Nurse Practitioner or Physician Assistant - Hospital Medicine

Position Summary

Nurse Practitioners and Physician Assistants (Advanced Practice Providers – APPs) in the division of Hospital Medicine provide care for hospitalized patients at Barnes‑Jewish Hospital, Barnes‑Jewish West County Hospital, and The Rehabilitation Center of St. Louis. APPs collaborate individually with physicians from the WashU Medicine Division of Hospital Medicine. APPs provide care for patients of varying complexity and occasionally in the event of a clinical deterioration.

At all times, a hospitalist physician is available for consultation and involvement in patient care. No outpatient or ambulatory care is required. While working closely with division physicians, APPs will be expected to operate with substantial clinical autonomy. Candidates should be familiar with the provision of inpatient care and proficient in acute care medicine. Acute Care certification for Nurse Practitioners is not required, but is strongly preferred.

The position provides primary and/or specialty nursing and/or medical care in a variety of settings; works under physician oversight as required by state regulation, and functions within the scope of practice defined by the specialty certification, BJH medical by‑laws, and, where it exists, the collaborative practice agreement. The division has opportunities for day, evening, and night shifts. APPs are generally scheduled in 7 on/7 off rotations, Monday‑Sunday, 7a‑7p.

Other opportunities for shift‑based schedules are available. Base requirement is an average of fourteen (14) shifts per calendar month.

• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs, and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient‑centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition.
• May bill for services covered by collaborative practice agreement.
• Provides counseling and education of patients and their families/caregivers concerning disease management, complication prevention, disease prevention, quality of life improvement measures, and outcome management activities.
• Monitors and ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc.
• Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards.
• Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations.
• Champions the safety and quality of care for patients using ITB therapy and serves as an expert in the care and management of ITB pumps. Helps develop a detailed educational program for the patients and lead the quality and safety initiative for the program.
• Serves as clinical expert regarding rehabilitation nursing while demonstrating a high level of autonomy and expert skill in complex clinical nursing situations.
• Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education.
• Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards.
• Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence‑based patient care.
• Enhances professional growth and development through educational programs, current literature, in‑service meetings and workshops.
• Contributes to the advancement of the rehabilitation nursing profession as a whole through research, publications, and presentations.
• Performs other duties as assigned.