What are the responsibilities and job description for the APP GTMC position at St Johns Health?
JOB SUMMARY
Responsible for providing care services, including assessing, diagnosing, prescribing, treating and educating
patients. Works collaboratively with physicians, physician assistants, nurse practitioners, and other clinicians in a
team approach to patient care. Provides family practice services to patients already established with the practice and
creates access for additional patients to receive effective, efficient, and safe care.
Responsible for providing care services, including assessing, diagnosing, prescribing, treating and educating
patients. Works collaboratively with physicians, physician assistants, nurse practitioners, and other clinicians in a
team approach to patient care. Provides family practice services to patients already established with the practice and
creates access for additional patients to receive effective, efficient, and safe care.
ESSENTIAL FUNCTIONS
Patient Care
Assesses patient status by obtaining health history through patient/family interviews and chart reviews; assessing
presenting illness, risk factors, family history, psychosocial situation, and cultural factors; and performing appropriate
physical examination and plan of care. Performs appropriate medical procedures within scope of practice.
Orders/performs appropriate laboratory and radiology diagnostics as well as other screening tests. Interprets these
tests. Seeks other information as needed, including consultation with physicians and other clinicians, for evaluation of
illness. Integrates data to determine diagnosis and therapeutic plan, including identification of any health risks.
Develops and implements treatment plan by prescribing/dispensing medications and/or injections in compliance
with medical practice guidelines and state law.
Delegates direct/indirect patient care to appropriate personnel.
Patient Care
Assesses patient status by obtaining health history through patient/family interviews and chart reviews; assessing
presenting illness, risk factors, family history, psychosocial situation, and cultural factors; and performing appropriate
physical examination and plan of care. Performs appropriate medical procedures within scope of practice.
Orders/performs appropriate laboratory and radiology diagnostics as well as other screening tests. Interprets these
tests. Seeks other information as needed, including consultation with physicians and other clinicians, for evaluation of
illness. Integrates data to determine diagnosis and therapeutic plan, including identification of any health risks.
Develops and implements treatment plan by prescribing/dispensing medications and/or injections in compliance
with medical practice guidelines and state law.
Delegates direct/indirect patient care to appropriate personnel.
Patient/Family Education
Instructs patients/families regarding medications and treatments. Educates patients regarding health
promotion/illness prevention. Recommends appropriate community resources to meet patient/family needs.
Communicates appropriate case management information to other professionals and community agencies. Acts as
consultant/collaborator to clinical team on area of specialty. Collaborates with physicians and other clinicians to
ensure continuity of care between visits according to treatment plan including triaging patient calls/emails.
Provides excellent customer service to internal and external customers. Provides knowledge, timely and appropriate
information to customer/patients and staff in a friendly manner. Maintains positive peer relationships and performs as
a team player. Demonstrates respect and sensitivity to cultural and social differences in interactions with others.
Instructs patients/families regarding medications and treatments. Educates patients regarding health
promotion/illness prevention. Recommends appropriate community resources to meet patient/family needs.
Communicates appropriate case management information to other professionals and community agencies. Acts as
consultant/collaborator to clinical team on area of specialty. Collaborates with physicians and other clinicians to
ensure continuity of care between visits according to treatment plan including triaging patient calls/emails.
Provides excellent customer service to internal and external customers. Provides knowledge, timely and appropriate
information to customer/patients and staff in a friendly manner. Maintains positive peer relationships and performs as
a team player. Demonstrates respect and sensitivity to cultural and social differences in interactions with others.
Documentation/Education
Prepares documentation for medical records including updating patient medical chart by posting examination and
test results, diagnosis, medications, and treatment in written/computerized manner in a timely fashion.
Participates in peer reviews, chart reviews, staff education, clinical guidelines development, and other continuing
education and quality assurance activities to demonstrate compliance standards, regulation, policies and procedures.
Complies with patient confidentiality requirements and HIPAA. Promotes advocacy. Understands and follows state
and federally mandated requirements regarding patient confidentiality and patient rights.
Adheres to all relevant policies, procedures and practice guidelines.
Prepares documentation for medical records including updating patient medical chart by posting examination and
test results, diagnosis, medications, and treatment in written/computerized manner in a timely fashion.
Participates in peer reviews, chart reviews, staff education, clinical guidelines development, and other continuing
education and quality assurance activities to demonstrate compliance standards, regulation, policies and procedures.
Complies with patient confidentiality requirements and HIPAA. Promotes advocacy. Understands and follows state
and federally mandated requirements regarding patient confidentiality and patient rights.
Adheres to all relevant policies, procedures and practice guidelines.
Knowledge
Knowledge of advanced practice including anatomy and physiology, pathophysiology, pharmacology and
therapeutics, basic nutrition, behavioral factors, psychosocial/family systems, diagnostic testing, interpretation of
results and clinical decision making, alternative treatment modalities.
Knowledge of current practices and regulations related to evaluating and providing patient care and professional
ethics related to the delivery of medical care.
Knowledge of medical equipment and instruments used to administer patient care.
Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.
Knowledge of community, professional and educational resources.
Knowledge of advanced practice including anatomy and physiology, pathophysiology, pharmacology and
therapeutics, basic nutrition, behavioral factors, psychosocial/family systems, diagnostic testing, interpretation of
results and clinical decision making, alternative treatment modalities.
Knowledge of current practices and regulations related to evaluating and providing patient care and professional
ethics related to the delivery of medical care.
Knowledge of medical equipment and instruments used to administer patient care.
Knowledge of common safety hazards and precautions to establish/maintain a safe work environment.
Knowledge of community, professional and educational resources.
JOB REQUIREMENTS
Minimum Education
Required: May be a graduate of either an accredited school of nursing with advanced preparation as a Nurse Practitioner or a
physician assistant education program approved by the Accreditation Review Commission on Education for the
Physician Assistant (ARC-PA).
Minimum Education
Required: May be a graduate of either an accredited school of nursing with advanced preparation as a Nurse Practitioner or a
physician assistant education program approved by the Accreditation Review Commission on Education for the
Physician Assistant (ARC-PA).
Minimum Work Experience
Preferred: NP must have a minimum of three years of professional nursing experience as a registered nurse. PA must have a
minimum of one year of physician assistant experience
Preferred: NP must have a minimum of three years of professional nursing experience as a registered nurse. PA must have a
minimum of one year of physician assistant experience
Required Licenses: NP - Wyo RN with State of Wyoming certification as a Nurse Practitioner with prescriptive authority. PA - State of
Wyoming license and passing Physician Assistant National Certifying Examination (PANCE).
Current DEA and controlled substance license, current BLS, ACLS, and PALS.
Wyoming license and passing Physician Assistant National Certifying Examination (PANCE).
Current DEA and controlled substance license, current BLS, ACLS, and PALS.
FUNCTIONAL DEMANDS
Working Conditions
Hospital based outpatient department, frequent interruptions, sometimes stressful environment. Combination of exam
rooms and medical offices. Frequent exposure to communicable diseases, toxic substances, ionizing radiation,
medicinal preparations and other conditions common to a clinic environment. Must be on-site at the SJH campus or
other facilities to fulfill the responsibilities of this role.
Working Conditions
Hospital based outpatient department, frequent interruptions, sometimes stressful environment. Combination of exam
rooms and medical offices. Frequent exposure to communicable diseases, toxic substances, ionizing radiation,
medicinal preparations and other conditions common to a clinic environment. Must be on-site at the SJH campus or
other facilities to fulfill the responsibilities of this role.
Physical Requirements
Standing and walking for extensive periods of time. Occasional lifting and carrying items weighing up to 10 pounds.
Correct vision and hearing within normal range with or without use of corrective devices. Must be able to verbally
interact with staff, patients and the public. Manual dexterity for writing and computer use. Requires working in
emergency situations and may involve irregular work hours including weekends, evenings, holidays and natural
disasters.
Standing and walking for extensive periods of time. Occasional lifting and carrying items weighing up to 10 pounds.
Correct vision and hearing within normal range with or without use of corrective devices. Must be able to verbally
interact with staff, patients and the public. Manual dexterity for writing and computer use. Requires working in
emergency situations and may involve irregular work hours including weekends, evenings, holidays and natural
disasters.
Direct Reports: None
Reports to: Chief Medical Group Officer
Internal & External Contacts: Staff, hospital departments, physicians, patients, families and visitors.
LEADERSHIP CAPABILITIES
Patient Focus
Is dedicated to meeting the expectations and requirements of patients
Gets firsthand patient feedback and uses it for improvements
Establishes and maintains effective relationships with patients and gains their trust and respect
LEADERSHIP CAPABILITIES
Patient Focus
Is dedicated to meeting the expectations and requirements of patients
Gets firsthand patient feedback and uses it for improvements
Establishes and maintains effective relationships with patients and gains their trust and respect
Attention to Detail
Completes tasks in a way that ensures there are not errors
Methodically and patiently reviews work to identify any mistakes or discrepancies
Creates and stores documentation in a way that is thorough and easy to access
Completes tasks in a way that ensures there are not errors
Methodically and patiently reviews work to identify any mistakes or discrepancies
Creates and stores documentation in a way that is thorough and easy to access
Quality Decision Making
Considers many factors and sources when making decisions
Is correct and accurate with most of his/her solutions and suggestions when judged over time
Is sought out by others for advice and solutions
Handles risks and uncertainty with composure
Spends his/her time & the time of others on what's important
Quickly zeros in on the critical & few and puts the trivial many aside
Considers many factors and sources when making decisions
Is correct and accurate with most of his/her solutions and suggestions when judged over time
Is sought out by others for advice and solutions
Handles risks and uncertainty with composure
Spends his/her time & the time of others on what's important
Quickly zeros in on the critical & few and puts the trivial many aside
Interpersonal Skills
Steps up to conflicts, seeing them as opportunities
Finds common ground and gains cooperation
Builds appropriate rapport
Taking responsibility for the consequences of one's own actions and decisions
Steps up to conflicts, seeing them as opportunities
Finds common ground and gains cooperation
Builds appropriate rapport
Taking responsibility for the consequences of one's own actions and decisions
Problem Solving
Uses logic and methods to solve problems with effective solutions
Can see hidden problems
Looks beyond the obvious and doesn't stop at the first answers
Uses logic and methods to solve problems with effective solutions
Can see hidden problems
Looks beyond the obvious and doesn't stop at the first answers
Time Management
Uses his/her time effectively and efficiently
Concentrates his/her efforts on the more important priorities
Gets more done in less time than others
Uses his/her time effectively and efficiently
Concentrates his/her efforts on the more important priorities
Gets more done in less time than others
