Occupational Medicine Physician Assistant

HASC Personnel Services•Port Arthur, TX

About The Position

The Medical Provider (Nurse Practitioner or Physician Assistant) provides comprehensive occupational health services to employees and employer clients in the oil and gas, petrochemical, manufacturing, construction, and related industries. The provider independently evaluates and manages patients within their authorized scope of practice and applicable physician delegation or collaboration requirements. Services include occupational injury and illness care, medical surveillance, fitness-for-duty and return-to-work evaluations, regulatory examinations, and preventive occupational health services. The provider collaborates with physician leadership, clinical staff, operations, and employer representatives to deliver safe, efficient, evidence-based, and regulatory-compliant care. The role may provide services at company clinics, client sites, mobile locations, and through approved telemedicine platforms. It may involve travel between locations, industrial environments, appropriate personal protective equipment, and participation in after-hours or on-call coverage according to the organization's coverage model. The provider reports directly to the Regional Medical Director and has no direct reports.

Requirements

Graduate of an accredited Nurse Practitioner or Physician Assistant program.
Current, unrestricted Texas license as an Advanced Practice Registered Nurse/Nurse Practitioner or Physician Assistant, as applicable.
Current national certification appropriate to professional discipline.
Current BLS certification; ACLS certification if required by organizational policy or assigned clinical responsibilities.
Ability to obtain and maintain applicable prescriptive authority and DEA registration when required for assigned responsibilities.
Demonstrated competency in evaluating and managing acute illness and injury.
Ability to obtain and maintain organizational credentialing and applicable client/site access requirements.
Valid driver's license and ability to travel to assigned clinics and client locations when required.
Ability to perform clinical examinations and procedures in outpatient occupational health settings.
Ability to sit, stand, walk, use computers and medical equipment, and position as needed to examine and treat patients.
Ability to occasionally lift or assist with movement of medical supplies or equipment up to 25 pounds.
Ability to comply with site safety requirements and use appropriate personal protective equipment in industrial environments when required.

Nice To Haves

Two or more years of experience in occupational medicine, urgent care, emergency medicine, family medicine, or another relevant ambulatory clinical setting.
Occupational medicine experience serving oil and gas, petrochemical, refinery, manufacturing, construction, maritime, or other safety-sensitive industries.
FMCSA National Registry of Certified Medical Examiners certification.
Experience with OSHA medical surveillance programs.
Experience with occupational injury management, work restrictions, return-to-work, and fitness-for-duty evaluations.
Experience interpreting occupational audiometry and spirometry.
Experience with telemedicine and employer-based occupational health programs.
Demonstrated competency in minor procedures commonly performed in occupational medicine.
Knowledge of occupational injury and illness evaluation and management, return-to-work and fitness-for-duty principles, OSHA medical surveillance and respiratory protection concepts, DOT/FMCSA requirements when applicable, medical confidentiality, employer communication, and work-relatedness and occupational exposure evaluation.
Skills in clinical assessment and medical decision-making, minor procedures, interpretation of commonly used occupational testing, concise medical documentation, communication, case management, and interdisciplinary collaboration.
Ability to exercise appropriate independent clinical judgment within scope, recognize when consultation or escalation is required, manage multiple patients and competing priorities, make timely decisions in safety-sensitive situations, apply protocols without substituting them for clinical judgment, communicate restrictions without unnecessary disclosure of confidential information, and function in clinic, telemedicine, mobile, and industrial environments.

Responsibilities

Evaluate, diagnose, treat, and manage occupational injuries and illnesses within authorized scope of practice.
Develop evidence-based treatment plans supporting recovery, functional restoration, and safe return to work.
Determine work status, restrictions, limitations, and follow-up intervals based on medical condition and essential job functions.
Recognize cases requiring emergency evaluation, specialist referral, higher-level care, or physician consultation.
Evaluate occupational exposures and provide appropriate initial management, testing, follow-up, and referral.
Provide follow-up care and coordinate treatment toward timely and medically appropriate case resolution.
Perform occupational medicine procedures within demonstrated competency and authorized scope, including laceration repair, wound care, foreign-body removal, and splinting.
Initially evaluate and stabilize acute workplace injuries and illnesses and determine appropriate disposition.
Maintain competency in emergency response procedures and use of clinic emergency equipment.
Perform pre-placement, periodic, return-to-work, fitness-for-duty, and other employer-directed examinations.
Perform medical surveillance examinations required by applicable OSHA standards and employer programs.
Conduct respiratory protection medical evaluations and other occupational medical clearance assessments.
Perform DOT/FMCSA examinations when appropriately certified, and other regulated or industry-specific examinations when appropriately trained and credentialed.
Review medical testing, laboratory studies, audiometry, spirometry, imaging, and other occupational health data and determine appropriate disposition or follow-up.
Identify abnormal findings requiring additional evaluation and distinguish occupational clearance decisions from employees' general medical care.
Assess employees' ability to safely perform essential job functions when requested and medically appropriate.
Develop work restrictions based on functional limitations and anticipated recovery; review job descriptions, physical demands, and safety-sensitive duties when needed.
Escalate complex, unusual, or high-risk fitness-for-duty and work-relatedness determinations to physician leadership as appropriate.
Apply occupational health regulations, medical standards, employer protocols, and organizational policies to evaluations.
Maintain familiarity with relevant OSHA medical surveillance requirements and other standards applicable to assigned services.
Perform specimen collection or drug/alcohol testing-related clinical functions within authorized role and organizational protocols.
Maintain separation between medical recommendations and employer administrative or employment decisions; protect medical confidentiality and communicate information consistent with law, authorization, and policy.
Complete accurate, timely, and legally appropriate documentation, including diagnoses, treatment, work status, restrictions, follow-up recommendations, and rationale when appropriate.
Participate in occupational case-management discussions and communicate clinically appropriate information to employers, adjusters, case managers, specialists, and other stakeholders within confidentiality requirements.
Facilitate continuity of care and timely case progression while maintaining independent clinical judgment.
Provide evaluations through approved telemedicine platforms in accordance with applicable laws, regulations, and clinical protocols; determine when in-person evaluation or higher-level care is needed.
Provide services at company clinics, client sites, mobile locations, or other approved locations as operationally required.
Participate in after-hours or on-call occupational medical coverage according to the established coverage model.
Provide clinical direction and guidance to nursing, paramedic, medical assistant, technician, and other clinical personnel consistent with policy and scope-of-practice requirements.
Collaborate with physicians, APPs, nurses, paramedics, technicians, operations personnel, and administrative staff.
Participate in chart review, peer review, quality improvement, patient safety, and clinical competency activities.
Participate in development and implementation of clinical protocols, workflows, and occupational health programs.
Identify and escalate patient-safety, regulatory, quality, or operational concerns.
Maintain required licensure, certifications, continuing education, and demonstrated clinical competencies.