Position Summary: 

The Nurse Practitioner (NP) will function as an independent healthcare provider working collaboratively with a multidisciplinary health care team to provide comprehensive Palliative Care both inpatient and outpatient (office visits, telehealth, and home/ALF/SNF visits) while demonstrating a high degree of clinical expertise. Experience or advanced training in Palliative Care or related specialties is preferred. The Palliative Care inpatient service is staffed 7 days per week and the provider would be expected share in the weekend/holiday rotation with the other Advance Practice Clinicians (APCs). The Palliative Care outpatient service is available on weekdays and is currently purely consultative with a goal to add future prescribing capabilities.

The provider would be part of a multidisciplinary team consisting of a Physician Medical Director, Advance Practice Clinicians (APCs), and Social Workers to consult regarding symptom management related to life-limiting illnesses (eg. pain, dyspnea, nausea, constipation, psychosocial stress, etc), end of life care, goals of care discussions and serious illness planning/communication, advance care planning completion, and hospice transitions. The provider would be responsible for providing 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. The provider functions within the defined scope of clinical practice as outlined by applicable state law, licensing, certification, regulations, institutional policy, and practice agreements.

Strong background in both inpatient orthopedic care and urgent orthopedic procedures, particularly in fracture management and joint dislocations. This role requires hands-on experience in orthopedic trauma, splinting and casting, as well as collaboration with multidisciplinary teams to ensure optimal patient outcomes. This position offers the opportunity to work in a fast-paced hospital environment with indirect supervision from a supervising physician. A minimum of 4 years of experience in orthopedic inpatient hospital care is preferred and previous work in an urgent care or emergency setting, dealing with acute orthopedic injuries.

Minimum Qualifications:

• Master’s Degree in Nursing or Doctorate of Nursing Practice Degree
• Graduate of an accredited nurse practitioner program in specialty
• Montana Licensure (APRN) with Prescriptive Authority
• Montana Licensure (Registered Nurse)
• DEA License if applicable to practice area
• National board certification as NP in applicable specialty
• American Heart Association BLS
• Two years of Registered Nurse Experience
• Preferred: Additional training or certification in relevant specialty
• Preferred: 4 years of Nurse Practitioner experience in relevant specialty
• ATLS Certification or within 6 months of hire

Key Responsibilities- Trauma & Emergency Care:

o   Experience in trauma care and tertiary assessments of orthopedic injuries.

o   Manage acute orthopedic conditions in an urgent care or emergency room setting, including fracture stabilization, joint reduction, and urgent interventions.

o   Proficient in applying and adjusting orthopedic devices, including splints, casts, braces, and orthotics.

o   Strong patient education skills, with a focus on orthopedic conditions and post-care instructions.

o   Function independently with indirect supervision to perform clinical assessments, make treatment decisions, and implement care plans.

o   Conduct daily rounds on hospitalized patients with or at the direction of the supervising physician, ensuring comprehensive orthopedic evaluation and management.

o   Collaborate with interdisciplinary teams, including nursing, case management, therapy, wound care, and other providers to ensure coordinated care delivery.

o   Assist in discharge planning, ensuring patients have the appropriate follow-up care and devices as needed.

Essential Job Functions:

• Provides quality, efficient and effective evidence based patient care, consultation as requested, advisement and/or initiation of treatment plans while following standard of care within specialty scope of practice.
• Directs patient care by examining, diagnosing and analyzing the patient's current health condition, performing comprehensive admission history and physical exams, consultative notes, admission and discharge summaries, progress notes, writing orders and prescriptions and performing and or assisting with procedures and providing assistance with operative cases per defined scope of practice for specialty area.
• Financially responsible for all aspects relating to transcription/coding. 
• Participates in quality/performance initiatives, research activities, education, the development of policies, procedures, protocols, and guidelines as indicated while evaluating and implements the standards of care within the area of specialization. 

Knowledge, Skills and Abilities

• Strong interpersonal, verbal and written communication skills
• Detail oriented, organizational skills and the ability to prioritize
• Advanced math skills; ability to collect, analyze, interpret and/or present complex data.
• Computer applications, MS Office, EMR, internet applications and standard office equipment
• Exercises tact, discretion, sensitivity and maintains confidentiality

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.

77330160 Spine & Joint Institute