Advanced Practice Provider - Palliative Care​/Hospice, PRN

Job Summary

Under Physician supervision, the Physician Assistant and/or Nurse Practitioner may assume primary responsibility in their respective specialty area according to federal, state, and local regulatory agencies. Responsible for management of selected at‑risk or complex patients and aggregate patient populations in collaboration with physicians, nurses, and other healthcare team members. Must demonstrate knowledge, critical thinking, and skills to plan, coordinate, and provide care on a continuing basis.

• Blended inpatient/outpatient practice; spends more than 20% in both the outpatient and inpatient settings.
• Acts as an agent of the supervising physician for medical services that are delegated within the Advanced Practice Clinician's scope of practice.
• Assesses, diagnoses, treats, and manages patients’ healthcare problems/needs.
• Applies clinical interventions, evaluates outcomes, and implements changes to the plan of care.
• Anticipates and communicates changes in patient status to meet the needs of the patient.
• May share in practice call requirements.
• May perform procedures in the practice; no operating room or first‑assist requirement.
• Completes thorough, timely documentation in accordance with facility policy.
• Complies with scope of care under the guidance of federal, state, and/or local regulatory agencies.
• Complies with scope of care under the guidance of the supervising physician and/or protocols.
• Consistently demonstrates appropriate referral and/or transfer of patients to another facility.
• Demonstrates a thorough and current knowledge of disease processes while conducting a comprehensive health history and physical examination or problem‑focused assessment depending on patient status.
• Demonstrates appropriate referrals and/or provides referral information to the patients and physicians.
• Orders appropriate tests, procedures, and therapies in collaboration with medical staff based on relevant organizational and unit‑specific policies and procedures.
• Performs and documents ongoing patient assessment and formulates plan of care in collaboration with other medical providers.
• Recognizes physical, developmental, and psychosocial distress of patient and family, and provides appropriate interventions.
• Responds appropriately to emergency situations, basing patient management decisions on individual patient needs.
• All other duties as assigned.

• Required: In South Dakota – Certified Nurse Practitioner (CNP) – South Dakota Board of Nursing or Physician Assistant (PA) – South Dakota Board of Medical and Osteopathic Examiners
• Required: In Wyoming – Certified Nurse Practitioner (CNP) – Wyoming State Board of Nursing or Physician Assistant (PA) – Wyoming Board of Medicine
• Preferred: 1+ year clinical experience
• Preferred: 1+ year healthcare experience

• Light work – exerting up to 20 pounds of force occasionally, up to 10 pounds of force frequently, or a negligible amount of force constantly to move objects.

Job Category:
Clinical Care
Job Family:
Advanced Practice Provider
Department: RCH Palliative Care

Schedule:

Regular – weekly hours not specified

Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.