Acute Care Nurse Salary in Billings, MT

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.

THIS POSITION MAY BE ELIGIBLE FOR A SIGN ON BONUS.***Please note, you will be considered for the following units and may receive offers for one or more of them: Critical Care Float PoolICUCardiovascular Unit (CVU)Intermediate Care Unit (IMC). Under general supervision of a licensed Nurse assists in the delivery of patient/resident care. Works collaboratively with the interdisciplinary care team to meet the physical, psychosocial, educational and spiritual needs of the patient/resident and family. Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Utilizing a holistic approach, performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for the patient. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient need and documentation guidelines, consistent with departmental policies and procedures, to include, but not limited to, activities of daily living (ADLs), vital signs, intake and output measurements and hourly rounding. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Supports the Magnet Model of quality nursing care. • Demonstrates collaborative, supportive, and caring behaviors in communication with patients/residents, families, visitors, and the interdisciplinary care team. • Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution. • Takes responsibility for identification of own growth and development needs; meets all system and departmental educational and continuing education requirements. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. • For level II: Completes yearly level II competency checklist. Knowledge, Skills and Abilities • Common policies and procedures, both organizational and departmental • Billings Clinic Corporate Compliance Program • Billings Clinic Code of Business Conduct • Regulatory standards ( e.g. JCAHO, OSHA.) • HIPAA and confidentiality requirements • Patient/resident care treatment, planning and assessment within scope of practice • Patient/resident rights • Infection control and safety practices, policies and procedures • Basic medical terminology • Basic anatomy and physiology • Customer service techniques and Personal Service Excellence (PSE) necessary to interact with patients/residents, families, and members of the interdisciplinary care team with a variety of developmental and sociocultural backgrounds • Performance of tasks and procedures as directed by the RN and/or LPN in accordance with established policies, procedures, and protocols • Operation of patient care equipment and electronic applications • Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant to geriatric • Demonstrate empathy and sensitivity necessary to elicit patients'/residents' cooperation and allay apprehensions • Provide/relay information to patients, residents, and/or families and report on patient/resident condition and/or unusual findings with members of the interdisciplinary care team as appropriate • Utilize time management concepts to maximize tasks effectively • Communicate clearly and effectively both verbally and in writing • Establish and maintain collaborative relationships • Work effectively in a team environment • Work with general supervision • Function in a chaotic work environment with changing priorities as it relates to patient care needs • Lift and move objects weighing up to 50 pounds unassisted • Professional conduct in dealing with difficult situations with co-workers, patients/residents, families and visitors. Requires ability to deal with patients with acute, chronic and complex diseases processes and those who are dying. • Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel. Minimum Qualifications Education • High school diploma or equivalent Experience • Six months CNA experience in performing patient/resident care in a health care institution, preferred Certifications and Licenses • Certified Nursing Assistant • CPR Certification

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.

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.

Under general supervision of a licensed Nurse assists in the delivery of patient/resident care. Works collaboratively with the interdisciplinary care team to meet the physical, psychosocial, educational and spiritual needs of the patient/resident and family.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Utilizing a holistic approach, performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for the patient. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient need and documentation guidelines, consistent with departmental policies and procedures, to include, but not limited to, activities of daily living (ADLs), vital signs, intake and output measurements and hourly rounding. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Supports the Magnet Model of quality nursing care. • Demonstrates collaborative, supportive, and caring behaviors in communication with patients/residents, families, visitors, and the interdisciplinary care team. • Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution. • Takes responsibility for identification of own growth and development needs; meets all system and departmental educational and continuing education requirements. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. • For level II: Completes yearly level II competency checklist.Knowledge, Skills and Abilities • Common policies and procedures, both organizational and departmental • Billings Clinic Corporate Compliance Program • Billings Clinic Code of Business Conduct • Regulatory standards ( e.g. JCAHO, OSHA.) • HIPAA and confidentiality requirements • Patient/resident care treatment, planning and assessment within scope of practice • Patient/resident rights • Infection control and safety practices, policies and procedures • Basic medical terminology • Basic anatomy and physiology• Customer service techniques and Personal Service Excellence (PSE) necessary to interact with patients/residents, families, and members of the interdisciplinary care team with a variety of developmental and sociocultural backgrounds • Performance of tasks and procedures as directed by the RN and/or LPN in accordance with established policies, procedures, and protocols • Operation of patient care equipment and electronic applications• Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant to geriatric • Demonstrate empathy and sensitivity necessary to elicit patients'/residents' cooperation and allay apprehensions • Provide/relay information to patients, residents, and/or families and report on patient/resident condition and/or unusual findings with members of the interdisciplinary care team as appropriate • Utilize time management concepts to maximize tasks effectively • Communicate clearly and effectively both verbally and in writing • Establish and maintain collaborative relationships • Work effectively in a team environment • Work with general supervision • Function in a chaotic work environment with changing priorities as it relates to patient care needs • Lift and move objects weighing up to 50 pounds unassisted • Professional conduct in dealing with difficult situations with co-workers, patients/residents, families and visitors. Requires ability to deal with patients with acute, chronic and complex diseases processes and those who are dying. • Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel.Minimum QualificationsEducation• High school diploma or equivalentExperience• Six months CNA experience in performing patient/resident care in a health care institution, preferredCertifications and Licenses• Certified Nursing Assistant• CPR Certification

THIS POSITION MAY BE ELIGIBLE FOR A SIGN ON BONUS.Under general supervision of a licensed Nurse assists in the delivery of patient/resident care. Works collaboratively with the interdisciplinary care team to meet the physical, psychosocial, educational and spiritual needs of the patient/resident and family.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance. • Utilizing a holistic approach, performs basic nursing care and treatments within scope of practice as directed by the licensed nurse to include the goal-directed plan of care for the patient. • Ensures complete, accurate and timely entry into patient medical record as indicated by patient need and documentation guidelines, consistent with departmental policies and procedures, to include, but not limited to, activities of daily living (ADLs), vital signs, intake and output measurements and hourly rounding. • Adheres to Billings Clinic safety standards, policies and practices. Anticipates and identifies problems and safety issues, then initiates appropriate action. • Utilizes performance improvement principles to assess and improve the quality of patient/resident care. Supports the Magnet Model of quality nursing care. • Demonstrates collaborative, supportive, and caring behaviors in communication with patients/residents, families, visitors, and the interdisciplinary care team. • Acts as a resource, role model and mentor. Responds to questions and assists with problem resolution. • Takes responsibility for identification of own growth and development needs; meets all system and departmental educational and continuing education requirements. • Performs all other duties as assigned or as needed to meet the needs of the department/organization. • For level II: Completes yearly level II competency checklist.Knowledge, Skills and Abilities • Common policies and procedures, both organizational and departmental • Billings Clinic Corporate Compliance Program • Billings Clinic Code of Business Conduct • Regulatory standards ( e.g. JCAHO, OSHA.) • HIPAA and confidentiality requirements • Patient/resident care treatment, planning and assessment within scope of practice • Patient/resident rights • Infection control and safety practices, policies and procedures • Basic medical terminology • Basic anatomy and physiology• Customer service techniques and Personal Service Excellence (PSE) necessary to interact with patients/residents, families, and members of the interdisciplinary care team with a variety of developmental and sociocultural backgrounds • Performance of tasks and procedures as directed by the RN and/or LPN in accordance with established policies, procedures, and protocols • Operation of patient care equipment and electronic applications• Incorporate cultural diversity and age appropriate care into all aspects of communication and patient care; scope of services provided will encompass age groups ranging from infant to geriatric • Demonstrate empathy and sensitivity necessary to elicit patients'/residents' cooperation and allay apprehensions • Provide/relay information to patients, residents, and/or families and report on patient/resident condition and/or unusual findings with members of the interdisciplinary care team as appropriate • Utilize time management concepts to maximize tasks effectively • Communicate clearly and effectively both verbally and in writing • Establish and maintain collaborative relationships • Work effectively in a team environment • Work with general supervision • Function in a chaotic work environment with changing priorities as it relates to patient care needs • Lift and move objects weighing up to 50 pounds unassisted • Professional conduct in dealing with difficult situations with co-workers, patients/residents, families and visitors. Requires ability to deal with patients with acute, chronic and complex diseases processes and those who are dying. • Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel.Minimum QualificationsEducation• High school diploma or equivalentExperience• Six months CNA experience in performing patient/resident care in a health care institution, preferredCertifications and Licenses• Certified Nursing Assistant• CPR Certification

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.

Under the direction and supervision of the physician and in accordance with the authorized scope of practice for the level, assists in the delivery of patient care. Works collaboratively with the health care team including nursing staff and other health care providers to meet the physical, psychosocial, educational and spiritual needs of the patient and family.Essential Job Functions• Supports and models behaviors consistent with the mission, vision, values and philosophy of Billings Clinic and the Emergency Department. Functions within the core competencies and "Minimum Specifications" set forth by the organization. • Responds in a timely, pleasant, efficient manner to the ED phone lines, using PSE guidelines; able to transfer calls. Adheres to confidentiality (HIPPA) and patient right requirements. • Pleasantly greets patient upon entering ED (waiting room) and directs to next available triage room, if Chief complaint is emergent will immediately notify Triage Nurse. Obtains and/or records vital signs, including height and weight and places on white board for RN charts and documents in patients record according to documentation guidelines. Collects laboratory specimens as needed. Performs Point of Care (POC) laboratory testing (glucometer) as listed in the job description. • Performs basic patient care, treatments, and documentation approved by the Physician or delegated by RN. • Assists patient's activities during ED care, such as showers, ambulating and turning, crutches, walkers, wheelchair or stretchers, transfers and assists with patient transports within the ED & facility. • Obtains and records vital signs including blood pressure, pulse, respiration, temperature, and pulse oximetry using manual & automatic technology. Additionally performs postural vital signs, obtains weights & heights, visual acuities, and specific POC testing (i.e. precision Glucometer). • Measures, records, and provides, for patient: intake of food and fluid which includes partial and total assistance with feedings; output from bodily functions/specified drainage devices and collects specimens as directed by the physician. Works collaboratively within the ED patient care team • Reports changes in patient condition, patient needs, and patient/visitor problems to the ED Physician AND Primary Nurse/or ED Charge Nurse. • Documents all care provided utilizing appropriate ED documentation-CERNER FirstNet and/or ED paper chart guidelines. • Assists in preparing wounds for suturing, i.e., cleansing and irrigation of the wound and setting up of all equipment (including sterile supplies) for suture procedure. • Performs EKGs as required and places patients on cardiac monitors. • Assists in preparing patient for MD exam, Patients need to be changed into a gown for assessment (i.e., assisting patient to undress, providing warm blankets, ice, extremity elevations, etc.) • Assists Diagnostic Imaging Tech with X-ray procedures as needed, as well as assisting in transfer of patients to CT or US. • Assists in the safety search of designated patient(s) as needed. (Following safety search policy) • Institutes seizure precautions when applicable • Assists MD/RN with gastric lavage as directed (ED only). • Assists ED physician/RN as needed with tasks such as providing supplies and equipment. • Responds to patient call lights and reports patient requests to MD/RN caring for patient. • Completes documentation following patient disposition, i.e. admission and discharge and transfer. • Sets up initial IV fluid bag including priming tubing adhering to aseptic technique at the specific request of the MD/RN • Establishes peripheral IV line upon MD's request. Applicable to PCT II (with EMT) & III only. Discontinues peripheral IV lines upon MD request per education requirements Applicable to PCT II (with EMT) & III. • May establish ultrasound IV's after class/competency completion (level II (with EMT) & Level III only.) • If trained/competent in I/O may insert under request/supervision of ED physician. (level II (with EMT) & Level III only.) • Maintains clean patient environment by assisting in the cleaning and maintenance of the waiting room, patient rooms and the ED unit. Performs linen changes for occupied beds while maintaining proper patient body alignment and comfort. • Knowledge and competence in all equipment cleaning • Utilizes appropriate personal protective equipment • Is versed in aseptic and sterile technique • Visual acuity's • Performs phlebotomy procedures per established ED and laboratory guidelines for collection and processing of specimens. • Applies and removes restraints according to Billings Clinic policy. • Assists with ambulance/helicopter/flight transfers into the ED. Is knowledgeable in admission, transfer and discharge of patient (including equipment) intra-facility and EMTALA/HIPPA regulations. • Understands system for disaster callbacks of ED staff and Emergency/Kardex notebook. Identifies and anticipates problems and safety issues and initiates appropriate action. Maintains a safe, clean, and orderly environment for patient and visitors. Maintains competency in all organizational, departmental, and outside agency safety standards relevant to job performance. Identifies and anticipates problems and safety issues and initiates appropriate action • Has well developed computer skills with ability to document in The FirstNet CERNER program. Able to use Outlook for sending and receiving E-mail communication. ~it is the employees responsibility to document all cares (i.e. IVs, ambulation, vitals, etc) and patient contact they perform. As well as checking organizational email. • Utilizes performance improvement principles to assess and improve the quality of patient care. • Takes responsibility for identifying own development needs; meets all system and departmental educational requirements. Attends required meetings and participates in committees as requested. Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance. • Refers more difficult problems to the MD, RN, , PCT II and/or III• Active participant in keeping a safe work environment. • Able to perform all basic CNA and/or/EMT patient care requirements Competency in: • Performing basic phlebotomy procedures to include a variety of draw sites, specimen preparation • EKGs. • Wound care/dressings. • Splinting. • Vital signs • Patient safety search • Understanding and compliance of 1:1 policy • May be cross-trained to Unit Clerk job role Knowledge, Skills and Abilities • General knowledge of Billings Clinic policy and procedures, both departmental and organizational • Regulatory standards and requirements • Billings Clinic Corporate Compliance • Billings Clinic Code of Business Conduct • Customer service techniques and Personal Service Excellence (PSE) skills • Patient care treatment, planning and assessment within scope of practice • Interpersonal (PSE)skills necessary in order to interact with patients, families, and physicians • Demonstrates empathy and sensitivity necessary to elicit patient's cooperation and allay apprehensions • Phlebotomy techniques and utilization of vacutainer and other phlebotomy equipment • Performing EKG's • Performing basic patient care and treatments within scope of certification/license • Performing a safety search • Performing computerized documentation according to unit guidelines. • Critical thinking • Patient Care II (with EMT or CMA) & III • IV techniques • I/O insertion• Incorporate population specific needs into all aspects of patient care and communications; scope of services will encompass age groups ranging from infant through geriatric • Utilize time management concepts or maximize time effectively • Communicate clearly and effectively both verbally and in writing • Utilize critical thinking skills • Respond calmly and professionally in difficult situations and when dealing with difficult patients and/or family members • Lift a minimum of 50 pounds• Professional conduct when dealing with co-workers, patients, and visitors. Resourcefulness in dealing with simple to moderate complexity requires ability to prioritize duties with assistance of nursing personnel. • Practices within the scope and level of certification/licensure Minimum QualificationsEducation• High school graduate or equivalent • Medical training as a Certified Nursing Assistant, Medical Assistant, Certified Assistant (MA), EMT, AEMT, or Paramedic Experience• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Certifications and Licenses• Current Montana license as Certified Nurse Assistant and/or EMT certification (or) • College training in a health-related field. • CPR Certification BLS for infant, child and adult upon hire (ACLS for Level III)• Must successfully pass Billings Clinic phlebotomy training upon of hire. Other Qualifications• Six-(6) months work experience as a CNA/EMT or other health related field performing patient care in a health care facility, preferably an acute care hospital, and/or pre-hospital setting. (Or) • Formal college coursework relating to health field or combination of education and experience. Required to

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.

May be eligible for $3,000 sign on incentiveMay be eligible for relocation assistanceMay be eligible for tuition loan reimbursementUnder the direction of department leadership, the Care Manager provides services consisting of comprehensive care management, care coordination and care continuing care services. The Care Manager is accountable for a designated patient caseload/population and plans effectively in order to meet patient needs. The Care Manager is a support to providers and the multidisciplinary in facilitating patient care. The Care Manager strives to enhance the quality of clinical outcomes and patient satisfaction while managing the cost of care.Essential Job Functions• Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.• Conducts initial and ongoing assessments and chart reviews of each assigned patient to identify potential and or actual barriers and care needs.Proactively screens and assesses the acuity and transitional needs of each assigned patient.Engages and collaborates with patients, support systems and the multidisciplinary/healthcare team to establish a plan of care that addresses the mutually identified needs of the patient.• Interventions and Care Coordination• Demonstrates the ability to interpret clinical information and understand health care treatment and systems.• Supports patients to ensure they can function to the best of their ability and maintain optimal health related to their medical condition(s). Identifies and addresses gaps in knowledge/understanding/education related to disease management.• Participates in the patient's plan of care by interacting/collaborating with patients, support systems, healthcare professionals and community and state agencies. Serves as a liaison between hospital, clinic and community agencies to facilitate the exchange of clinical and referral information.• Identifies high-risk patients through risk stratification tools and ongoing assessments including ED utilization and hospitalizations to address the medical/psychosocial/financial needs of patients and their support systems in both hospital and ambulatory settings.• Reinforces goals of care and treatment plans with patients and support systems in order to enhance patient and support system engagement.• Coordinates care conferences to support effective communication as needed.• Helps navigate the patient throughout the continuum of care.• Effectively collaborates and coordinates care with the Social Services Care Manager.• Maintains current knowledge of community resources and ancillary clinical services to meet the needs of hospital, clinic and regional customers.• Provides information about available resources to patients and their support systems.• Partners with the multidisciplinary/healthcare team and the Social Services Care Manager to guide/advocate placement to the appropriate Acute rehab, LTACH, SNF, long-term care facility, assisted living facility, or Home Health Care, in-home services, hospice, ancillary OP services and/or DME as clinically appropriate.• Acts as a clinical resource to the Social Services Care Manager.• Understands consultative disciplines and their role in patient care.• Maintains respectful and professional communication skills.• Insurance and Utilization Management • Maintains working knowledge of CMS requirements and readmission penalties. • Maintains working knowledge of insurance/payer benefits.• Evaluation• Monitors the need for revisions in the plan of care and makes recommendations to the multidisciplinary/healthcare team when indicated. Modifies the plan of care/goals to reflect changes in patient or their support system status and needs.• Monitors, evaluates and documents patient progress related to plan of care.• Documentation• Documents accurately and in a timely manner in the Electronic Medical Record per program guidelines.• Utilizes standards of professional practice in all documentation and communication consistent with organization/department policy as well as the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Documentation and patient information shall be secured and maintained in accordance with Billings Clinic policy, HIPPA, state and federal guidelines.• Safety/Quality Assurance/Risk Management• Identifies service gaps and participates in hospital and department programs to address and improve quality of care.• Advocates for marginalized or vulnerable populations by identifying cases of abuse and neglect and appropriately involving risk management and regulatory agencies.• Professional Accountabilities• Participates in continuing education, department planning, work teams and process improvement activities.• Maintains current Licensure.• Adheres to department and organizational policies addressing confidentiality, infection control, patient rights, medical ethics, advance directives, disaster protocols and safety.• Demonstrates the ability to be flexible, open minded and adaptable to change.• Maintains competency in organizational and departmental policies/processes relevant to job performance.• Utilizes standards of professional practice in all communication with patients, support systems and colleagues consistent with the Board of Nursing and ethical guidelines established and universally supported by the nursing profession.• Performs all other duties as assigned or as needed to meet the needs of the department/organization.• Inpatient Care Management Specific• Collaborates with post-acute services, Ambulatory Care Managers and PCP's to ensure successful transition back to the home environment. Makes appropriate Ambulatory Care Management referrals. Anticipates those patients who may require more support after hospital discharge and communicates these concerns.• Utilizes length of hospital stay, past utilization of resources and risk stratification to identify patients at high risk for readmission.• Interfaces effectively with the Utilization Review department to stay current on patient's eligibility for admission, continuing stay, or readiness for discharge.• Communicates with medical staff, coordination team and nursing staff regarding appropriateness of admission, need for continued stay and discharge plans.• Identifies and records episodes of avoidable days.• Evaluates the appropriateness of care delivery in the inpatient setting and communicates any discrepancies with the medical team.• In addition to the above Care Managers in the Emergency Department will also be responsible for the following duties:• Screens ED admissions using established criteria for specific payer populations• Understands insurance/payer policy language, benefits and authorization requirements for admission• Discuss payor criteria and issues on a case-by-case basis with clinical staffEnsures that the patient is in the appropriate "status" and level of care for the clinical condition. Utilizing screening criteria and physician advisor, per department standards• Outpatient Care Management Specific• Receives referrals on patients being seen in the clinic (Primary Care, SDC, specialty office, ancillary departments). Coordinates services for medical and non-medical care coordination needs that are episodic or longitudinal.• Receives referrals for elective procedure patients who would benefit from pre-discharge planning assessments and resource coordination.• Assists patients through care transitions from hospital to home, SNF to home/assisted living, or alternate setting per program guidelines.• Manages a panel of high-risk patients that require longitudinal education and support.• Effectively collaborates with Inpatient Care Managers and Social Service Care Managers to address the needs of shared patients.• Able to function effectively as a part of a team. Utilizing shared knowledge to address complex patient needs.• Supports Billings Clinic and community-based programs to advance the role of Outpatient Care Management, strengthen partnerships and meet department and patient needs.