Hospitalist (ARNP or PA-C)

This position provides and promotes optimal patient care to inpatients, according to hospital standards.

ACCOUNTABILITY:  

Reports to the RFH Clinic Director, Inpatient Medical Director and the supervising physician.

• Round on patients ensuring all lab work, diagnostic results and other test results are communicated to the patient and providers as appropriate
• Perform complete medical history and physical exam on patients who are in the hospitalist service
• Minimize threat to patient and staff safety             
• Cultivate a relationship of collaboration with referring providers
• Completes daily progress notes and other hospital documentation according to established policies and protocols and in appropriate format and following established procedures for the electronic health record
• Apply approved criteria to monitor appropriateness of hospital admissions and continued stay
• Orders appropriate lab and diagnostic procedures
• Synthesizes data to determine primary diagnosis and therapeutic plan utilizing established medical principles
• Prescribes medications and controlled substances under the rules and regulations of the State of Iowa and the Federal DEA
• Facilitates coordination and development of a comprehensive and individual plan of care in collaboration with patient, family, PCP and multidisciplinary team, including the appropriate venue for continuing care
• Provide timely communication for PCPs particularly during a patient’s admission, discharge and any significant changes in medical status
• Communicates with patients/families to ensure understanding of discharge instructions
• Provides follow-up with patient/family after discharge in conjunction with team member activity
• Help provide leadership and accountability in hospital quality initiatives
• Helps provide leadership in patient safety activities and corrects situations that pose a patient risk
• Work independently, exercising sound judgment, discretion, and initiative to facilitate change as applicable to the scope of practice
• Arrange transfer of patient care between providers and  care settings
• Address nurse questions regarding patient’s condition and treatment plan
• PRN shifts to cover as needed, Monday through Friday, either 0700-1500 or 0700-1900, Saturday and Sunday, 0700-1500