Hospital Medicine Southeast - APP Nights 7p-7a

Job Summary

Responsible for providing comprehensive patient care congruent with role and approved population foci (Family/Individual across lifespan, Adult/Gerontology, Neonatal, Pediatrics, Women’s Health/Gender Related, and Psychiatric Mental Health) through systemic assessment, diagnosis, treatment, management, and follow‑up affecting direct patient care.

Minimum Qualifications

• Education – Nurse Practitioner / Advanced Practice Nurse: Graduate of a Nurse Practitioner program approved by the State of Texas; Masters of Nursing required.
• Licenses/Certifications – Nurse Practitioner: Licensed to practice professional nursing as an Acute Care Nurse Practitioner by the State of Texas; APRN licensure by the State of Texas; eligibility for full prescriptive authority by the State of Texas; certified by a recognized national certification board in the area of population foci and/or additional specialty recognition; eligibility for DEA licensure; Basic Cardiac Life Certification or Advanced Cardiac Life Certification.
• Education – Physician Assistant: Graduate of a nationally accredited Physician Assistant program; Masters of Nursing strongly preferred.
• Licenses/Certifications – Physician Assistant: Certified by the National Commission on Certification of Physician Assistants, Inc.; Licensed by the Texas State Board of Physician Assistant Examiners; eligibility for DEA licensure; Basic Cardiac Life Certification or Advanced Cardiac Life Certification.
• Experience / Knowledge / Skills: Two (2) years clinical experience preferred in area of intended practice.

Principal Accountabilities

• Provides health promotion and the assessment, diagnosis, and management of patient problems, including pharmacologic and non‑pharmacologic interventions, assessment, triage, and therapeutic management throughout the disease process and health‑wellness continuum as part of an interdisciplinary team.
• Acts under the delegation of a supervising physician for prescriptive authority, maintaining an active Prescriptive Authority agreement in accordance with regulations and policy.
• Practices within approved protocols, guidelines, clinical pathways, and evidence‑based medicine.
• Ability to float, round to multiple facilities and/or take call (first call).
• Provides accurate billing, coding and documentation; completes medical records and submits charges in a timely manner.
• Responsible for overall unit performance in collaboration with physicians or other providers.
• Obtains medical histories; performs physical examinations; reviews, orders, and interprets diagnostic tests and radiographic results; formulates and manages patient treatment plans and outcomes; performs procedures within legal scope such as incision and drainage, pelvic exams, lesion removal/destruction, suturing, and casting/splinting.
• Collaborates in the development and evaluation of patient care; updates clinical guidelines, protocols, and pathways; works autonomously and accepts accountability for outcomes; signs orders per institution and state board requirements; participates in research and teaching projects and applies research to practice.
• Attends and actively participates in hospital multidisciplinary rounds for patients where the hospitalist service is primary or co‑management/consultative.
• Covers Code Blue and Rapid Responses in accordance with campus code committee recommendations.
• Provides admission services for the Emergency Department, incoming transfer patients, and direct or emergent admissions per on‑call schedule and patient assignment guidelines.
• Provides co‑management services for subspecialty services within scope and privileges of the hospitalist provider.
• Provides consultative services for members of the Medical Staff within scope and privileges.
• Accepts transfers of care from other clinical service lines when appropriate, ensuring physician‑to‑physician hand‑off communication.
• Provides transfer center call for incoming non‑critical care medical patients per on‑call schedule.
• Provides timely evaluation of admitted patients in accordance with Medical Executive Committee bylaws.
• Adheres to hospital tenets, guidelines, and bylaws; provides internal sign‑out at transitions of care consistent with standards of care.
• Participates in nursing and staff education when solicited by CNO, CMO, or COO.
• Responds to clinical queries in a timely fashion.
• Documents History and Physicals within 12 hours and Discharge Summaries within 48 hours of discharge order.
• Maintains current understanding of the regulatory environment related to status patients consistent with national guidelines.
• Provides post‑discharge coverage for appropriate home health orders for up to 2 weeks or until primary‑care follow‑up.
• Encourages in‑network utilization of resources for continuity of care unless specified otherwise.
• Responds promptly to pages and callbacks from nursing staff unless patient safety or experience would be impacted.
• Provides additional coverage in emergencies or