Advanced Practice Provider - Same Day, Spearfish

Monument Health•Spearfish, SD

About The Position

Under physician supervision, the Physician Assistant and/or Nurse Practitioner may assume primary responsibility in their respective specialty area in accordance with federal, state, and local regulations. The role manages selected at-risk or complex patients and patient populations in collaboration with physicians, nurses, and other healthcare team members. The provider must use knowledge, critical thinking, and clinical skills to plan, coordinate, and provide ongoing care. This is a predominantly outpatient role in an urgent care setting, with patient access 364 days per year. The provider assesses, diagnoses, treats, and manages patients’ healthcare needs; evaluates outcomes and updates care plans; and may perform procedures. There is no operating room requirement and no practice-call or ED/unassigned-call requirement. The provider documents care in a timely and thorough manner, makes appropriate referrals or transfers, orders tests and therapies in collaboration with medical staff, and responds appropriately to emergencies.

Requirements

  • Current South Dakota certification as a Certified Nurse Practitioner (CNP) through the South Dakota Board of Nursing or as a Physician Assistant (PA) through the South Dakota Board of Medical and Osteopathic Examiners, for practice in South Dakota.
  • Current Wyoming certification as a Certified Nurse Practitioner (CNP) through the Wyoming State Board of Nursing or as a Physician Assistant (PA) through the Wyoming Board of Medicine, for practice in Wyoming.
  • Ability to practice under physician supervision and within applicable scope-of-practice regulations and protocols.

Nice To Haves

  • At least 1 year of clinical experience.
  • At least 1 year of healthcare experience.

Responsibilities

  • Assess, diagnose, treat, and manage patients’ healthcare problems and needs.
  • Apply clinical interventions, evaluate outcomes, and implement changes to the plan of care; anticipate and communicate changes in patient status.
  • Perform procedures as appropriate.
  • Complete thorough and timely documentation in accordance with facility policy.
  • Practice within applicable federal, state, and local regulations, the supervising physician’s guidance, and established protocols.
  • Refer or transfer patients to another facility when appropriate and provide referral information to patients and physicians.
  • Conduct comprehensive health histories and physical examinations or problem-focused assessments based on patient status.
  • Order appropriate tests, procedures, and therapies in collaboration with medical staff and according to organizational and unit-specific policies and procedures.
  • Perform and document ongoing patient assessments and formulate plans of care with other medical providers.
  • Recognize physical, developmental, and psychosocial distress in patients and families and provide appropriate interventions.
  • Respond appropriately to emergencies based on individual patient needs.
  • Perform other duties as assigned.
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