APP/PA - ED/Hospitalist

Position Summary:

Provides primary care as a dual-role Hospitalist and Emergency Department (ED) provider at a critical access hospital. This position offers an opportunity to provide high-quality care in a rural setting, managing both inpatient and emergency care. The Non-Physician Provider functions in a structured, clear setting and adheres to the policies and procedures established by Winner Regional Healthcare Center. The Non-Physician Provider must demonstrate knowledge of medical principles for the patient and possess the ability to assess data reflective of the patient’s status and to interpret appropriately the information needed to identify each patient’s requirements relative to the age-specific needs, and to provide the care needed. Other duties as assigned by Manager/CEO. May be required to follow and round with a physician. Must have hospital privileges. When students are providing patient care, treatment and/or services as a part of their training, any/all employees may be asked to supervise the students. Full time employees will have exempt status.

Hospitalist Role – Manage inpatient admissions, daily rounding, and discharge planning. Conduct comprehensive patient assessments, order and interpret diagnostic tests, and formulate treatment plans. Collaborate with physicians, nurses, and other healthcare professionals to deliver multidisciplinary care. Provide patient and family education regarding conditions, treatments, and discharge instructions. Ensure accurate and timely documentation in the electronic medical record (EMR) system.

Emergency Department Role – Provide care for patients presenting with acute medical, surgical, and trauma-related conditions. Perform procedures such as suturing, splinting, abscess drainage, and intubation, as credentialed. Stabilize critically ill or injured patients and arrange for transfer to higher-level care when necessary. Utilize sound clinical judgment to prioritize and manage multiple patients simultaneously. Respond to hospital-wide emergencies, including codes and rapid response situations.

Education/Experience:

Must have successfully completed a formal program of study at an accredited university, college or school in primary health care or a recognized clinical specialty. The course of study is approved by the South Dakota Board of Medical & Osteopathic Examiners. Current certification as an NP (AANP/ANCC) or PA-C (NCCPA). ACLS, BLS, PALS, and ATLS certification preferred.

Experience in inpatient and/or emergency medicine is strongly preferred.

Required Credentials (Licensure, Certification, or Registration):

Must have passed the Physician Assistants National Certifying Examination, administered by the National Commission on Certification of Physician Assistants (NCCPA) or been grandfathered by the South Dakota Board of Medical & Osteopathic Examiners. Only those successfully completing the national certification examination may use the credential PA-C or “Physician Assistant-Certified”. In order to remain certified, PAs must complete 100 hours of continuing medical education every 2 years. Every 6 years, they must pass a recertification examination or complete an alternative program combining learning experiences and a take-home examination. Must possess a state Physician Assistant’s license.

Employment Variables:

Care is delivered to Hospital/ED patients of all ages. Work hours vary according to hospital/ED schedules and may rotate to include days, nights, weekends, and Holidays.

Initial Tuberculosis (TB) test and drug screening is required by Winner Regional Health. A Rubella titer will also be drawn upon hire and immunization is required if no past exposure or indication of immunization.

Required to wear name tag provided by WRH and to follow the dress code of WRH.

Job Knowledge and Skills:

Ability to read, write, speak and understand the English language and follow oral or written instruction. Excellent oral and written communication skills, work with customers and co-workers in a professional manner. Strong clinical skills with the ability to function independently in a rural setting. Commitment to evidence-based medicine and continuous professional development.

Direct Supervisor:

CEO

PART II: Code of Conduct

Honesty We will do the right thing at all times, even if it is difficult, maintaining strong, ethical practices. We protect the confidentiality of others, including patients, staff and the facility as a whole. We will take responsibility for our actions.

Expertise We will demonstrate superior judgment, training and skill, at all times, demonstrating professionalism while doing so. We will perform all aspects of our job to the best of our ability, utilizing all resources and tools available.

Approachability We will be non-judgmental, friendly, and open and willing to listen to everyone we come into contact with while performing our duties. We are humble and learn from others.

Respect We will be understanding and sensitive to others’ feelings; caring and responding in a manner that sets them at ease, keeping the situation in perspective without minimizing others’ feelings or reactions. We will listen to others with full attention in a sincere, civil fashion, being careful not to be judgmental of the speaker. We maintain composure when facing conflict and avoid jumping to conclusions and defaming another’s name.

Teamwork We willingly work together with a common approach, trusting and supporting members of our organization, using our skills and resources, sharing information to achieve a common aim.

PART III: ESSENTIAL FUNCTIONS

Essential functions are critical or fundamental to the performance of the job. They are the major functions for which the person in the job is held accountable. Following are the essential functions of the job, along with the corresponding performance standards.

Function

The Non-Physician Provider provides care and treatment to patients.

• Obtains complete medical history and physical data on patients.
• Interprets and integrates data to determine appropriate diagnostic and therapeutic procedures as needed.
• Performs a complete physical exam and records findings.
• Collaborates with physicians in managing acute and long-term medical needs of patients.
• Orders appropriate laboratory and diagnostic procedures.
• Synthesizes data to determine preliminary diagnosis and therapeutic plan utilizing principles of prevention.
• Prescribes and administers medications and injections according to physician directions.
• Interviews and advises patients regarding health and illness prevention.
• Recommends community resources to meet patient and family needs.
• Instructs patient and family regarding medications and treatment instructions.
• Provides patient education.
• Maintains and reviews patient records, charts and other pertinent information.
• Posts tests and examination results.
• Reads x-rays.
• Performs procedures approved within scope of practice and as instructed by physician.
• Delegates care appropriately.
• Respects physical privacy of patients.

The Non-Physician Provider utilizes effective communication skills.

• Assesses patient to determine physical and emotional needs.
• Utilizes effective communication and negotiation with the patient to establish goals that are consistent with the overall plan of care.
• Networks with health team members by communicating data based on nursing diagnosis to provide continuity of care.
• Communicates changes in client status with provider and/or family members.
• Modifies implements and evaluates individualized teaching plan in order to restore, maintain, or promote health.
• Collaborates with other health team members’ intra/inter departmental issue recognition and resolution.
• Givers pertinent and timely report to providers.
• Documents accurately and legibly.
• Promotes and assists other to practice safe work habits; identifies and reports health and safety hazards; offers suggestions and participates in corrective action.

PART IV: COMPLIANCE

Compliance

• Must comply with the Corporate Compliance Policy and all laws, rules, regulations and standards of conduct relating to the position.
• The employee has a duty to report any suspected violations of the law or the standards of conduct to the Compliance Officer or the Chief Executive Officer.

PART V: PHYSICAL AND MENTAL REQUIREMENTS

General Activity

In a regular workday, employee may:

• Sit .5 Hours at a time; up to .5 Hours during the day
• Stand .25 Hours at a time; up to 2-3 Hours during the day
• Walk .25 Hours at a time; up to 1.5 Hours during the day

Motion

Employee is required: (In terms of a regular workday, "Occasionally" equals 1% to 33%, "Frequently" 34% to 66%, "Continuously", greater than 67%.)

• Bend/Stoop Occasionally
• Kneel, Duration 30 sec Occasionally
• Squat Occasionally
• Balance Occasionally
• Crawl, Distance Occasionally
• Twist Occasionally
• Climb, Height Occasionally
• Keyboarding/Mousing Occasionally
• Reach above shoulder level Occasionally

Physical Demand

Employee’s job requires he/she carry and lift loads from the floor, from 12 inches from the floor, to shoulder height and overhead. Employee’s job requires a pushing/pulling force to move a load (not the weight of the load).

Physical Demand Classification: Carrying/lifting weight and pushing/pulling force:

• Light Occasionally 10 lbs.
• Frequently Negligible
• Constantly Negligible

Sensory Requirements:

Yes/No Explanation (if Yes)

• Speech Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately, loudly, or quickly. Yes
• Communicates with staff and patients on phone or in person. Responds to patient’s concerns and questions.
• Vision (VDT) Are there specific vision requirements for the job? Yes
• Must be able to read numbers and names. Must be able to distinguish colors and view a computer screen.
• Hearing Ability to receive detailed information through oral communications, and to make fine discriminations in sound; i.e., making fine adjustments on machine parts, using a telephone, taking blood pressures. Yes
• Vital communication with other staff and patients directly or via telephone.

Environmental Factors

Yes/No Explanation (if Yes)

• Working on unprotected heights No
• Being around moving machinery No
• Exposure to marked changes in temperature and humidity No
• Driving automotive equipment No
• Wearing personal protective equipment Yes
• Exposure to atmospheric conditions (i.e. fumes, dust, odors, mists, gases, or poor ventilation) No
• Exposure to extreme noise or vibration No
• Exposure to blood, body fluids and waste Yes
• Exposure to radiation No
• Exposure to other hazards (i.e. mechanical, electrical, burns, or explosives) Yes

Emotional/Psychological Factors

• Yes/No Explanation (if Yes)
• Stress: Exposed to stressful situations Yes
• Must be able to effectively deal with concerns of upset patients or other staff.
• Concentration: Must be able to concentrate on work tasks amidst distractions. Yes
• There are many phone and personal interruptions throughout the workday.
• Must exert self-control. Yes
• Must be able to display control and confidence under stress.

PART VI: BENEFITS

• $3,000 for CME costs per year. Employee may carry over to the following year $1,500 up to 12 months after the initial year.
• $250 per quarter for Cell Phone
• Licensure Expenses
• Malpractice Insurance
• DEA
• 5 Days CME Employee may carry over to the following year 2.5 days up to 12 months after the initial year.