Nurse Practitioner or Physician Assistant - Hospital Medicine

Position Summary Nurse Practitioners and Physician Assistants (Advanced Practice Providers – APPs) in the division of Hospital Medicine provide care for hospitalized patients at Barnes‑Jewish Hospital, Barnes‑Jewish West County Hospital, and The Rehabilitation Center of St. Louis. APPs collaborate individually with physicians from the WashU Medicine Division of Hospital Medicine. APPs provide care for patients of varying complexity and occasionally in the event of a clinical deterioration. At all times, a hospitalist physician is available for consultation and involvement in patient care. No outpatient or ambulatory care is required. While working closely with division physicians, APPs will be expected to operate with substantial clinical autonomy. Candidates should be familiar with the provision of inpatient care and proficient in acute care medicine. Acute Care certification for Nurse Practitioners is not required, but is strongly preferred. The position provides primary and/or specialty nursing and/or medical care in a variety of settings; works under physician oversight as required by state regulation, and functions within the scope of practice defined by the specialty certification, BJH medical by‑laws, and, where it exists, the collaborative practice agreement. The division has opportunities for day, evening, and night shifts. APPs are generally scheduled in 7 on/7 off rotations, Monday‑Sunday, 7a‑7p. Other opportunities for shift‑based schedules are available. Base requirement is an average of fourteen (14) shifts per calendar month. Primary Duties & Responsibilities Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs, and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient‑centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition. May bill for services covered by collaborative practice agreement. Provides counseling and education of patients and their families/caregivers concerning disease management, complication prevention, disease prevention, quality of life improvement measures, and outcome management activities. Monitors and ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc. Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards. Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations. Champions the safety and quality of care for patients using ITB therapy and serves as an expert in the care and management of ITB pumps. Helps develop a detailed educational program for the patients and lead the quality and safety initiative for the program. Serves as clinical expert regarding rehabilitation nursing while demonstrating a high level of autonomy and expert skill in complex clinical nursing situations. Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education. Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards. Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence‑based patient care. Enhances professional growth and development through educational programs, current literature, in‑service meetings and workshops. Contributes to the advancement of the rehabilitation nursing profession as a whole through research, publications, and presentations. Performs other duties as assigned. Working Conditions Job Location/Working Conditions Normal office environment Exposure to blood‑borne pathogens Exposure to chemicals Requires protective devices Dust, dirt, grease or other disagreeable elements Patient care setting Direct patient care setting Physical Effort Typically sitting at desk or table Typically standing or walking Typically bending, crouching, stooping Using tools requiring high dexterity Occasional lifting (25 lbs or less) Equipment Office equipment Lab/research equipment Clinical/diagnostic equipment Required Qualifications Education: Master’s degree Certifications / Professional Licenses: Basic Life Support – American Heart Association; Basic Life Support – American Red Cross Work Experience: No specific work experience is required for this position. Skills: Not Applicable Driver's License: Not required Preferred Qualifications Education: Master’s degree – Nurse Practitioner, Master’s degree – Physician Assistant Studies Certifications / Professional Licenses: Advanced Practice Nurse (APN) – Illinois Department of Financial and Professional Regulation; Advanced Practice Nurse (APN) – Missouri Division of Professional Registration; Certified Nurse Practitioner – Illinois Department of Financial and Professional Regulation; Certified Nurse Practitioner – Missouri Division of Professional Registration; Physician Assistant – Illinois Department of Financial and Professional Regulation; Physician Assistant – Missouri Division of Professional Registration Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Adaptability, Clinical Decision Making, Clinical Diagnostics, Communication, Customer Empathy, Detail‑Oriented, Disease Management, Epic EHR, Family Support, HIPAA Compliance, Interpersonal Communication, Interpersonal Relationships, Multitasking, Organizing, Patient Care, Patient Education, Patient Evaluations, Patient Management, Pharmacology, Preventive Care, Teamwork, Time Management Salary Range Grade: S31 Annual salary: $93,300.00 – $167,800.00 (individual rates determined by qualifications and performance) Benefits Statement Personal Up to 22 days of vacation, 10 recognized holidays, and sick time. Competitive health insurance packages with priority appointments and lower copays/coinsurance. Free Metro transit U‑Pass for eligible employees. Defined contribution (403(b)) retirement savings plan with starting employee match of 7%. Wellness Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program, financial resources, access to dietitians, and more. Family Four weeks of caregiver leave to bond with new child, with additional family care resources available. Employer covers tuition for employees and families, including full coverage of undergraduate‑level tuition at WashU and partial coverage elsewhere after seven years. EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity. It is the University’s policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, citizenship (where prohibited by federal law), age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. #J-18808-Ljbffr