Nurse Practitioner or Physician Assistant Hospitalist

ABOUT SHERIDAN MEMORIAL HOSPITAL

At Sheridan Memorial Hospital, we are proud to have achieved the 5-Star Quality Rating, ranking us in the top 13.6% of hospitals rated by the Centers for Medicare and Medicaid Services. We believe that our ability to deliver excellent healthcare begins with our people, and we are proud of our more than 750 skilled, experienced, and caring employees. We have over 100 providers who specialize in 25 areas of expertise. Our facility is state-of-the-art, and we are dedicated to providing outstanding patient-centered care.
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Nestled at the foothills of the Big Horn Mountains in northern Wyoming, spectacular scenery and outdoor activities abound. Our hospital has the latest technology and equipment comparative to that of many larger facilities, and you will find our staff is friendly, compassionate, caring, and courteous. We focus on creating and nurturing a workplace that encourages, recognizes, and rewards individual effort and creativity. Leadership is responsive to changing modes of healthcare delivery and adapts accordingly. We value effective communication and honesty and believe teamwork based on mutual respect is key to success.

JOB SUMMARY

The hospitalist Physician Assistant (PA) or Nurse Practitioner (NP) provides medical consultation, follow-ups, routine patient care and performs minor office procedures. The position requires population specific competencies as a component of the annual compliance program of the Sheridan Memorial hospital. They will adhere to National Patient Safety Goals as appropriate based on the level of patient contact this position requires. 

The PA or NP functions in an advanced clinical role and is primarily responsible for diagnosing and treating patients in the office setting. The PA or NP will provide medical services for patients in the medical facility and clinic under physician supervision, perform physical examinations within prescribed guidelines and practices of the physician. They must have the ability to diagnose and manage common acute and stable chronic diseases. Other responsibilities include, but are not limited to, ordering, interpreting and evaluating diagnostic and laboratory tests and prescribing pharmacological and non-pharmacological therapies. Documentation of physical findings and patient care plan will be recorded in the patient’s medical record each time the patient is seen. 

The PA or NP will discuss cases with the supervising physician and other health care professionals as needed to prepare patient care plans. Patient referrals to the physician for consultation or to specialized health resources for treatment will be made appropriately. Inpatient and outpatient consultations will be performed as requested by other practitioners. This employee will participate in performance improvement and CQI activities as necessary. Excellent interpersonal skills and the ability to communicate with a multi-disciplinary team of professionals as well as healthcare consumers is a required skill. The PA or NP will also provide clinic administrative support services as necessary. 

On the hospital units, the PA or NP will perform medical assessments, initiate and evaluate care under the sponsorship of the staff Physician. (Please see core privileges specific to Sheridan Memorial Hospital)

ESSENTIAL JOB FUNCTIONS

Professional Practice

• Adheres to organizational policies and procedures.
• Adheres to professional guidelines for practice such as defined by the Wyoming State Board of Medicine and Standards of Practice.
• Collaborates with other departments in a professional manner as needed to provide patient-centered care.
• Demonstrates effective communication, conflict resolution, team building, and leadership skills.
• Compliance with Sheridan Memorial Hospital’s Kindness First Service Standards.

Quality

• Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.
• Ability to perform a head-to-toe assessment on all patients and reassessments as per policy and specific to unit age specific populations.
• Ability to formulate and revise an individualized plan of care as indicated by the patient’s response to treatment. Evaluates overall plan daily for effectiveness.
• Ability to adequately assess and reassess pain. Utilizes appropriate pain management techniques, including non- pharmacological techniques. Includes patient and family in all aspects of pain management through ongoing education about pain, assessment, treatment and common barriers to adequate management.
• Performs counseling/education services.
• Documentation meets current standards and policies.
• Demonstrates the ability to perform treatments and provide services within the scope of practice.
• Communicates appropriately and clearly to all health care team members.
• Consults other departments as appropriate to provide for an interdisciplinary approach to the patient’s needs.
• Provides care appropriate to disease condition and age of the patient.
• Reports significant events such as near misses, adverse events, patient/family complaints, and any situation that affects the safe delivery of patient-centered care in a timely manner.
• Initiates and completes a detailed patient assessment including history and physical exam, ordering of laboratory tests, radiological examinations and other routine diagnostic procedures.
• Screens and treats patients for medical problems and consults with supervising physicians on unusual problems encountered.
• Obtains pre-operative medical clearances of patients for medical problems and consults with supervising physicians on unusual problems encountered.
• Diagnoses the actual or potential health problem or need, based upon an analysis of the data collected, and plans therapeutic intervention.
• Participates in multidisciplinary rounds and make recommendations when appropriate.
• Interacts directly with hospital staff, administration, patients, and the general public as a liaison for the Big Horn Health Network.
• Orders and initiates appropriate medication, treatment, and consultation based upon an analysis of the data collected.
• Makes hospital rounds as directed by the supervising physician.
• Assists in successful implementation of programs to improve coding and reimbursement for office-specific procedures.

Service

• Treats patients and their families with respect and dignity.
• Identifies and addresses the psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families.
• Functions as liaison between the patient/family, physicians, other healthcare providers and administration.
• Maintains a good working relationship both within the department and with other departments.
• Assists in successful implementation of programs to improve coding and reimbursement for office-specific procedures.
• Demonstrates an ability to be flexible, organized and function well under stressful situations.

POSITION QUALIFICATIONS

Education / Experience / License and Certifications

Physician Assistant Requirements

• Completion of and certification in an accredited Physician Assistant program.
• Licensed as a Physician’s Assistant by the State of Wyoming.
• NCCPA certification, required.
• Current BLS certification, required.
• Current ACLS certification, required.

Nurse Practitioner Requirements

• Completion of and certification in an accredited Nurse Practitioner education program; Master’s Degree, required.
• Current BLS certification, required.
• Current ACLS certification, required.
• Wyoming Nurse Practitioner License, required.
• American Nurses Credentialing Center (ANCC) - Adult Geriatric Acute Care Nurse Practitioner (AGACP-BC), required
  • -Or -
• American Association of Critical Care Nurses (AACN) - Acute Care Nurse Practitioner (ACNPC-AG), required.
  • -Or-
• American Association of Nurse Practitioners (AANP) and Wyoming Advanced Practice Registered Nurse – CNP and Wyoming Registered Nurse License, required.

Additional Skills

• Able to communicate effectively in English, both verbally and in writing.
• Additional languages, desirable.
• Basic computer knowledge.
• Organizational skills.
• Participates in continuing education activities within the department and organization.
• Attends and actively participates in departmental staff meetings.
• Keeps up to date with clinical practice and evidence-based practice guidelines.
• Stays abreast of organizational policies and procedures.

Specific demands not listed: Possible exposure to blood and or body fluids / infectious disease / hazardous waste requiring the use of Personal Protective Equipment. Exposure to odorous chemicals / specimens and Latex products.

Pre-employment drug and alcohol screening is required.

Sheridan Memorial Hospital is an equal opportunity/Affirmative Action employer and gives consideration for employment to qualified applicants without regard to race, color, religion, age, sex, national origin, disability or protected veteran status.  If you would like more information about your EEO rights as an applicant under the law, please click here.