Billings Clinic Nurse Practitioner or Physician Assistant - Cardiac Surgery in Billings, Montana
You can make a difference as a part of our region's largest health care system, based locally in Billings, Montana. Join our amazing team with a focus on safe, high quality care and an excellent patient experience. Billings Clinic is here to take care of our community and region. We look forward to meeting you. About Us Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality. Your Benefits We provide a comprehensive and competitive benefits package to all full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the 2021 Employee Benefits Guide. Magnet: C ommitment to Nursing Excellence Billings Clinic is proud to be recognized for nursing excellence as a Magnet?-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more! Nurse Practitioner or Physician Assistant - Cardiac Surgery Generic Division (Billings Clinic Main Campus) req2014 Shift: Day, Evenings, Nights, Weekends Schedule: S-S 4/10s Employment Status: Full-Time (.75 or greater) Hours per Pay Period: 1.00 = 80 hours (Exempt) Starting Wage DOE: 0.00 - 0.00 Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician. Essential Job Functions • Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service. • Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination. • Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests) • Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice) • Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan) • Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient) • Refers patients to other health care providers and appropriate sources of care as necessary. • Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition) • Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities. • Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line. • Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Performs other duties as assigned or needed to meet the needs of the department/organization. Additional Duties for PA/NP - Surgical • Assists the physician in all aspects of surgical procedures. Assists surgeon with instruments, supplies, equipment, and retraction during surgical procedures. (Patient Care, Procedures, Assist Surgeon Providers) • Maintains appropriate theoretical and clinical skills with application and patient relevance of commonly utilized equipment specific to the surgeon’s needs for the specialty/department and other areas as appropriate; pharmacological application; application of laboratory values and radiologic findings with disease process or physiological status. (Patient Care, Skill Set, Maintains Clinical Skills) • Performs wound exposure, suturing, hemostasis and tissue handling procedures as training and skill level allows under the direct supervision of the physician. (Patient Care, Surgical Services, Wound Care) • Assists physician with post operative follow-up care in both the hospital and/or clinic. Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Patient Care, Surgical Services Post Op Care) < b> • Adheres to universal and sterile field protocols during operative procedures. Assist with room flow in the operating room. Knowledgeable in instrumentation and patient positioning. (Patient Care, Surgical Services, Sterile Field) Knowledge, Skills, and Abilities • Personal computers, hardware and software • Microsoft Office Programs (i.e., Windows, Outlook, Word, Excel, etc.) • PAA and confidentiality requirements • Patient’s/resident? 9;s rights • Patient safety standards, safety procedures and guidelines • Health care trends and development relating to specialty area • Physician Assistant practices and scope of licensure • Healthcare reimbursement methodologies • Ancillary services • Regulatory requirements and guidelines (i.e., Joint Commission, CMS, OSHA, etc.) • Infection control practices • Pharmacology • Scope of Practice, rules and regulations of the Montana Board of Nursing • Nursing practice, planning and assessment within scope of practice • Nursing Research • Cerner utilization, and compliance with organization expectations around EMR • Health reimbursement methodologies • Ancillary services • Infection control practices • Pharmacology • Nursing practices, planning and assessment within scope of practice • American Nurse’s Association (ANA) Code of Ethics • ANCC (American Nurse Credentialing Center) principles and standar ds • Additional Knowledge for Physician Assistants / Nurse Practitioner -Surgical • Surgical procedures and post-operative care standards/protocols • Additional Knowledge for Physician Assistants / Nurse Practitioner -Express Care • DOT examinations • Professional communication skills, both verbal and written • Analyzing data to formulate diagnosis and treatment care plans • Exercising initiative and judgment • Develop and formulate effective, cost efficient treatment care plans • Problem identification and resolution relating to health care issues • Conflict resolution • Instructing and educating patients and families in the prescribed therapeutic regimens • Demonstrating empathy and sensitivity necessary to elicit patient’s/family’s cooperation and allay apprehensions • Working in a manner which is conducive to productivity, efficiency and cost effectiveness< /p> • Additional skills for Neonatal Nurse Practitioner • Proficient with insertion of UAC/UVC, PICC lines, intubation, thoracentesis, peripheral arterial blood sampling, and peripheral IV insertion. • Proficient with ventilator management, nitric oxide administration and x-ray interpretation. • Proficient with stabilization and transport of critical infant.pan> • Proficient with neonatal pharmacology and nutritional management. • Experience with head or body cooling and encephalopathy management. • Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric • Communicate clearly a nd effectively, both verbal and written • Establish and maintain collaborative relationships • Work effectively in a team environment • Work independently with minimal supervision • Respond calmly and effectively in emergent or difficult situations • Maintain flexibility to adapt to a variety of work-load assignments • Work with frequent interruptions and competing priorities • Perform physical assessments • Perform record keeping and documentation responsibilities • Perform in a manner which is fiscally responsible ="margin: 0in 0in 8pt; line-height: normal;"> • Performs duties under the direct supervision of the practice physician • Know and accept that the role of the Physician Assistant is limited, display sensitivity to the partial overlapping and possible sharing of responsibilities with other health care professionals • Major roles include providing clients with health-related information, preventative measures and timely consultations with their practice physician, and to help them achieve and maintain good health > • Position requires the highest degree of integrity and confidentiality due to the sensitive nature of information handled Minimum Qualifications Education Graduate Degree from accredited Physician Assistant program / Nurse Practition ers’ program Certifications and Licenses • Current National Commission on Certification of Physicians Assistants (NCCPA) Board Certification/License as Physician Assistant • Approved to practice as a physician assistant in Montana or Wyoming by Board of Medical Examiners • Healthcare Provider CPR Certification; add itional CPR certifications may be required depending on the patient population and/or service area Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit orga nization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity and expression, sexual orientation, pregnancy and family status, national origin, spoken language, neurodiversity, age, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.