Physician Assistant - Inpatient Acute Care Surgery; Casual Call

Position Summary

The physician assistant (PA), under the direction of a supervising physician, will function as an independent healthcare provider working collaboratively within a multidisciplinary health team to provide comprehensive care in a variety of settings (primary, acute, specialty) while demonstrating a high degree of clinical expertise. Provides direct individualized patient care and treatment with responsibility for assessing, examining, diagnosing and analyzing the patient's current health condition and developing short and long-term goals and treatment plans.

Functions within the defined scope of clinical practice as outlined by applicable state law, licensing, certification, regulations, institutional policy and practice agreements. Physician assistants employed by Bozeman Health or affiliates will have a current MD supervision agreement and duties and delegations agreement (clinical privileges) in place as per Montana State Board of Medical Examiners requirements.

• Master’s Degree of Physician Assistant Studies
• Board certification as Physician Assistant (NCCPA)
• Montana Licensure (Physician Assistant)
• DEA License if applicable to practice area
• American Heart Association BLS within 60 days of hire
• Preferred: Advanced Trauma Life Support (ATLS) certification (required within 12 months of hire)
• Preferred: Two years of inpatient or general surgery experience

In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

• Provides high-quality, efficient, and evidence-based patient care while following standard of care within the Acute Care Surgery and Trauma specialty scope of practice.
• Performs comprehensive inpatient assessments, rounds independently or in collaboration with the surgeon, and adjusts care plans based on patient progress.
• Orders and interprets diagnostic studies, writes orders, and prescribes medications within defined scope.
• Completes admission histories and physicals, progress notes, discharge summaries, and consultative documentation.
• Assists in the operating room as a first assist for emergency and elective surgical cases.
• Provides coverage in the Surgery clinic on Tuesdays and Thursdays.
• Responds to trauma activations in the Emergency Department and participates in patient evaluation and resuscitation.
• Coordinates multidisciplinary care, including nursing, therapy, and case management teams, to ensure safe transitions of care.
• Performs and assists with bedside procedures (wound care, drain management, line removal, chest tube placement and removal, staple/suture removal, etc.).
• Participates in quality/performance improvement initiatives.
• Maintains accountability for accurate documentation and timely coding of all patient encounters.

• Strong interpersonal, verbal, and written communication skills
• Ability to work autonomously in a complex inpatient environment
• Advanced clinical decision‑making and problem‑solving skills
• Strong organizational skills and ability to prioritize workload efficiently
• Exercises tact, discretion, and maintains confidentiality
• Commitment to evidence‑based practice and multidisciplinary collaboration

This is a Casual Call position designed to support the Acute Care Surgery and Trauma Service during periods of PTO, FTE vacancies, and high‑volume patient census.

• Required to work a minimum of 4 shifts per quarter (16 annually)
• Collectively responsible for covering a minimum of 3 weekends per month (36 annually) among the casual call team
• Weekend assignments will be distributed collaboratively based on individual preference and availability
• Shifts should be two consecutive days when possible to support continuity of patient care
• Encouraged to assist during summer months and high PTO periods
• This position does not include night or on‑call coverage

• Lifting (Repeatedly – 50 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or…