families.
14. Facilitates consistent, coordinated care and clear communication among all members of the healthcare team through participation in daily interdisciplinary rounds.
15. Serves as an advocate for patients and families, identifying and addressing obstacles to care progression and escalating issues as appropriate.
16. Serves as a clinical resource for the multidisciplinary team by addressing clinical, process, and system improvement opportunities.
17. Participates in organizational and departmental meetings, committees, and workgroups as necessary.
18. Demonstrates the highest level of accountability for professional practice and adheres to ethical principles regarding