Nurse Practitioner

Missoula Bone & Joint Surgery Center; Montana; On-site; USD 110,000 - 148,000; Part time

Job summary

Missoula Bone & Joint Surgery Center in Missoula, MT is hiring a TPD Advanced Practice Provider (NP/PA) to support pre-op evaluations and collaborate with Total Joint, Spine and Anesthesia teams. This onsite, per diem role offers a variable schedule and the opportunity to build lasting patient relationships.

The position requires NP or PA certification (ANCC/AANP or NCCPA), 4+ years of experience, and ability to practice independently within scope.

Qualifications

• Graduate-level Advanced Practice Provider education completed.
• NP or PA certification from ANCC/AANP or NCCPA is required.
• Minimum 4 years of experience, ability to practice independently within scope.

Responsibilities

• Perform health histories and physical examinations for planned outpatient procedures.
• Coordinate care with Total Joint, Spine, and Anesthesia teams.
• Review charts and Pre-Admission Evaluation data for surgery.
• Educate patients and families about procedures and recovery.

Education

Graduate of an Accredited Advanced Practice Provider School

ANCC/AANP NP certification or NCCPA PA certification

Job description

Join us for an exciting opportunity at Missoula Bone & Joint and Surgery Center in vibrant Missoula, MT! As a TPD (Temporary Per Diem) Advanced Practice Provider, you will work a variable schedule (days and hours) providing pre-op appointments and working closely with our Total Joint and Spine Teams. The hourly wage range for this role is $53.00 - $71.00. This onsite position offers the opportunity to build lasting relationships with patients and make a meaningful impact on their recovery journey, while enjoying a schedule designed to fit your lifestyle. No weekends, no holidays, and no call required.With a culture that values fun and flexibility, you'll find every day rewarding and fulfilling. This is your chance to advance your career all within a supportive and customer-focused atmosphere. Don't miss the opportunity to join us!Hello, we're Missoula Bone & Joint and Surgery CenterCome Join the Missoula Bone & Joint and Surgery Center Team! Culture, development, collaboration, and an energetic team atmosphere are a few of the great things Missoula Bone & Joint has to offer. Winners of the Top Employers Award four years running and known as Becker's 150 Greatest Places to work in healthcare proves this is a great company with professionalism and down-to-earth personalities from management, providers and staff.Are you excited about this Advanced Practice Provider job?As an TPD Advanced Practice Provider, you will work closely with our Total Joint, Spine, and Anesthesia teams to perform health histories, physical examinations and careful chart reviews of patients having a planned outpatient surgical procedure. Your commitment to excellence and problem-solving will shine in every patient interaction.What matters mostCandidates must possess a robust skill set and relevant credentials. This role is for a Nurse Practitioner or Physician's assistant with a minimum of 4 years of experience (ability to practice independently within scope.)Position requires:Graduate of an Accredited Advanced Practice Provider School.Nurse Practitioner Certification from ANCC or AANP or Physician Assistant Certification from NCCPA requiredAt least one (1) year, and preferably three (3), of internal medicine experience required. Preference will be given to candidates with a history of experience in a perioperative medicine/PAE/PAT/OR or Orthopedic settingBLS CertificationApply Today!Missoula Bone & Joint Surgery CenterJob Description: Nurse PractitionerTitleNurse PractitionerMain functionServes as a healthcare provider to Missoula Bone & Joint and Surgery Center patients primarily in an outpatient setting. Outpatient clinical responsibilities include evaluation and management of patients, Pre-Admission Testing (PAT) evaluation of patients in preparation for surgery, and discharge process for same day patients.Duties andresponsibilities1. PhilosophySupports the facility’s ideology, mission, goals, and objectivesPerforms in accordance with the facility’s policies and proceduresFollows the facility’s standards for ethical business conductRecognizes patients’ rights and responsibilities and supports them in performance of job dutiesParticipates in facility committees, meetings, in-services, and activitiesSeeks out additional assignments and duties2. Work QualityPerforms duties in an accurate and organized mannerAdheres to policies and procedures in performance of dutiesEnsures knowledge of job and asks questions when unsureCompletes duties within appropriate timeframes3. Personal AttributesShows initiative and dependability including punctuality and attendanceDisplays good judgmentCooperates and is flexibleFollows appropriate dress code presenting a professional image4. Customer ServiceFosters a culture of outstanding patient service showing courtesy in interactions with patients, physicians and co-workersPresents good telephone skillsResponds promptly to patient needs and co-worker requests5. Communication and TeamworkExpected to be a positive and responsible team member with a good attitudePresents good oral and written communication (documentation) skillsSafety/Risk ManagementAdheres to safety policies and procedures in performing job duties and responsibilitiesMaintains responsibility for safe work area by reporting observed or suspected safety violations, hazards, and policy/procedure noncomplianceResponds to emergency situations with competence and composureReports observed or suspected medical emergencies, notifies appropriate personnel, and responds appropriatelyProfessional competenceParticipates in continuing education and other learning experiencesShares knowledge gained in continuing education with staffSeeks new learning experiences by accepting challenging opportunities and responsibilitiesWelcomes suggestions and recommendationsMaintains current CPR certificationAnalyzes work area and makes recommendations for potential cost-effective improvementsNurse Practitioner dutiesPerforms history, physical examination, and careful chart review of patients having a planned outpatient surgical procedure including evaluation of the pre-existing medical record, collation and/or ordering of needed lab studies and other tests, and a final assessment of the medical state and overall fitness for the planned procedure to be relayed to the anesthesia team and the primary surgeonParticipates in the preparation of patients for surgery by coordinating care, testing, education, and support for surgical patients during a patient appointmentAssessing and documenting the patient’s medical historyIntegrating clinical findings of the history and physical with accurate clinical knowledge to adequately screen the patient for the procedure and anesthesia modalitiesWorks with pre-admission RNs to identify and personally consult on patients at higher risk of adverse events from the planned operation or anestheticOrders diagnostic tests pertinent to the clinical situation and standard Pre-Admission Evaluation guidelines: Interprets the results of tests, as a component of the perioperative evaluation including but not limited to: discovery or identification of a disorder or disease which may affect anesthetic safety. Verifies an already known disease, disorder, or medical condition or alternative therapy which may affect anesthetic care.Communicates medical assessment with the attending surgeon and anesthesia providerConsults with other healthcare providers i.e. PCP, cardiology, and/or pulmonologyConsults with the anesthesia provider and the surgeon concerning recommendations for rescheduling or canceling the surgical procedureCommunicates with referring or primary care provider regarding patient care and treatmentPrescribes appropriate pharmacologic and non-pharmacologic modalities to accomplish the plan of treatmentProvides patient education to patients and their families about the planned procedure, the experience of both outpatient or home-based convalescence and recovery, and provides counseling on clinical protocols such as enhanced recovery paradigms and narcotic-sparing multimodal analgesiaMaintains patient confidentiality.Responds to medical emergencies, including use of CPRAdheres to infection control/safety guidelines (OSHA)Compliance with patient confidentiality (HIPAA) and Red Flag RulesOther duties as assignedQualificationsCooperative work attitude toward co-employees, management, patients, visitors, anesthesiologists, and physiciansAbility to promote favorable facility image with physicians, patients, hospitals, other physician offices, and general publicAbility to make decisions and solve problemsWork effectively as team member with physicians and other staffAppropriately interact with patients, families, and othersAbility to flexibly respond to changing demandsMust have a flexible work schedule with the ability to work early/late as neededRequirementsCurrent Montana NP license (ability to obtain)Current DEA registration and Controlled Substance Registration certificate requiredGraduate of an Accredited Nurse Practitioner SchoolCertification through the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners Certification Board (AANP) requiredAt least one (1) year, and preferably three (3), of internal medicine experience required. Preference will be given to candidates with a history of experience in a perioperative medicine/PAE/PAT/OR or Orthopedic settingCandidate is required to have previous experience in medical and perioperative risk stratification and the ability to develop evidence-based strategies to optimize patient’s condition and minimize the risk of adverse peri-op eventsCurrent BLS certification requiredGood communication skillsGood computer skillsStrong ethical and moral character referencesJob qualityrequirementsAccuracyAttention to detailTimelinessOrganizationLittle supervision needed to accomplish tasksAbility to multi taskAppropriate assessment and assistance techniquesAppropriate use of universal precautions, safe workplace and confidentiality methods.Health information management by appropriately charting patient data.Understanding of patient education needs by effectively sharing information with patients and families.DependabilityAttendancePunctualityAbility to follow instructionsAbility to meet deadlinesPhysical/mental requirementsVaried activities including sitting, standing, walking, stooping, lifting, bending, reachingMust be able to use appropriate body mechanics techniques when making necessary patient transfers and helping patients with walking, dressing, etc. Must be able to lift up to 30 pounds. Requires full range of motion in all extremities, neck and back, manual dexterity, hand-eye coordination.Occasional stress from workload and dealing with tense patientsMust be able to use a variety of office equipment including phone, copy machine, writing instruments, pc, fax and medical equipment including stethoscope, ECG, blood pressure cuff, and cast saw equipment.Working conditions(environmental)Well lit and ventilated, with non-hazardous and hazardous equipmentMedical office, exam room, operating room and hospital in-patient settings. Frequent exposure to communicable diseases and other conditions common to clinic and hospital. Frequent contact with variety of people/patients.Reports toPA/NP SupervisorSupervisesNot applicableContactsPatientsPatients’ family/significant othersPhysicians and physician office personnelAdministrationMedical directorFormal linesof promotionNoneAll positions with Missoula Bone & Joint are to use due care in the use and communication of patients’ protected health information. It is every employee’s principal job function to ensure patient confidentiality and failure to maintain confidentiality may, and will, result in sanction and/or discharge.