Physician Assistant; Cardiology

Job Type

Full‑time

Responsible for providing cardiovascular care services, including assessing and managing patients following established standards and practices. Compassionate, high quality cardiovascular care will be met by assuring that the needs of the patients, physicians, and other health care providers are accomplished in a timely and courteous manner. You will join a team of four other physician assistants and a nurse practitioner.

• Perform comprehensive medical history and complete physical exam in the office and at the local hospital.
• Establish a diagnosis, formulate a plan of care, evaluate the response to the plan, and revise the plan as needed, collaborating with or referring to physicians as necessary.
• Collaborate with cardiologists in managing acute and long‑term medical needs of the patient.
• Order appropriate diagnostic tests, treatments, medications, and referrals.
• Coordinate discharge and follow‑up.
• Monitor and provide continuity of care between patient visits.
• Assist with diagnostic studies as required, including nuclear studies, echo‑stress, and cardiac stress.
• Must be a registered or certified physician assistant.
• EMR:
  Office uses Veradigm (Allscripts). The hospital is on Cerner.

This is an exceptional opportunity where you would join a certified physician assistant and two certified nurse practitioners, four invasive‑interventionalists and three invasive, non‑interventional cardiologists in a premier, active, growing practice that was established in 1976. There is no managed care. The practice has a state‑of‑the‑art nuclear medicine system and echo/ultrasound system and is on an electronic health record. The office is located one block from the hospital.

There are nine outreach clinics serviced by the cardiologists reaching two‑thirds of the state since 1978. The primary hospital offers two state‑of‑the‑art cath labs and an active open‑heart surgery program with two board‑certified cardio‑thoracic surgeons. A benefits plan is offered that includes health insurance for the employee, a retirement plan, and CME reimbursement.

The work rotation would consist of five mid‑levels.

• One midlevel is scheduled to the hospital. This rotation is 8:00 a.m. to 5:00 p.m., Monday – Friday, and 8:00 a.m. to noon Saturday and Sunday. There is discussion to give this rotation a day off either before or after the rotation.
• The hospital rotation moves to the hospital discharge position, for continuity of care. This rotation updates the incoming hospital provider about the patients. This rotation begins at 8:00 a.m. until noon, discharging the patients in the hospital, then comes to the office at 1:00 p.m. until 5:00 p.m. seeing patients.
• The discharge position the next week moves to the office, 8:00 a.m. to 5:00 p.m.

Take phone calls for the cardiologists from the hospital nurses, hospitalists, and other physicians, round patients, monitor stress tests (at the hospital), etc. There is no night call or weekend call; everything is during the day.

Patients are scheduled 8:00 a.m. to 3:00 p.m. (subject to change), with an hour for lunch, with the day ending at 5:00 p.m. There are normally approximately 16 patients scheduled to the mid‑levels. Patients are annual visits, follow‑up, post‑hospital discharge, complex patients, implanted device interrogation and possible telehealth. Office mid‑levels also handle remote implanted‑device follow‑up (pacemakers, defibrillators, implanted loop recorders), the RN’s of the practice are the liaison between the patients and the mid‑levels.

The RN’s forward labs, messages, reports, etc. that are outside of their scope of license for the mid‑levels to manage and direct the nurse, the nurse then contacts the patient.

If interested, the physicians would appreciate your rotating to the one‑day remote outreach clinics. There is an additional stipend for doing outreach. The specific locations would be Rawlins, Wheatland, Gillette, and Riverton. I think previously this was one or two days a month.

Starting at $115,000 + benefits (Salary is negotiable based on experience)

• Licensi…