Physician Assistant Or Nurse Practitioner - Pioneer Medical Center (Big Timber, Mt)

You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006.

And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.

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 permanent 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 Employee Benefits Guide.

Magnet: Commitment 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!

Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting.  Click here to learn more!

Physician Assistant or Nurse Practitioner - Pioneer Medical Center (Big Timber, MT)
REGIONAL PAYROLL - 7520 (PIONEER MEDICAL CENTER)
req7212
Shift:  Varies
Employment Status:  Full-Time (.75 or greater)
Hours per Pay Period:  1.00 = 80 hours (Exempt)
Starting Wage DOE:  $0.00 - 0.00

Job Title / Job Code: Physician Assistant / Nurse Practitioner 

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 - ED Locums and Rural CAH/RHC

Provides relief coverage in the emergency department and assists the physicians in all aspects of care in the emergency department. (Patient Care, ED, Coverage)

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 application; application of laboratory values and radiologic findings with disease process or physiological status. (patient Care, ED, ED Equipment)

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)

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'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 standards

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

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.

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 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

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 Practitioners' 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; additional 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 organization 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 the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.