About The Position

Sanford Health is hiring an advanced practice provider for an Internal Medicine clinic in Thief River Falls. The role provides advanced care to adult patients with acute, chronic, and complex medical conditions. The provider conducts assessments, makes diagnoses, develops and implements treatment plans, and manages patient care in collaboration with physicians and other healthcare professionals. The position is clinic-only and includes a primary panel of patients as well as collaborative care shared with internal medicine physicians. The team includes two physicians and one APP. The broader primary care services include family medicine and OBGYN/Women’s Health providers. The schedule is Monday through Friday, with the clinic closed on six major holidays, and participation in a Saturday walk-in clinic rotation from 9 a.m. to noon approximately once every six weeks. The role requires 1.0 FTE, with 36 hours per week of scheduled patient-facing time; the posting also lists 40 scheduled weekly hours.

Requirements

  • Master’s or doctorate degree from an accredited Nurse Practitioner program.
  • Current Registered Nurse and Nurse Practitioner licensure in each state of practice.
  • Current Drug Enforcement Administration permit to prescribe controlled substances in each state of practice.
  • State Controlled Substance License, if required by the state.
  • National board certification in one of the listed specialties: Family Nurse Practitioner (FNP-BC or FNP-C), Adult-Gerontology Primary Care (AGPCNP-BC or A-GNP), or Adult Nurse Practitioner (ANP-C). Additional certifications require approval from a market executive leader.
  • Obtain and maintain required specific competencies and certifications as outlined on the privilege form.
  • New graduates may be considered with 3–5 years of nursing experience in primary care.
  • Meet applicable privileging and credentialing requirements, which supersede this job description where requirements differ.

Nice To Haves

  • Experience in internal medicine or a related adult primary care setting.
  • More than one year of APP experience in primary care or internal medicine.
  • For an APRN licensed before August 1, 1995, a master’s degree in nursing is preferred.
  • Adult-Gerontology Acute Care certification (AGACNP-BC or ACNPC-AG) or Acute Care Adult certification (ACNP-BC), subject to approval from a market executive leader.

Responsibilities

  • Conduct thorough patient histories and physical examinations.
  • Assess and evaluate complex internal medicine primary care patients and develop appropriate histories, physical examinations, assessments, and plans.
  • Diagnose and manage acute and chronic conditions, including hypertension, diabetes, COPD, and heart disease.
  • Order, interpret, and act on diagnostic tests, including laboratory tests, imaging, and screenings.
  • Develop and implement individualized treatment plans, including prescribing medications and therapies in accordance with state laws and organizational policies.
  • Provide patient education on disease prevention, health promotion, and chronic condition management.
  • Monitor patient progress and response to treatment and adjust care plans as necessary.
  • Manage an individual primary panel of patients and collaborate with internal medicine physicians to share patient care.
  • Coordinate care with physicians, specialists, and other healthcare providers.
  • Accurately document patient encounters, treatments, and progress notes in the electronic health record.
  • Participate in quality improvement initiatives and maintain current evidence-based internal medicine practices.
  • Comply with regulatory and organizational standards for patient care.
  • Obtain and maintain competencies and certifications required by the applicable privilege form.
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