Nurse Practitioner or Physician Assistant - Emergency Medicine

Location: Saint Louis, MO 63110 | Scheduled Hours: 40

About the role

The Emergency Medicine Nurse Practitioner/Physician Assistant (NP/PA) provides direct patient care in the Emergency Department and will be assigned to at least one site. Providers may also be credentialed to practice at additional emergency departments within the system, including Barnes-Jewish Hospital, Barnes West County Hospital, Missouri Baptist Medical Center, Christian Hospital Northeast, Christian Hospital Northwest Healthcare, Barnes-Jewish St. Peter's Hospital, and Progress West Hospital. Emergency Medicine Physicians are available on-site 24 hours a day, 7 days a week, at all locations. Our clinical sites are a mix of academic and community settings that allow for vast learning opportunities from diverse patient populations.

Responsibilities

• Provides direct patient care to include obtaining patient history, performing patient assessment via observation, interview and examination; orders, performs and interprets diagnostic studies; performs preventative health assessments, screenings, immunizations and care; provides direct treatment and management of acute and chronic disease conditions; develops and implements patient-centered plan of care in collaboration with physicians, patients, consultants, nurses, ancillary care providers and others as appropriate to the patient's condition.
• May bill for services covered by collaborative practice agreement.
• Provides counseling and education of patients and their families/caregivers concerning disease management, complication prevention, disease prevention, and quality of life improvement measures, and outcome management activities.
• Monitors/ensures accuracy of patient medical records; maintains all required reports, records, statistics, etc.
• Maintains a safe, comfortable and therapeutic environment for patients/families in accordance with established clinic/hospital standards.
• Manages health conditions via prescriptive authority or referral to other healthcare providers or community resources; may perform diagnostic or therapeutic interventions consistent with certification and state regulations.
• Champions the safety and quality of care for patients using ITB therapy and serves as an expert in the care and management of ITB pumps. Helps develop a detailed educational program for the patients and lead the quality and safety initiative for the program.
• Serves as clinical expert regarding rehabilitation nursing while demonstrating a high level of autonomy and expert skill in complex clinical nursing situations.
• Provides management services for clinical research study projects; monitors participating subjects, including medication administration and family/patient education.
• Works in accordance with established departmental policies and procedures, objectives, quality assurance programs, and safety, environmental and infection control standards.
• Regularly participates in constant quality improvement and process improvement activities centered on the goal of providing exceptional, evidence-based patient care.
• Enhances professional growth and development through educational programs, current literature, in-service meetings and workshops.
• Contributes to the advancement of the rehabilitation nursing profession as a whole through research, publications, and presentations.
• Performs other duties as assigned.

Requirements

• Master's degree.
• Basic Life Support certification (American Heart Association or American Red Cross).
• Advanced Cardiac Life Support (online certifications without a skills assessment component are not sufficient).
• For Nurse Practitioners: Master of Science in Nursing with emphasis in the Nurse Practitioner program; Advanced Practice Nurse licensure (or ability to obtain within three months of hire).
• For Physician Assistants: Graduate of PA program; current PA licensure to practice in Missouri and/or Illinois (or ability to obtain within three months of hire).

Preferred Qualifications

• Minor procedural skills (e.g., suturing, abscess drainage, basic splinting).
• Emergency Nurse Practitioner/Physician Assistant or Certificate of Added Qualification in Emergency Medicine.
• 2 or more years of practicing in an emergency department setting.
• Master's degree in Nurse Practitioner or Physician Assistant Studies.
• Advanced Practice Nurse (APN) or Certified Nurse Practitioner licensure in Missouri or Illinois.
• Physician Assistant licensure in Missouri or Illinois.

Skills

• Adaptability
• Clinical Decision Making
• Clinical Diagnostics
• Communication
• Customer Empathy
• Detail-Oriented
• Disease Management
• Epic EHR
• Family Support
• HIPAA Compliance
• Interpersonal Communication
• Interpersonal Relationships
• Multitasking
• Organizing
• Patient Care
• Patient Education
• Patient Evaluations
• Patient Management
• Pharmacology
• Preventive Care
• Teamwork
• Time Management

Working Conditions

• May require working shifts at all clinical sites (Barnes-Jewish, Missouri Baptist, Barnes West County, Christian Northeast Hospital, Christian Northwest Healthcare, Barnes-Jewish St. Peter’s Hospital, and Progress West hospitals).
• May require caring for a broad range of patient acuity, from low to moderate, with potential for complex or higher acuity patients.
• Normal office environment.
• Exposure to blood-borne pathogens and chemicals.
• Requires use of protective devices.
• Exposure to dust, dirt, grease, or other disagreeable elements.
• Patient care setting.

Physical Effort

• Typically sitting at desk or table.
• Typically standing or walking.
• Typically bending, crouching, stooping.
• Using tools requiring high dexterity.
• Occasional lifting (25 lbs or less).
• Use of office, lab/research, and clinical/diagnostic equipment.

Pay

Salary Range: $97,000.00 - $174,600.00 / Annually. Emergency Medicine Specialization Supplement available commensurate with years of experience worked in Emergency Medicine (this is a supplemental payment in addition to the base salary).

Schedule

Variable work schedule which includes day, night, and weekend shifts.

Benefits

• Up to 22 days of vacation, 10 recognized holidays, and sick time.
• Competitive health insurance packages with priority appointments and lower copays/coinsurance.
• Free Metro transit U-Pass for eligible employees.
• Defined contribution (403(b)) Retirement Savings Plan with 7-10% university matching.
• Wellness challenges, annual health screenings, mental health resources, mindfulness programs, employee assistance program (EAP), financial resources, access to dietitians, and more.
• 4 weeks of caregiver leave to bond with a new child.
• Family care resources for childcare and adult care needs.
• Dependent tuition coverage: 100% at WashU and 40% elsewhere after seven years of employment.