Hospitalist

Overview

Copley Hospital, located in Morrisville/Stowe VT, is looking for an APP to join our current team of hospitalists! The Nurse Practitioner/Physician Assistant functions as an independent healthcare provider who, working collaboratively within a multidisciplinary healthcare team, is responsible for providing comprehensive care for the ill, hospitalized patients in the inpatient setting. They demonstrate a high degree of clinical expertise in working with patients with acute and chronic illnesses commonly encountered in adults who are hospitalized. They are  responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination for patients and families with acute and chronic health needs. They work with administration, nursing, and physicians to assure safe, effective, and high-quality patient care. 

The Nurse Practitioner/Physican Assistant will provide care within his/her scope of practice as outlined by applicable state law, licensing, regualtions, institutional policy and practice agreements.

The Nurse Practitioner/Physician Assistant is eligible to begin practice after he/she is credentialed and privileged by the Medical Staff. Active hospital privileges will be required and reviewed on a bi-annual basis to maintain employment with this Hospital.

This position is Part-Time (FT available).

Copley Hospital has a variety of shifts available across Full-Time, Part-Time, and Per Diem needs. Please consider applying to discuss how your availability may align.

Compensation: $55-60/hour.

The posted salary range reflects compensation for candidates with limited experience. An offer may vary based on factors such as experience, education, skills, internal equity, and market data. An offer of employment may be outside of the posted range based on those factors.

Responsibilities

Practice Based Learning and Clinical Improvement

• Demonstrates insight into own strengths, limitations and knowledge deficits.
• Demonstrates initiative to meet identified learning needs using multiple resources
• Actively participates in self-evaluation by seeking and utilizing guidance and constructive feedback in a professional manner
• Continuously seeks opportunities for clinical advancement and knowledge and skill attainment. 

Communication and Interdisciplinary Collaboration

• Communicates and collaborates effectively with physicians, other health professional and health related agencies.
• Works effectively with multidisciplinary team members.
• Promotes mutual respect and trust working within a team model.
• Communicates effectively with patients and families, incorporating gender, age, culture, race, religion, disabilities and sexual orientation. 

 Professionalism

• Follows ethical principles regarding patient confidentiality, informed consent and unanticipated adverse outcomes.
• Demonstrates the highest level of accountability for professional practice.
• Participates in education of students and other health care professionals. 
• Maintains effectiveness where circumstances and priorities are changing. Is flexible resilient and change oriented.
• Welcomes and participates in opportunities to advance the mission of the hospital through service, scholarship, science and social responsibility.
• Participates in organizational and departmental meetings, educational opportunities, committees and workgroups as necessary. 

Systems Based Practice 

• Considers cost effectiveness and risk/benefit analysis when making decisions about patient care.
• Uses evidenced-based medicine to systematically analyze and improve patient care practices.
• Participates in quality initiative/performance activities.
• Participates in development, evaluates and implements standards of cared within areas of specialization (policies, protocols, etc.).

Clinical Knowledge

• Demonstrates knowledge of etiologies, risk factors, pathophysiology, presentation and epidemiology of medical conditions.
• Performs history and physical assessments of patients that are accurate, complete, concise, relevant and appropriate for age, gender and clinical problem.
• Orders appropriate diagnostic studies and correctly interprets the results.
• Utilizes critical thinking to synthesize and analyze collected data.
• Develops, implements, evaluates and alters the plan of care as needed.
• Manages general medical and surgical conditions based on knowledge of the indications, contraindications, side effects, interactions and adverse reactions of pharmacologic agents and other relevant treatment modalities.
• Counsels and educates patients and families.
• Demonstrates proficiency in procedural skills pertinent to practice area.
• Maintains accurate, complete, concise and timely documentation in the electronic medical record.

Patient Care

• Provides care that is patient and family centered, compassionate, appropriate and effective for the promotion of health, prevention of illness and treatment of disease throughout the lifespan.
• Facilitates consistent, coordinated care and clear communication among all members of the healthcare team.
• Incorporates the patient and family in care planning and treatment across settings.
• Serves as an advocate for patients and families in navigating the health care system.

Inpatient Specific Responsibilities (100%)

• Conducts comprehensive health history and physical assessment of patients with acute health problems.
• Performs admission history and physical, develops, manages and modifies treatment plans. 
• Participates in daily rounding and collaborates with attending or consulting team in order to adjust plans of care as appropriate.
• Manages or independently performs evaluative and treatment procedures necessary to provide an appropriate response to life-threatening emergency situations until the arrival of emergency response teams. 
• Facilitates referrals to appropriate community health facilities, agencies and resources.
• Discharges hospitalized patients in collaboration with the attending physician.
• Prepares and dictates discharge summaries of patients' hospitalization and clinic care.
• Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.
• Ability to independently perform medical consultation as indicated.

Procedures

• Performs routine clinical procedures independently once appropriately trained and credentialed, as outlined in practice agreements/scope of practice.

Qualifications

Education Requirements

• Master's Degree

Experience Requirements

• Two (2)years of relevant experience. 

License and Certification Requirements

• Active DEA license or ability to apply for such license prior to or upon hire
• CPR certification and advance life support certifications if relevant to practice area (ACLS, PALS, NRP)

If Nurse Practitioner

• Active RN and APNP license in Vermont
• Active board certification as an NP in Adult/Gerontology Acute Care or Adult/Gerontology Primary Care with clinical experience in the hospital or previous ICU experience as Nurse or Nurse Practitioner

If Physician Assistant

• Active PA license in Vermont and Active PA Board Certification  

Skill Requirements

• Excellent verbal and written communication skills
• Professional demeanor
• Ability to work as a member of a multidsciplinary team
• Ability to prioritize tasks
• Ability to critically think and make independent decisions