What are the responsibilities and job description for the APP Lander position at St Johns Health?
JOB SUMMARY
Responsible for providing primary care services, including assessing, diagnosing, prescribing, treating and education
patients. Works collaboratively with physicians, physician assistants and other clinicians in a team approach to
patient care. May specialize in a specific type of clinical care, e.g. geriatrics, adult, family, oncology, pediatrics, acute
care, etc.
Responsible for providing primary care services, including assessing, diagnosing, prescribing, treating and education
patients. Works collaboratively with physicians, physician assistants and other clinicians in a team approach to
patient care. May specialize in a specific type of clinical care, e.g. geriatrics, adult, family, oncology, pediatrics, acute
care, etc.
ESSENTIAL FUNCTIONS
Patient Care
Assesses patient status by obtaining health history through patient/family interviews and chart reviews; assessing
presenting illness, risk factor, family history, psychosocial situation, and cultural factors; and performing appropriate
physical examination and plan of care.
Orders/preforms appropriate laboratory and radiology diagnostic 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 laws.
Performs appropriate medical procedures within scope of practice.
Delegates direct/indirect patient care activities to appropriate personnel.
Patient Care
Assesses patient status by obtaining health history through patient/family interviews and chart reviews; assessing
presenting illness, risk factor, family history, psychosocial situation, and cultural factors; and performing appropriate
physical examination and plan of care.
Orders/preforms appropriate laboratory and radiology diagnostic 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 laws.
Performs appropriate medical procedures within scope of practice.
Delegates direct/indirect patient care activities to appropriate personnel.
Patient/Family Education
Instruct patients/family 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 and appropriate manner. Maintains positive peer relationships
and performs as a team player. Demonstrates respect and sensitivity to cultural and social differences in interactions
with others.
Instruct patients/family 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 and appropriate 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 with standards, regulation, policies and
procedures.
Complies with patient confidentiality requirements, HIPAA. Promotes patient advocacy. Understands and follows
state and federally mandated requirements regarding patient confidentiality and patient rights.
Adheres to all relevant policies, procedures and practices 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 with standards, regulation, policies and
procedures.
Complies with patient confidentiality requirements, HIPAA. Promotes patient advocacy. Understands and follows
state and federally mandated requirements regarding patient confidentiality and patient rights.
Adheres to all relevant policies, procedures and practices guidelines.
Knowledge
Knowledge of advanced practice of nursing 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 of nursing 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: BSN required. Graduate of an accredited school of nursing with advanced preparation as a Nurse Practitioner.
Preferred: Master's Degree preferred. Prefer ATLS certification
Minimum Work Experience
Preferred: Minimum of three years of professional nursing experience as a registered nurse in a clinic setting. plus two years of nurse practitioner experience.
Required Licenses: Current license in the State of Wyoming as RN with certification in the State of Wyoming as a Nurse Practitioner with prescriptive authority. Holds current DEA and controlled substance license. Current BLS, ACLS, and PALS.
FUNCTIONAL DEMANDS
Working Conditions
Hospital based outpatient department. Frequent interruptions. Sometimes stressful work 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 work 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, clients and 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, clients and 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: All staff, community members, patients and their families, community and public service agencies, allied health
professionals and physicians.
Internal & External Contacts: All staff, community members, patients and their families, community and public service agencies, allied health
professionals and physicians.
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 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
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
Spends his/her time and the time of others on what's important
Quickly zeros in on the critical and few and puts the trivial many aside
Handles risks and uncertainty with composure
Interpersonal Skills
Steps up to conflicts, seeing them as opportunities
Builds appropriate rapport
Finds common ground and gains cooperation
Taking responsibility for the consequences of one's own actions and decisions
Problem Solving
Uses logic and methods to solve problems with effective solution
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
