Experienced Nurse Practitioner or Physician Assistant - Emergency Medicine (Orwigsburg) Per Diem

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.

The Advanced Practitioner (Physician Assistant or Nurse Practitioner) is responsible for assisting in the care of the patient in the ED/Urgent Care setting under the supervision of the Physician. As with any other health care professional, the physician assistant is charged with being a patient advocate in the medical care system.

Must have experience in Emergency Medicine or Urgent Care to be considered for a per diem position.

• The Physician Assistant or Nurse Practitioner will diagnose and treat patients who present for treatment, obtain a history, perform a physical examination, document the medical record, perform privileged procedures, and provide discharge instructions.
• Order, prescribe or administer medication, IV fluids as per Pennsylvania State Practice Act, and governed by hospital bylaws.
• Order and evaluate laboratory and other diagnostic tests.
• Initiate referrals and consultations as needed.
• The Physician Assistant or Nurse Practitioner will perform privileged procedures as directed: Visual Screening, administer IM, IV SQ Medications/Vaccines, local Anesthesia, Insert Foley Catheter, Venipuncture, Insert Intravenous Line, Removal of Foreign Bodies, Intra-Articular Aspiration/Injection, Splint Placement, Apply and Change Dressings, Debridement and Care of Open Wounds, Evacuation of Hematoma/Seroma, Incision and Drainage, Repair and Close Lacerations, Removal of Dermatologic Abnormalities, Removal of Sutures, Ear Irrigation/Cerumen Removal, fluorescein eye stain, Eye Tests/Visual Acuity.

JOB DUTIES AND RESPONSIBILITIES:

• Competent in the assessment, treatment, counseling, and education of the patient, and their families, being provided medical services.
• Competency in evaluating patients and performing physical examinations including obtaining, studying, and updating medical histories.
• Demonstrates ability to determine abnormal conditions by administering or ordering diagnostic tests, such as radiologic and laboratory studies, and then accurately interpreting test results.
• Evaluates, develops, and implements appropriate patient management and treatment plans, based on assessment of needs
• Coordinates and communicates patient care effectively with other healthcare professionals and institutions to meet patient’s healthcare needs. 
• Provides high quality health care, based on best practice and/or evidenced based medicine.
• Performs therapeutic and diagnostic procedures, as appropriate, and aligned with granted clinical privileges
• As requested, conduct virtual care services, described as live and interactive clinical assessments, diagnosis, and treatment of patients via St. Luke’s virtual care platform, assisting in care coordination and/or escalation of care, as appropriate
• Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, and participating in professional societies.  Maintains required continuing medical education
• Participates in the research, development, implementation, and tracking of clinical management guidelines.
• Participates in the teaching of multidisciplinary students (nursing, nurse practitioner, pharmacy, physician assistant, medical, etc.) and physician residents & fellows, ensuring a positive educational environment.
• Participates in AP student clinical rotation preceptorship, when assigned
• Demonstrates performance improvement in the following areas as appropriate: clinical care/outcomes, customer/service improvement, operational system/process, and safety.
• Competent in utilizing electronic medical record, remains current with medical record documentation, and provides documentation that is for optimal for billing provided professional services.
• Demonstrates financial responsibility and accountability through the effective and efficient use of resources in daily procedures, processes and practices.
• Performs routine health maintenance activities for new and established patients.
• Coordinates patient care and family counseling with public and mental health agencies, as appropriate.
• Teaches wellness habits and educates patients on prevention of potential health problems or method of dealing with present problems.  Provides information and materials relating to patient health care needs
• Provide occupational health services in the urgent care setting, including but not limited to; pre-employment physicals, injury care and work comp cases/follow ups.

WHAT CAN WE OFFER TO YOU?: 

• Robust orientation program for all levels of experience including new grads 
• AP Mentorship Program 
• Comprehensive Benefits Package 
• Competitive Compensation Package 
• CME plus Certification Cost Reimbursement 
• Fitness and Sports Performance Center Memberships 
• Malpractice Insurance 
• Team-based care with well-educated, dedicated support staff 
• Teaching, research, quality improvement and strategic development opportunities 
    

CULTURE: 

St. Luke’s is a thriving, integrated health network where more than 1,000 Advanced Practitioners are integral members of the health care team. Our employed providers benefit from a dedicated leadership structure, a professional organization, and a culture that puts patient care at the center. With an established department of advanced practice that has a dedicated leadership structure, and with room for advancement and growth within the Network.  

QUALIFICATIONS:  

Must be board eligible or board-Certified Registered Nurse Practitioner or Medical Physician Assistant with current license to practice in the state of Pennsylvania or New Jersey, as determined by the job location. 

PHYSICIAL AND SENSORY REQUIREMENTS: Sitting for up to 5 hours per day; 1 hour at a time. Standing for up to 5 hours per day, 2 hours at a time. Walking for up to 3 hours per day; 1 hour at a time. Fingering and handling small objects frequently. Twisting and turning of hand occasionally. Consistently lift, carry, and push objects up to 10 lbs. Occasionally lift, carry and push objects up to 75 lbs. Transport patients weighing up to 250 lbs via wheel chair or stretcher. Frequently stoop and bend. Frequently reach above shoulder level. Must be able to perceive attributes of an object through touch. Must be able to hear as it relates to normal conversation. Seeing as is relates to general, near, far, color and peripheral vision

EDUCATION:

Certified Registered Nurse Practitioner, Medical Physician Assistant, or Osteopathic Physician Assistant with current license to practice in the state of Pennsylvania or New Jersey, as determined by the job location. Physician Assistants must also have a current certification through the National Commission on Certification of Physician Assistants (NCCPA).

TRAINING AND EXPERIENCE:

Two years of experience desired, preferably in ED/urgent care setting.  Current Basic Life Support (BLS) certification is required. Physician Assistant or Nurse Practitioner must be licensed to treat infant to geriatric populations. Must have suturing experience.

Please complete your application using your full legal name and current home address.  Be sure to include employment history for the past seven (7) years, including your present employer.  Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable.  It is highly recommended that you create a profile at the conclusion of submitting your first application.  Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.