Occupational Medicine Physician Assistant

Health & Safety Council•Port Arthur, TX

About The Position

The Medical Provider (Nurse Practitioner or Physician Assistant) delivers 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 works collaboratively with physician leadership, clinical staff, operations, and employer representatives to deliver safe, efficient, evidence-based, and regulatory-compliant care. The role may involve work at company clinics, client sites, mobile locations, or other approved locations, as well as approved telemedicine services. The provider participates in after-hours or on-call occupational medical coverage according to the organization's established coverage model. The position requires travel to assigned clinics and client locations when needed, and work may occasionally take place in industrial environments with appropriate personal protective equipment and site-safety compliance. The Medical 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 APRN/Nurse Practitioner or Physician Assistant license, 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 exercise independent clinical judgment within scope of practice and recognize when physician consultation or escalation is needed.
Ability to manage multiple patients and competing priorities, make timely decisions in safety-sensitive situations, and apply protocols without substituting them for clinical judgment.
Ability to communicate appropriate work restrictions without unnecessarily disclosing confidential medical information and function in clinic, telemedicine, mobile, and industrial environments.

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.

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 for timely, medically appropriate case resolution.
Perform occupational medicine procedures within demonstrated competency and authorized scope, including laceration repair, wound care, foreign-body removal, and splinting.
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 occupational medical 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 and other regulated or industry-specific examinations when appropriately certified, trained, and credentialed.
Review medical testing, laboratory studies, audiometry, spirometry, imaging, and other occupational health data; determine appropriate disposition or follow-up.
Assess medical ability to safely perform essential job functions and develop appropriate work restrictions based on functional limitations and anticipated recovery.
Review job descriptions, physical demands, and safety-sensitive duties when needed for medical clearance decisions; escalate complex or high-risk determinations to physician leadership as appropriate.
Apply applicable occupational health regulations, medical standards, employer protocols, and organizational policies.
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 employee medical confidentiality when communicating occupational health information.
Complete accurate, timely, and legally appropriate medical documentation, including diagnosis, treatment, work status, restrictions, follow-up recommendations, and rationale when appropriate.
Participate in occupational case-management discussions and communicate clinically appropriate information to stakeholders within confidentiality requirements.
Facilitate continuity of care and timely case progression while maintaining independent clinical judgment.
Provide occupational health evaluations through approved telemedicine platforms in accordance with applicable laws, regulations, and clinical protocols.
Provide services at company clinics, client sites, mobile locations, or other approved locations as required; determine whether telemedicine, in-person evaluation, or higher-level care is appropriate.
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.
Help develop and implement 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.