APP Hospitalist

Rolling Plains Memorial Hospital; Sweetwater (TX); On-site; USD 110,000 - 170,000; Full time

Job summary

Rolling Plains Memorial Hospital seeks an Advanced Practice Provider to join its hospitalist team. The APP will evaluate, diagnose, and manage acutely ill inpatients, coordinating care with physicians and multidisciplinary staff.

Responsibilities include rounds, discharge planning, and patient education, while adhering to hospital policies and state regulations. The role emphasizes evidence-based practice, safety, and quality improvement in a busy inpatient setting with opportunities for

Qualifications

• Master’s or Doctorate in Nursing or PA program graduate.
• Current Texas APRN or PA License, DEA Registration, Texas CS Registration.
• BLS and ACLS required; FCCS/ATLS preferred.
• 1–3 years hospitalist or inpatient medicine experience preferred.

Responsibilities

• Provide direct inpatient care with daily rounds and progress documentation.
• Evaluate, diagnose, and treat hospitalized adults with acute and chronic illness.
• Coordinate admissions from the Emergency Department and manage transitions of care.
• Develop evidence-based treatment plans and adjust as needed.
• Collaborate with multidisciplinary team and participate in rounds.

Skills

Clinical assessment

Critical thinking

Communication

Documentation

Teamwork

Clinical judgment

EMR proficiency

Education

Nurse Practitioner Master’s or Doctorate in Nursing

Physician Assistant graduate

Job description

Position SummaryThe Advanced Practice Provider (APP) Hospitalist provides high-quality, evidence-based inpatient medical care in collaboration with the supervising physician(s). The APP evaluates, diagnoses, treats, and coordinates care for hospitalized patients while promoting safe, efficient, patient-centered care. Responsibilities include managing acute and chronic medical conditions, participating in multidisciplinary rounds, facilitating discharge planning, and supporting quality improvement initiatives.The APP practices within the scope defined by state regulations, hospital bylaws, credentialing requirements, and collaborative practice agreements.Essential Duties and ResponsibilitiesDirect Patient CarePerform comprehensive history and physical examinations.Evaluate and manage hospitalized adult patients with acute and chronic illnesses.Develop and implement evidence-based treatment plans.Order, interpret, and act upon laboratory, imaging, and diagnostic studies.Prescribe medications and therapies within scope of practice.Perform daily inpatient rounds and document patient progress.Respond to changes in patient condition and initiate appropriate interventions.Coordinate admissions from the Emergency Department and direct admissions as assigned.Participate in discharge planning to ensure safe transitions of care.Provide patient and family education regarding diagnoses, treatment plans, medications, and follow-up care.Care CoordinationCollaborate with hospitalists, specialists, nursing staff, pharmacists, therapists, case management, and ancillary departments.Participate in multidisciplinary rounds.Communicate effectively with consulting physicians and primary care providers.Assist in reducing unnecessary length of stay while maintaining quality outcomes.Facilitate timely consultations and diagnostic testing.DocumentationComplete accurate, timely, and compliant documentation in the electronic medical record.Ensure documentation supports medical necessity, coding accuracy, and regulatory requirements.Complete discharge summaries and transition documentation as appropriate.Quality and SafetyFollow evidence-based clinical guidelines.Participate in quality improvement initiatives.Support hospital goals related to:ReadmissionsLength of stayHospital-acquired conditionsPatient safetySepsis managementCore measuresParticipate in peer review and performance improvement activities.Professional ResponsibilitiesMaintain required licensure and certifications.Participate in continuing education.Maintain collaborative relationships with physicians and clinical staff.Participate in department meetings and educational conferences.Procedures as indicated with appropriate credentialing and approved privilegesQualificationsEducationNurse PractitionerMaster's or Doctorate in Nursing from an accredited programORPhysician AssistantGraduate of an accredited Physician Assistant programLicensureCurrent Texas APRN or PA LicenseDEA RegistrationTexas Controlled Substance RegistrationCertificationsRequired:BLSACLSPreferred:FCCSATLSExperienceOne to three years of hospitalist or inpatient medicine experience preferred.Experience managing adult medical patients.Knowledge, Skills and AbilitiesStrong clinical assessment skillsCritical thinking and clinical judgmentAbility to independently manage complex medical patients within scopeExcellent communication skillsTeam-oriented approachStrong documentation skillsKnowledge of evidence-based medicineFamiliarity with CMS quality measuresEMR proficiencyPhysical RequirementsFrequent standing and walkingAbility to lift up to 35 poundsAbility to respond rapidly to emergenciesManual dexterity sufficient for procedures and documentationWork ScheduleTypical Schedule:Weekday and Weekend 8-hour days. Typically 8am-5pmHoliday coverage will be requiredOccasional night coverage if requiredPerformance ExpectationsThe APP Hospitalist will be expected to achieve performance standards including:Average documentation completion within 24 hours.Completion of discharge summaries within 72-hours of discharge.Participation in multidisciplinary rounds.Compliance with evidence-based clinical pathways.Support organizational goals for:Reduced length of stayReduced re-admissionsAppropriate utilizationPatient satisfactionQuality metricsSepsis bundle complianceMedication reconciliation complianceScope of PracticeThe APP Hospitalist functions under the supervision of the CMO in accordance with:Texas Board of Nursing or Texas Medical Board regulationsHospital Medical Staff BylawsCollaborative Practice Agreement (NP)Delegation Agreement (PA)Hospital credentialing and privileging policies