Advanced Practice Clinician

3 days ago


Rapid City, South Dakota, United States Monument Health Full time

Job Summary

Under the supervision of a physician, the Advanced Practice Clinician will assume primary responsibility in their respective specialty area, adhering to federal, state, and local regulatory agencies.

Responsibilities include managing at-risk or complex patients and aggregate patient populations in collaboration with physicians, nurses, and other healthcare team members.

The ideal candidate will demonstrate knowledge, critical thinking, and skills to plan, coordinate, and provide care on a continuing basis.

Essential Functions:

  • Predominantly outpatient practice, with less than 20% of time spent in the inpatient setting.
  • Acts as an agent of the supervising physician for delegated medical services within the Advanced Practice Clinician's scope of practice.
  • Assesses, diagnoses, treats, and manages patients' healthcare problems/needs.
  • Applies clinical interventions, evaluates outcomes, and implements changes to the plan of care.
  • Anticipates and communicates changes in patient status to meet the needs of the patient.
  • May share in practice call requirements.
  • May perform procedures.
  • May provide first assist coverage.
  • No operating room requirement.
  • No ED/Unassigned call requirement.
  • Completes thorough, timely documentation in accordance with facility policy.
  • Complies with scope of care under the guidance of federal, state, and/or local regulatory agencies.
  • Complies with scope of care under the guidance of the supervising physician and/or protocols.
  • Consistently demonstrates appropriate referral and/or transfer of patients to another facility.
  • Demonstrates a thorough and current knowledge of disease processes while conducting a comprehensive health history and physical examination or problem-focused assessment depending on patient's status.
  • Demonstrates appropriate referrals and/or provides referral information to the patients and physicians.
  • Orders appropriate tests, procedures, and therapies in collaboration with medical staff based on relevant organizational and unit-specific policies and procedures.
  • Performs and documents ongoing patient assessment and formulates plan of care in collaboration with other medical providers.
  • Recognizes physical, developmental, and psychosocial distress of patient and family, and provides appropriate interventions.
  • Responds appropriately to emergency situations, basing patient management decisions on individual patient needs.

Additional Requirements:

  • South Dakota certifications: Certified Nurse Practitioner (CNP) - South Dakota Board of Nursing or Physician Assistant (PA) - South Dakota Board of Medical and Osteopathic Examiners.
  • Wyoming certifications: Certified Nurse Practitioner (CNP) - Wyoming State Board of Nursing or Physician Assistant (PA) - Wyoming Board of Medicine.
  • Preferred: 1+ years of clinical experience and 1+ years of healthcare experience.

Physical Requirements:

Light work - Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects.



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