APP Hospitalist Nocturnist

Position Summary: The Advanced Practice Provider (APP) in the Nocturnist Hospitalist role manages health problems and coordinates health care in intensive care or acute care in-patient settings with expanded coverage during the night shift hours. These APPs deliver patient care and medical services to individuals, families and groups by utilizing standards of care in accordance with State and Federal rules and regulations.

Responsibilities

• All worked hours must occur during the standard “12-hour night shift hours” (e.g., 6pm to 6am or 7pm to 7am), including supplemental or “as needed” shifts.
• May be expected to attend staff meetings or other required meetings outside of these hours.
• Perform the professional, clinical, and technical competencies of the assigned unit/setting.
• Evaluate medical problems of clients and request specialty consultations when indicated.
• Provide education to patients and/or families about preventive care, medical issues, and prescribed treatments/medications.
• Create diagnostically appropriate treatment plans.
• Document all medical evaluation, diagnoses, procedures, treatments, outcomes, education, referrals, and consultations consistent with NCQA, The Joint Commission, state regulatory standards, and evidence-based standards of care.
• Maintain documentation compliance for appropriate coding and billing.
• Facilitate evaluation of records by physician(s), peers, and quality standards; receive and implement constructive directives.
• Refer complex and high-priority cases to collaborating physician for complicated diagnostic problems, serious illness, therapeutic issues, and chronic conditions.
• Provide medical and emergency interventions; prescribe and monitor medications; order and monitor emergency interventions.
• Maintain collegiality with all members of the inter-disciplinary team.
• Utilize appropriate chain-of-command and communicate with Program Director, APP Director, and Medical Director regarding clinical issues; contribute to quality or process improvement.
• Perform other duties as assigned.

Requirements

• Master's Degree in Physician Assistant or Master's Degree in Nursing (Advanced Practice) from an accredited program or Doctor of Nursing Practice from an accredited program.
• Previous APRN or PA experience preferred.

Qualifications

• Licensed Physician Assistant (PA) – State Board of Healing Arts or Advanced Practice Registered Nurse (APRN) – State Board of Nursing (current license for Kansas and/or Missouri, depending on practice location).
• Advanced Cardiac Life Support (ACLS) – American Heart Association (AHA) if working in the ICU.
• Basic Life Support Heartsaver (BLS HS) – American Heart Association (AHA).
• Advanced practice certification required (APRNs may obtain within one year of hire). Specific certification may be required depending on specialty:
  • Adult-Gerontology Acute Care Nurse Practitioner Certification (AGACNP-BC) – American Nurses Credentialing Center (ANCC) required for ICU positions.
  • Non-certified AG-ACNP may be considered if they have extensive ICU experience as an RN and agree to complete a post-master’s AG-ACNP certificate program within 2 years of hire.

Schedule

• Full time, night shift (12-hour shifts, e.g., 6pm to 6am or 7pm to 7am).