About The Position

The Advanced Practice Professional (APP) provides high-quality, patient-centered emergency medicine care as part of an interdisciplinary healthcare team. The APP assesses, diagnoses, treats, and manages patients within their scope of practice and specialty, working collaboratively with physicians, nurses, and other healthcare professionals to deliver evidence-based care and support positive patient outcomes and the department’s clinical, educational, and operational goals. This full-time position supports the Emergency Departments at Bluefield Regional Medical Center and Princeton Community Hospital. The APP coordinates comprehensive care for emergency medicine patients, including biological, social, and psychological assessments; collaborates with specialty teams to develop and carry out plans of care; performs diagnostic and therapeutic procedures; and coordinates discharge planning and follow-up when applicable. The APP also participates in education for residents and medical and nursing students, and provides services consistent with state law, professional licensing or certification requirements, and hospital privileges. The role offers community emergency medicine practice with support from the tertiary and academic West Virginia University Health System. The advertised EDs see approximately 18,000 visits annually at BRMC and 40,000 at PCH. The posting describes compensation as competitive private-practice compensation anchored to an academic department.

Requirements

  • For nurse practitioner applicants: graduate of a CCNE-accredited nursing program with a Master’s Degree in Nursing.
  • For nurse practitioner applicants: national certification from a recognized APRN certification center.
  • For nurse practitioner applicants: licensed or eligible for licensure as a professional Registered Nurse and Advanced Practice Registered Nurse in West Virginia.
  • For nurse practitioner applicants: American Heart Association BLS, ACLS, and ATLS certifications required.
  • For physician assistant applicants: Bachelor’s or Master’s degree as a Physician Assistant.
  • For physician assistant applicants: graduate of an ARC-PA-approved Physician Assistant training program.
  • For physician assistant applicants: certification by the National Commission for Certification of Physician Assistants.
  • For physician assistant applicants: licensed or eligible for licensure by the West Virginia Board of Medicine or West Virginia Board of Osteopathic Medicine.
  • Must be able to obtain an unrestricted West Virginia medical license.
  • Proficiency with computers.
  • Strong communication skills.
  • Ability to meet the role’s physical demands, including lifting, moving, stooping, reaching, positioning, standing, walking, and carrying patients, materials, and equipment weighing 40 pounds or more.

Nice To Haves

  • Emergency medicine or acute care experience is preferred; eligible new graduates will be considered.
  • ACNP or FNP considered for nurse practitioner applicants.
  • American Heart Association PALS certification is encouraged.
  • Master’s-level education as a Medical/Surgical Physician Assistant is preferred for physician assistant applicants.
  • The employer accepts foreign educational equivalents.

Responsibilities

  • Manage comprehensive, individualized care for emergency medicine patients and their families in the department and, when applicable, immediately after discharge in the ambulatory setting; coordinate hospitalization when needed.
  • Complete pre-procedure evaluations and integrated assessments.
  • Collaborate with emergency medicine faculty or follow established clinical guidelines and protocols to order additional tests and consultations as appropriate.
  • Perform diagnostic tests and communicate results in accordance with established guidelines and scope of practice.
  • Consult and communicate with department clinic and hospital staff about abnormal evaluation findings.
  • Conduct concise, comprehensive clinical evaluations and document findings in the medical record.
  • Coordinate services and tests needed before discharge to support outpatient follow-up appointments, when applicable.
  • Develop individualized plans of care, including patient teaching, discharge planning, referrals, and admission when necessary.
  • Provide care to patients across the age continuum consistent with education and certification.
  • Identify unstable or complex patient-care situations and facilitate appropriate intervention in the emergency department.
  • Recognize emergencies and initiate effective emergency care.
  • Coordinate follow-up procedures and tests in the ambulatory setting or after admission, as applicable.
  • Assist with collecting outcome measures.
  • Use critical thinking and diagnostic reasoning to identify, evaluate, and manage patient and family needs.
  • Use equipment safely and base decisions on scientific principles, standards of care, and research findings.
  • Educate nursing staff, hospital staff, students, patients, families, and the community using appropriate teaching strategies; support patient and family readiness to learn.
  • Maintain current knowledge and complete required clinical competencies.
  • Serve as a resource for staff caring for emergency medicine patients and provide educational programs to professional and paraprofessional personnel.
  • Participate in community programs and distribute educational literature as appropriate.
  • Document plans of care, interventions, and evaluations clearly and concisely in the medical record in accordance with hospital policies and documentation standards.
  • Collaborate with leaders and staff on patient-outcome improvements and lead development and implementation of practice changes that positively affect outcomes.
  • Work collaboratively with medical and nursing staff to solve problems and provide professional support; participate in interdisciplinary patient care, program development, and education, and serve as a professional role model.
  • Promote innovation in the expanded APP role across inpatient and ambulatory emergency medicine care.
  • Participate in and provide leadership for committees and task forces.
  • Document hours and submit billing reports as appropriate.
  • Review and interpret emergency medicine data, including registry, clinical, financial, length-of-stay, access-to-care, and cost-per-case information, and recommend or implement changes as needed.
  • Participate in clinical trials and research studies with the Principal Investigator.
  • Assist emergency medicine faculty, administrators, and directors with collecting outcome measures.
  • Perform other duties and projects as assigned.
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