Nurse Practitioner or Physician Assistant - Emergency Department

Description

STATEMENT OF PURPOSE

The purpose of the Emergency Department Nurse Practitioner / Physician Assistant position is to provide safe, timely, compassionate, and evidence-based care to patients presenting to the Emergency Department across the lifespan. The Nurse Practitioner functions as an integral member of the Emergency Department team, working collaboratively with emergency physicians, nurses, ancillary services, EMS, and other healthcare professionals to evaluate, diagnose, treat, and appropriately disposition patients.

This is a full time, benefited position working 80 hours per two week pay-period. Hours are Monday-Friday with variable hours.

JOB FUNCTIONS

Quality

• Performs comprehensive patient evaluations including detailed history, physical examination, assessment, and diagnosis; initiates, reviews, and revises treatment plans.
• Demonstrates knowledge of growth and development across the lifespan and provides age-appropriate care.
• Orders or transmits orders for laboratory, radiology, therapeutic, and other diagnostic studies; arranges admissions and completes required medical record documentation.
• Ensures legible, timely, and compliant documentation that meets coding and reimbursement standards.
• Practice in accordance with current evidence-based standards, hospital policies, regulatory requirements, and professional standards.
• Participates in performance improvement initiatives.
• Assists in development, revision, and implementation of department policies and procedures.
• Attends designated meetings, drills, and in-service programs.
• Maintains required certifications and completes annual competency evaluations.
• Follows disaster procedures, standard precautions, aseptic techniques, infection control and isolation guidelines; investigates and reports incidents per risk management policy.

Service

• Perform comprehensive and focused histories and physical examinations.
• Perform medical screening examinations and determine the patient's presenting level of acuity.
• Develop differential diagnoses and appropriate diagnostic and treatment plans.
• Recognize and respond appropriately to changes in patient condition.
• Diagnose and manage acute and chronic conditions presenting in the Emergency Department within the provider's scope of practice.
• Order, interpret, and act upon laboratory, radiologic, cardiac, and other diagnostic results.
• Initiate appropriate medications, treatments, and interventions.
• Reassess patients and modify treatment plans based on clinical response.
• Participate in trauma activations and other emergency response protocols.
• Provide timely evaluation and treatment to support efficient Emergency Department operations.
• Manage appropriate patients independently while collaborating with the emergency physician for complex or high-acuity presentations.
• Facilitate appropriate disposition, including discharge, observation, admission, consultation, or transfer.

People

• Communicate effectively with inpatient services, specialists, receiving facilities, and EMS.
• Work collaboratively with emergency physicians, nurses, paramedics, technicians, laboratory, radiology, respiratory therapy, pharmacy, surgery, and other healthcare professionals.
• Participate in interdisciplinary communication and handoffs.
• Maintain effective communication with the Emergency Department leadership team regarding patient care, operational concerns, and quality issues.
• Support a culture of teamwork, respect, accountability, continuous improvement, and patient-centered care.
• Attends mandatory education and contributes to a culture of clinical excellence and accountability.

Finance

• Complete accurate and timely documentation to support appropriate coding, billing, reimbursement, and regulatory requirements.
• Support efficient Emergency Department throughput while maintaining patient safety and quality of care.

Growth

• Identify opportunities to improve patient flow, reduce unnecessary delays, and increase appropriate utilization of Emergency Department resources.
• Collaborate with Emergency Department leadership and medical staff to identify opportunities for service expansion and improved patient access.
• Build strong working relationships with EMS, primary care, specialty services, community healthcare organizations, and referral partners.
• Promote positive patient experiences that support patient confidence in JRMC's Emergency Department and healthcare services.
• Participate in community education, outreach, and healthcare initiatives as appropriate.
• Maintain current knowledge of emerging…