APP I, Primary Care - Prestonsburg

KDMC Ashland Hospital Corporation; Prestonsburg (KY); On-site; USD 95,000 - 130,000; Full time

Job summary

UK King’s Daughters seeks an APP who delivers direct, high-quality, patient-centered care for routine to moderately complex conditions. The role requires independent clinical judgment, collaboration with senior professionals, and commitment to ongoing learning and certification.

Located in Prestonsburg, KY, this full-time position emphasizes documentation, regulatory compliance, and active participation in quality improvement and system-wide initiatives.

Qualifications

• Master’s Degree in a Nurse Practitioner Program, Physician Assistant Program, or similar advanced clinical education.
• Ability to work with minimal supervision and exercise independent judgment daily.
• Willingness to pursue ongoing education and board certification.

Responsibilities

• Provide direct, high-quality patient-centered care for routine to moderately complex conditions.
• Exercise independent judgment in patient care processes and clinical decision-making.
• Collaborate with senior professionals to develop clinical methods and improve practice.
• Maintain accurate electronic medical records in accordance with policy.
• Participate in quality improvement, patient safety, and regulatory compliance initiatives.

Skills

Clinical care

Independent judgment

Team collaboration

Communication

Quality improvement

Regulatory compliance

Documentation

Education

Master’s degree (NP/PA)

Job description

Job Description

At UK King's Daughters, we’re not just a healthcare facility — we’re a family of dedicated professionals who share a passion for making a meaningful difference in the lives of our patients. We’re more than just a place to work; we’re a place to grow, thrive, and contribute to our community.

APPI Job Summary

Responsible for providing direct, high-quality, patient-centered care for patients with routine to moderately complex conditions. This professional utilizes specialized knowledge in their medical or technical field to interpret data and determine appropriate diagnostic and therapeutic procedures. The APP I work under minimal supervision, exercising independent judgment on moderately complex issues while contributing to the advancement of organizational goals.

Essential Functions

• Provide comprehensive clinical care for patients with routine to moderately complex needs, utilizing specialized knowledge to interpret clinical data and determine appropriate interventions.
• Exercise independent judgment regarding patient care processes and moderately complex issues.
• Modify patient care approaches and processes with management approval as needed.
• Proactively pursue opportunities for educational advancement to meet identified personal and certification needs.
• Engage in continuous learning to maintain clinical competencies.
• Collaborate with senior professionals to develop clinical methods, techniques, and analytical approaches.
• Anticipate moderately complex clinical scenarios, developing and discussing potential solutions with management.
• Identify opportunities for management regarding process and quality improvement, including the development of new clinical services for the specific discipline.
• Adherence to department-specific clinical guidelines, schedules, volume expectations, and equipment utilization as directed by clinical leadership and departmental policy.
• Actively participate in the maintenance of quality improvement initiatives, peer review processes, and patient safety protocols.
• Ensure full compliance with regulatory standards (e.g., Joint Commission, CMS) and organizational policies.
• Maintain accurate, timely, and thorough electronic medical records within the organization’s platform.
• Ensure all documentation meets billing, coding, and legal requirements.
• Work effectively within a multi-disciplinary care team, including nursing, allied health, and clinical leadership.
• Provide clear, empathetic communication to patients and their families regarding diagnoses and treatment plans.
• Engage in ongoing learning to maintain board certification, licensure, and clinical competencies.
• Participate in departmental meetings and contribute to clinical practice improvements.
• Uphold the values of the organization, fostering an environment of inclusivity, safety, and operational efficiency.
• Participate in system-wide initiatives and support the successful integration of new clinical workflows.
• Adherence to department‑specific clinical guidelines, call schedules, volume expectations, and equipment utilization as directed by clinical leadership and departmental policy.

Education Requirement

Master’s Degree in a Nurse Practitioner Program, Physician Assistant Program, or other specialized clinical advanced education (e.g., Midwifery, Anesthesia)

Experience Requirement

Demonstrated ability to work under minimal supervision and utilize independent judgment in daily practice. An equivalent combination of education and experience may be considered. All experience must be paid and in the same related field. Part‑time and PRN experience will be prorated based on hours worked per week. Volunteer work and internships for academic credit are not counted.

Certifications & Licensures

Current, unrestricted specialty license/certifications as applicable to the job. Active and unrestricted as a Registered Nurse and Nurse Practitioner or Physician Assistant in the State of Kentucky (Ohio, if applicable). National Board Certification in the relevant specialty, if applicable. Certifications in BLS, PALS, and ACLS, if applicable.

Working Conditions

• A. Lifting, pushing, and/or pulling objects up to 50lbs:2. Occasional (< 10% of the time)
• B. Lifting, pushing, and/or pulling objects over 50lbs:1. Never
• C. Standing or walking with objects up to 10lbs:3. Intermittent (10% - 50% of the time)
• D. Standing or walking with objects up to 25lbs:2. Occasional (< 10% of the time)
• E. Sitting at computer workstation for extended periods:3. Intermittent (10% - 50% of the time)
• F. Risk of back injury from moving, lifting, or positioning patients, equipment, or materials:2. Occasional (< 10% of the time)
• G. Repetitive motion:3. Intermittent (10% - 50% of the time)
• H. Working at heights above 4 feet:1. Never
• I. Working in confined spaces:1. Never
• J. Risk of injuries from use of equipment on the job:2. Occasional (< 10% of the time)
• K. Job‑related travel:1. Never
• L. Loud noises:2. Occasional (< 10% of the time)
• M. Temperature extremes:2. Occasional (< 10% of the time)
• N. Hazardous chemicals and fumes including waste:2. Occasional (< 10% of the time)
• O. Radiation:1. Never
• P. Burns:1. Never
• Q. Cuts/Punctures:2. Occasional (< 10% of the time)
• R. Bloodborne/airborne pathogens: 3. Intermittent (10% - 50% of the time)
• S. Recombinant DNA or viral vectors:1. Never
• T. Combative/violent people:2. Occasional (< 10% of the time)
• U. Animal handling (including carcasses):1. Never
• V. Please specify other(s) and amount of exposure (i.e. Occasional, Intermittent or Regular):N/A

Physical Demands

This position requires intermittent sitting at a computer workstation for extended periods of time; performing tasks with repetitive motions (such as typing or patient care); intermittent standing or walking with objects weighing up to 10 pounds; and occasionally standing or walking with objects up to 25 pounds; and lifting, pushing, and/or pulling objects weighing up to 50 pounds. Also involves some exposure to risk of injury from moving, lifting, or positioning patients or equipment; and occasional exposure to hazardous chemicals and fumes including waste, cuts/punctures, and intermittent exposure to bloodborne or airborne pathogens.

Additional Job Descriptions

N/A

Location and Schedule

Department: Prestonsburg Family Care Shift: Day (United States of America) Time Type: Full time Address: 1279 Old Abbott Mountain Road City, State: Prestonsburg, Kentucky

About Our Culture

Our growth is creating opportunities! Our team is expanding, and we want to hire the most talented people we can. Continued success depends on it!

Our Work Experience is the combination of everything that’s unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it’s our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful.