Advanced Practice Provider, Hospital Medicine- Part Time

Advanced Practice ProviderHot JobLegal Address - Missoula, MT 59808## OverviewSalary Range$53.85 - $71.15 Salary/yearPosition TypePart Time## Position OverviewJoin us for an exciting opportunity at Missoula Bone & Joint and Surgery Center in vibrant Missoula, MT! As a **Part-Time Advanced Practice Provider**, you will work **24 hours per week on Mondays, Tuesdays, and Fridays**, providing pre-op appointments and working closely with our Total Joint and Spine Teams. No weekends, no holidays, and no call required.**This is your chance to advance your career all within a supportive and customer-focused atmosphere. Hello, we're Missoula Bone & Joint and Surgery Center**Come Join the Missoula Bone & Joint and Surgery Center Team! Culture, development, collaboration, and an energetic team atmosphere are a few of the great things Missoula Bone & Joint has to offer. Winners of the Top Employers Award four years running and known as Becker's 150 Greatest Places to work in healthcare proves this is a great company with professionalism and down-to-earth personalities from management, providers and staff.**Are you excited about this Advanced Practice Provider job?**As an Advanced Practice Provider, you will work closely with our Total Joint, Spine, and Anesthesia teams to perform health histories, physical examinations and careful chart reviews of patients having a planned outpatient surgical procedure. This role is for a Nurse Practitioner or Physician's assistant with a minimum of 4 years of experience (ability to practice independently within scope.)Graduate of an Accredited Advanced Practice Provider School.* Nurse Practitioner Certification from ANCC or AANP or Physician Assistant Certification from NCCPA required* At least one (1) year, and preferably three (3), of internal medicine experience required. Preference will be given to candidates with a history of experience in a perioperative medicine/PAE/PAT/OR or Orthopedic setting* BLS CertificationApply Today!## Job Description| | | | | || --- | --- | --- | --- | --- || | | | --- | | | | | | Missoula Bone & Joint Surgery Center **Job Description: Nurse Practitioner** | || **Title** | **Nurse Practitioner** || **Main function** | Serves as a healthcare provider to Missoula Bone & Joint and Surgery Center patients primarily in an outpatient setting. Outpatient clinical responsibilities include evaluation and management of patients, Pre-Admission Testing (PAT) evaluation of patients in preparation for surgery, and discharge process for same day patients. || **Philosophy * Supports the facility’s ideology, mission, goals, and objectives * Performs in accordance with the facility’s policies and procedures * Follows the facility’s standards for ethical business conduct * Recognizes patients’ rights and responsibilities and supports them in performance of job duties * Participates in facility committees, meetings, in-services, and activities * Seeks out additional assignments and duties 2. Work Quality * Performs duties in an accurate and organized manner * Adheres to policies and procedures in performance of duties * Ensures knowledge of job and asks questions when unsure * Completes duties within appropriate timeframes 3. Personal Attributes * Shows initiative and dependability including punctuality and attendance * Displays good judgment * Cooperates and is flexible * Follows appropriate dress code presenting a professional image 4. Customer Service * Fosters a culture of outstanding patient service showing courtesy in interactions with patients, physicians and co-workers * Presents good telephone skills * Responds promptly to patient needs and co-worker requests 5. Safety/Risk Management * Adheres to safety policies and procedures in performing job duties and responsibilities * Maintains responsibility for safe work area by reporting observed or suspected safety violations, hazards, and policy/procedure noncompliance * Responds to emergency situations with competence and composure * Reports observed or suspected medical emergencies, notifies appropriate personnel, and responds appropriately 1. Nurse Practitioner duties * Performs history, physical examination, and careful chart review of patients having a planned outpatient surgical procedure including evaluation of the pre-existing medical record, collation and/or ordering of needed lab studies and other tests, and a final assessment of the medical state and overall fitness for the planned procedure to be relayed to the anesthesia team and the primary surgeon * Participates in the preparation of patients for surgery by coordinating care, testing, education, and support for surgical patients during a patient appointment * Assessing and documenting the patient’s medical history * Integrating clinical findings of the history and physical with accurate clinical knowledge to adequately screen the patient for the procedure and anesthesia modalities * Works with pre-admission RNs to identify and personally consult on patients at higher risk of adverse events from the planned operation or anesthetic * Orders diagnostic tests pertinent to the clinical situation and standard Pre-Admission Evaluation guidelines: Verifies an already known disease, disorder, or medical condition or alternative therapy which may affect anesthetic care. * Communicates medical assessment with the attending surgeon and anesthesia provider * Consults with other healthcare providers i.e. PCP, cardiology, and/or pulmonology * Consults with the anesthesia provider and the surgeon concerning recommendations for rescheduling or canceling the surgical procedure * Communicates with referring or primary care provider regarding patient care and treatment * Prescribes appropriate pharmacologic and non-pharmacologic modalities to accomplish the plan of treatment * Provides patient education to patients and their families about the planned procedure, the experience of both outpatient or home-based convalescence and recovery, and provides counseling on clinical protocols such as enhanced recovery paradigms and narcotic-sparing multimodal analgesia * Maintains patient confidentiality. * Responds to medical emergencies, including use of CPR * Adheres to infection control/safety guidelines (OSHA) * Compliance with patient confidentiality (HIPAA) and Red Flag Rules * Other duties as assigned || **Qualifications** | * Cooperative work attitude toward co-employees, management, patients, visitors, anesthesiologists, and physicians * Ability to promote favorable facility image with physicians, patients, hospitals, other physician offices, and general public * Ability to make decisions and solve problems * Work effectively as team member with physicians and other staff * Appropriately interact with patients, families, and others * Ability to flexibly respond to changing demands * Must have a flexible work schedule with the ability to work early/late as needed || **Requirements** | * Current Montana NP license (ability to obtain) * Current DEA registration and Controlled Substance Registration certificate required * Graduate of an Accredited Nurse Practitioner School * Certification through the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners Certification Board (AANP) required * At least one (1) year, and preferably three (3), of internal medicine experience required. Preference will be given to candidates with a history of experience in a perioperative medicine/PAE/PAT/OR or Orthopedic setting * Candidate is required to have previous experience in medical and perioperative risk stratification and the ability to develop evidence-based strategies to optimize patient’s condition and minimize the risk of adverse peri-op events * Current BLS certification required * Good communication skills * Good computer skills * Strong ethical and moral character references || **Job quality** **requirements** | * Accuracy * Attention to detail * Timeliness * Organization * Little supervision needed to accomplish tasks * Ability to multi task * Appropriate assessment and assistance techniques * Appropriate use of universal precautions, safe workplace and confidentiality methods. * Health information management by appropriately charting patient data. * Dependability** | * Attendance * Punctuality * Ability to follow instructions * Ability to meet deadlines || **Physical/mental requirements** | * Varied activities including sitting, standing, walking, stooping, lifting, bending, reaching * Must be able to use appropriate body mechanics techniques when making necessary patient transfers and helping patients with walking, dressing, etc. Occasional stress from workload and dealing with tense patients * Must be able to use a variety of office equipment including phone, copy machine, writing instruments, pc, fax and medical equipment including stethoscope, ECG, blood pressure cuff, and cast saw equipment. || **Working conditions** **(environmental)** | * Well lit and ventilated, with non-hazardous and hazardous equipment * Medical office, exam room, operating room and hospital in-patient settings. Frequent exposure to communicable diseases and other conditions common to clinic and hospital. Reports to** | PA/NP Supervisor || **Supervises** | Not applicable || **Contacts** | * Patients * Patients’ family/significant others * Physicians and physician office personnel * Administration * Medical director || **Formal lines** **of promotion** | None || | | | --- | | ***All positions with Missoula Bone & Joint are to use due care in the use and communication of patients’ protected health information.