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Billings Clinic Nurse Practitioner or Physician Assistant - Broadwater (Townsend) in TOWNSEND, Montana

Billings Clinic Broadwater is seeking an experienced Advanced Practice Provider to deliver full-spectrum care to the community of Townsend and greater Broadwater County. They would be a part of the medical staff and have responsibility for both Clinic and ER coverage (separately scheduled shifts). As a primary care provider in the clinic, the APP would carry a panel of patients and be responsible for managing the care of those patients. The APP would work collaboratively with other providers, the nurses and patient access staff with regards to the coordination of care. When the APP is covering the ER, they would be on call for the 24 hours that they are responsible for the ER. They would be expected to be onsite during the day hours (8a-5p) and within 30 mins of the facility during the time they are on call. As ER provider they are responsible for seeing any of the patients who arrive at the ER either by self-transport or by EMS and see any walk-in/urgent care patients in the clinic. As the ER provider, they would also serve as the hospitalist for any acute, observation or swing bed patients in house as well. With the appropriate medical staff, ER call would be one weekend per month and up to two nights a week.

It would be ideal, but not necessarily required for the provider to live in the Townsend area. Having the provider be a part of the community is a great asset and an advantage to not only the community, but to the provider and to Billings Clinic Broadwater as well.

Physician Assistant

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.

Nurse Practitioner

Under clinical supervision of a physician and general supervision of the Manager/Director, the Nurse Practitioner provider provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician. Utilizes the nursing process of assessment, planning, implementation and evaluation, and theoretical/clinical skills in the promotion/maintenance of health. Incorporates evidence-based nursing practices consistent with national standards and which support quality outcomes. Assumes responsibility and accountability for the quality of nursing care rendered.

Essential Job Functions
• Supports and models behaviors consistent with Billings Clinic's and facility's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
• 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.
• 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.
• Formulates diagnosis of primary care 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.
• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens.
• Refers patients to other health care providers and appropriate sources of care as necessary.
• Participates in on-call rotations as it pertains to the specific department.
• 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/trea tment modalities.
• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.
• Provides relief coverage in the emergency department and assists the physicians in all aspects of care in the emergency department.
• Maintains appropriate theoretical and clinical skills with application and patient relevance of commonly utilized equipment specific to the emergency department needs and other areas as appropriate; pharmacological applications; application of laboratory values and radiologic findings with disease process of physiological status.
• Performs wound exposure, suturing, hemostasis and tissue handling procedures as training and skill level allows under the direct supervision of the physician.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

Knowledge, Skills, and Abilities
Billings Clinic policy and procedures, both organizational and departmental
Personal computers, hardware and software
Billings Clinic Code of Conduct
Billings Clinic's Compliance and Integrity Program
HIPAA and confidentiality requirements
Patient's rights
Customer service techniques and Personal Service Excellence (PSE)

• Personal computers, hardware and software
• Microsoft Office Programs (i.e., Windows, Outlook, Word, Excel, etc.)
• HIPAA and confidentiality requirements
• Patient's/resident'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., state survey, CMS, OSHA, etc.)
• Infection control practices
• Pharmacology
• 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 e fficient 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
• 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 and 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
• Complexity & Difficulty
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

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