NP or PA Surgical- ENT

Billings Clinic•Billings, MT

1d•Onsite

About The Position

Billings Clinic is hiring a Nurse Practitioner or Physician Assistant for its surgical ENT service. Under clinical supervision of a physician and direct supervision of the Manager/Director, the provider delivers general medical care, treatment, and health care services within their licensure and expertise and the supervising physician’s expertise. The position supports Billings Clinic’s mission and departmental philosophy while providing patient care and contributing to service-line quality and development. The provider examines patients, gathers medical histories, orders and interprets diagnostic tests, develops and monitors care plans, documents progress, and coordinates continuity of care with the supervising physician. They perform therapeutic procedures within their scope, counsel patients and families, and refer patients to other providers as appropriate. Surgical responsibilities include assisting physicians during procedures, maintaining relevant clinical and equipment skills, performing wound exposure, suturing, hemostasis, and tissue handling as training and skill allow, and supporting postoperative follow-up in the hospital or clinic. The provider follows sterile-field and universal protocols and assists with operating-room flow, instrumentation, and patient positioning. The role includes participation in on-call rotations and off-hour rounding as required by the department. The provider also maintains required competencies and safety standards, pursues professional development, and participates in quality improvement and continued service-line development. The position is full-time, with a stated schedule spanning days, evenings, nights, and weekends, and 80 hours per two-week pay period.

Requirements

For Physician Assistants: graduate of an accredited physician assistant program.
For Physician Assistants: current NCCPA board certification and license as a Physician Assistant.
For Physician Assistants: approval to practice in Montana or Wyoming by the Board of Medical Examiners.
For Nurse Practitioners: graduate of an accredited nurse practitioner program.
For Nurse Practitioners: current board certification as a Nurse Practitioner.
For Nurse Practitioners: approval to practice as a Nurse Practitioner with a current Montana and/or Wyoming Board of Nursing license as an advanced practice nurse.
For Nurse Practitioners: current Montana and/or Wyoming Registered Nurse license, as appropriate to the service area.
Healthcare Provider CPR certification; additional CPR certifications may be required depending on patient population and service area.
Ability to perform duties within applicable licensure, training, expertise, and supervising physician scope.

Responsibilities

Support and model behaviors consistent with Billings Clinic’s mission and departmental philosophy.
Examine patients and perform comprehensive physical examinations; compile medical histories and examination findings.
Order or administer diagnostic tests and distinguish normal from abnormal results.
Perform therapeutic procedures, including injections, immunizations, suturing, wound care, and infection management, within licensure and expertise.
Formulate diagnoses, develop and monitor care plans, document progress, and support continuity of care in consultation with the supervising physician as appropriate.
Educate and counsel patients and families about compliance with prescribed therapeutic regimens.
Refer patients to other health care providers and appropriate sources of care when needed.
Participate in on-call rotations and off-hour rounding as required by the department.
Identify professional development needs, meet mandatory requirements, and learn new evaluation and treatment approaches.
Use performance-improvement principles to assess and improve quality and participate in service-line development and marketing.
Maintain competency in applicable organizational, departmental, environmental, employee, and patient safety standards.
Assist the physician in all aspects of surgical procedures, including instruments, supplies, equipment, and retraction.
Maintain clinical and theoretical skills relevant to specialty equipment, pharmacology, laboratory values, radiologic findings, and disease processes or physiological status.
Perform wound exposure, suturing, hemostasis, and tissue handling as training and skill allow under direct physician supervision.
Assist with postoperative follow-up in the hospital and/or clinic and counsel patients and families on prescribed regimens.
Follow universal and sterile-field protocols during procedures and assist with operating-room flow, instrumentation, and patient positioning.
Perform other duties as assigned or needed to meet department or organization needs.