You’ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet® Recognition consecutively since 2006.

And you’ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits
We provide a comprehensive and competitive benefits package to all permanent full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.

Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet®-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!

Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!

Nurse Practitioner or Physician Assistant - Beartooth Billings Clinic (Red Lodge, MT)
Regional Affiliate (BILLINGS CLINIC RED LODGE)
req7145

Shift: Day, Evenings, Nights, Weekends
Employment Status: Per Diem
Hours per Pay Period: 0.01 = per diem (Exempt)
Starting Wage DOE: $0.00 - 0.00

Advanced Practice Provider Position Description – Beartooth Billings Clinic

In pairing with the appropriate job description (NP or PA), the following is an outline of duties that encompass the expectations for APP Emergency / Hospitalist at Beartooth Billings Clinic:

A.General Duties:

a.Assess patient health by interviewing patients, performing physical examinations, ordering appropriate interventions for treatment, updating patient records, and studying medical histories.

b.Provide diagnostic, preventative, and therapeutic health services to patients and family members in the emergency department, same day care, and hospital settings.

c.Evaluate and treat patients in consultation with or as the primary attending provider.

d.Prioritize patient care flow based on individual patient acuity and transfer patients requiring specialty services and interventions in a timely manner.

e.Coordinate the hospital’s diagnostic, therapeutic, and consultative resources.

f.Follow through on cases to ensure effectiveness and alter the course of treatment as indicated.

g.Provide leadership of patient case planning and interventions to coordinate care effectively with attention to positive team dynamics.

h.Positively contribute to effective team communication to assure patient safety and satisfaction.

B.Hospital Admissions:

a.Performing hospital admissions for patients referred from Emergency Department, BBC Clinic, or outside partner Clinics during hours of service.

b.Perform rounds on inpatient and observation patients with a focus on continuity of care on weekends – assist with weekday rounds as necessary for this patient population.

c.Collaborate with Hospitalists, Primary Care Provider, and Patient Care Navigator as necessary for effective discharge planning – referring to appropriate services (Home Care, Hospice, Outpatient Services)

d.Develop familiarity with inpatient / observation admission criteria and participate in the Utilization Review Committee.

C.Additional Duties:

a.Work to assist provider partners in the clinic, same day care, hospital, and emergency department settings within the facility.

b.Participate in Medical Staff meetings.

c.Participate in peer review opportunities.

d.Maintain knowledge of current quality initiatives for the provider team, emergency department, same day care, and hospital care areas.

e.Contribute positively to the goals described above through appropriate care provision, risk identification, and documentation.

D.Maintain current certifications in the following:

a.Advanced Trauma Life Support

b.Advanced Cardiac Life Support

c.Pediatric Advanced Life Support

d.Basic Life Support

Essential Job Functions

Physician Assistant or Nurse Practitioner

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.

Essential Job Functions

• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.

• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.

• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)

• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)

• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)

• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)

• Refers patients to other health care providers and appropriate sources of care as necessary.

• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)

• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.

• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.

• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.

• Performs other duties as assigned or needed to meet the needs of the department/organization.

Additional Duties for PA/NP - ED Locums and Rural CAH/RHC

• Provides relief coverage in the emergency department and assists the physicians in all aspects of care in the emergency department. (Patient Care, ED, Coverage)

• Maintains appropriate theoretical and clinical skills with application and patient relevance of commonly utilized equipment specific to the emergency department needs and other areas as appropriate; pharmacological application; application of laboratory values and radiologic findings with disease process or physiological status. (patient Care, ED, ED Equipment)

• Performs wound exposure, suturing, hemostasis and tissue handling procedures as training and skill level allows under the direct supervision of the physician. (Patient Care, Surgical Services, Wound Care)

Knowledge, Skills, and Abilities

• Personal computers, hardware and software

• Microsoft Office Programs (i.e., Windows, Outlook, Word, Excel, etc.)

•PAA and confidentiality requirements

• Patient’s/resident’s rights

• Patient safety standards, safety procedures and guidelines

• Health care trends and development relating to specialty area

• Physician Assistant practices and scope of licensure

• Healthcare reimbursement methodologies

• Ancillary services

• Regulatory requirements and guidelines (i.e., Joint Commission, CMS, OSHA, etc.)

• Infection control practices

• Pharmacology

• Scope of Practice, rules and regulations of the Montana Board of Nursing

• Nursing practice, planning and assessment within scope of practice

• Nursing Research

• Cerner utilization, and compliance with organization expectations around EMR

• Health reimbursement methodologies

• Ancillary services

• Infection control practices

• Pharmacology

• Nursing practices, planning and assessment within scope of practice

• American Nurse’s Association (ANA) Code of Ethics

• ANCC (American Nurse Credentialing Center) principles and standards

• Additional Knowledge for Physician Assistants / Nurse Practitioner -Surgical

• Surgical procedures and post-operative care standards/protocols

• Additional Knowledge for Physician Assistants / Nurse Practitioner -Express Care

• DOT examinations

• Professional communication skills, both verbal and written

• Analyzing data to formulate diagnosis and treatment care plans

• Exercising initiative and judgment

• Develop and formulate effective, cost efficient treatment care plans

• Problem identification and resolution relating to health care issues

• Conflict resolution

• Instructing and educating patients and families in the prescribed therapeutic regimens

• Demonstrating empathy and sensitivity necessary to elicit patient’s/family’s cooperation and allay apprehensions

• Working in a manner which is conducive to productivity, efficiency and cost effectiveness

• Additional skills for Neonatal Nurse Practitioner

• Proficient with insertion of UAC/UVC, PICC lines, intubation, thoracentesis, peripheral arterial blood sampling, and peripheral IV insertion.

• Proficient with ventilator management, nitric oxide administration and x-ray interpretation.

• Proficient with stabilization and transport of critical infant.

• Proficient with neonatal pharmacology and nutritional management.

• Experience with head or body cooling and encephalopathy management.

• Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups from infant through geriatric

• Communicate clearly and effectively, both verbal and written

• Establish and maintain collaborative relationships

• Work effectively in a team environment

• Work independently with minimal supervision

• Respond calmly and effectively in emergent or difficult situations

• Maintain flexibility to adapt to a variety of work-load assignments

• Work with frequent interruptions and competing priorities

• Perform physical assessments

• Perform record keeping and documentation responsibilities

• Perform in a manner which is fiscally responsible

• Performs duties under the direct supervision of the practice physician

• Know and accept that the role of the Physician Assistant is limited, display sensitivity to the partial overlapping and possible sharing of responsibilities with other health care professionals

• Major roles include providing clients with health-related information, preventative measures and timely consultations with their practice physician, and to help them achieve and maintain good health

• Position requires the highest degree of integrity and confidentiality due to the sensitive nature of information handled

Minimum Qualifications

Education

Graduate Degree from accredited Physician Assistant program / Nurse Practitioners’ program

Certifications and Licenses

• Current National Commission on Certification of Physicians Assistants (NCCPA) Board Certification/License as Physician Assistant

• Approved to practice as a physician assistant in Montana or Wyoming by Board of Medical Examiners

• Healthcare Provider CPR Certification; additional CPR certifications may be required depending on the patient population and/or service area

Billings Clinic is Montana’s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at www.billingsclinic.com/aboutus

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.

Nursing Jobs in Red Lodge, Montana

Nurse Practitioner or Physician Assistant - Beartooth Billings Clinic (Red Lodge, MT)