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Position Summary:

The Nurse Practitioner (NP) will function as an independent healthcare provider working collaboratively with physicians and other members of a multidisciplinary health care team, to provide comprehensive care in a variety of settings (primary, acute, specialty) while demonstrating a high degree of clinical expertise. Provides direct individualized patient care and treatment with responsibility for assessing, examining, diagnosing and analyzing the patient's current health condition and developing short and long-term goals and treatment plans. Functions within the defined scope of clinical practice as outlined by applicable state law, licensing, certification, regulations, institutional policy and practice agreements.

Minimum Qualifications:

+ Master’s Degree in Nursing or Doctorate of Nursing Practice Degree

+ Board certification as a Nurse Practitioner

+ Montana Licensure

+ DEA License if applicable to practice area

+ American Heart Association BLS within 60 days of hire

+ Preferred: Advanced Trauma Life Support (ATLS) certification (required within 12 months of hire)

+ Preferred: Two years of inpatient or general surgery experience

Essential Job Functions:

In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.

+ Provides high-quality, efficient, and evidence-based patient care while following standard of care within the Acute Care Surgery and Trauma specialty scope of practice.

+ Performs comprehensive inpatient assessments, rounds independently or in collaboration with the surgeon, and adjusts care plans based on patient progress.

+ Orders and interprets diagnostic studies, writes orders, and prescribes medications within defined scope.

+ Completes admission histories and physicals, progress notes, discharge summaries, and consultative documentation.

+ Assists in the operating room as a first assist for emergency and elective surgical cases.

+ Provides coverage in the Surgery clinic on Tuesdays and Thursdays.

+ Responds to trauma activations in the Emergency Department and participates in patient evaluation and resuscitation.

+ Coordinates multidisciplinary care, including nursing, therapy, and case management teams, to ensure safe transitions of care.

+ Performs and assists with bedside procedures (wound care, drain management, line removal, chest tube placement and removal, staple/suture removal, etc.).

+ Participates in quality/performance improvement initiatives.

+ Maintains accountability for accurate documentation and timely coding of all patient encounters.

+ Knowledge, Skills and Abilities

+ Strong interpersonal, verbal, and written communication skills

+ Ability to work autonomously in a complex inpatient environment

+ Advanced clinical decision-making and problem-solving skills

+ Strong organizational skills and ability to prioritize workload efficiently

+ Exercises tact, discretion, and maintains confidentiality

+ Commitment to evidence-based practice and multidisciplinary collaboration

Schedule Requirements

This is a Casual Call position designed to support the Acute Care Surgery and Trauma Service during periods of PTO, FTE vacancies, and high-volume patient census.

+ Required to work a minimum of 4 shifts per quarter (16 annually)

+ Collectively responsible for covering a minimum of 3 weekends per month (36 annually) among the casual call team

+ Weekend assignments will be distributed collaboratively based on individual preference and availability

+ Shifts should be two consecutive days when possible to support continuity of patient care

+ Encouraged to assist during summer months and high PTO periods

+ This position does not include night or on-call coverage

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Physical Requirements:

+ Lifting (Repeatedly – 50 pounds): Exerting force occasionally and/or using a negligible amount of force to lift, carry, push, pull, or otherwise move objects or people.

+ *Frequency Key: Continuously (100% - 67% of the time), Repeatedly (66% - 33% of the time), Occasionally (32% - 4% of the time), Rarely (3% - 1% of the time), Never (0%).

The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.

+ Sit (Occasionally): Maintaining a sitting posture for extended periods may include adjusting body position to prevent discomfort or strain.

+ Stand (Repeatedly): Maintaining a standing posture for extended periods may include adjusting body position to prevent discomfort or strain.

+ Walk (Repeatedly): Walking and moving around within the work area requires good balance and coordination.

+ Climb (Rarely): Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like using feet and legs; may also use hands and arms.

+ Twist/Bend/Stoop/Kneel (Repeatedly): Twisting, bending, and stooping require flexibility and a wide range of motion in the spine and joints.

+ Reach Above Shoulder Level (Repeatedly): Lifting, carrying, pushing, or pulling objects as necessary above the shoulder, requiring strength and stability.

+ Push/Pull (Repeatedly): Using the upper extremities to press or exert force against something with steady force to thrust forward, downward, or outward.

+ Fine-Finger Movements (Continuously): Picking, pinching, typing, or otherwise working primarily with fingers rather than using the whole hand as in handling.

+ Vision (Continuously): Close visual acuity to prepare and analyze data and figures and to read computer screens, printed materials, and handwritten materials.

+ Cognitive Skills (Continuously): Learn new tasks, remember processes, maintain focus, complete tasks independently, and make timely decisions in the context of a workflow.

+ Exposures (Continuously): Bloodborne pathogens, such as blood, bodily fluids, or tissues. Radiation in settings where medical imaging procedures are performed. Various chemicals and medications are used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances. Infectious diseases are caused by contact with patients in areas that may have contagious illnesses. Emotionally challenging situations, such as dealing with distressed patients or difficult family interactions.

78555225 Surgery Clinic (BHMG)