Nurse Practitioner or Physician Assistant - Hospital Medicine

Scheduled Hours
40

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.

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.

Job Description

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, and quality of life improvement measures, and outcome management activities.
• Monitors/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
  

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:
Master's degree

Certifications /Professional Licenses :
The list below may include all acceptable certifications, professional licenses and issuers. More than one credential, certification or professional license may be required depending on the role.

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:
A driver's license is not required for this position.

More About This Job

We are seeking a dedicated NP or PA to join our team. Below are additional requirements and information based on each role.

Required Qualifications:

Nurse Practitioner

• Master of Science in Nursing with emphasis in the Nurse Practitioner program.
• Advanced Practical Nurse licensure (or ability to successfully obtain licensure within three months of date of hire).
• Certain/additional certifications may be necessary based on area of specialty.
• Basic Life Support certification (Online Basic Life Support certifications, those without a skills assessment component, are not sufficient to meet the Basic Life Support requirements).

Physician Assistant

• Graduate of PA program.
• Current PA licensure to practice in the state of Missouri and/or Illinois depending on location or ability to obtain within three months of date of hire.
• Certain/additional certifications may be necessary based on area of specialty.
• Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).

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

Grade
S31

Salary Range
$97,000.00 - $174,600.00 / Annually

The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget.

Questions

For frequently asked questions about the application process, please refer to our External Applicant FAQ.

Accommodation

If you are unable to use our online application system and would like an accommodation, please email View email address on click.appcast.io or call the dedicated accommodation inquiry number at View phone number on click.appcast.io and leave a voicemail with the nature of your request.

All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship.

Pre-Employment Screening
All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening.

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.
  
• Take advantage of our free Metro transit U-Pass for eligible employees.
  
• WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%.
  

Wellness

• Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more!
  

Family

• We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered.
  
• WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us.
  

For policies, detailed benefits, and eligibility, please visit:

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.