Contributes to the fulfillment of the St. Vincent Health System mission and vision and the strategic initiatives of St. Vincent Health System by providing medical care to patients under the direction of a supervising hospitalist. Provides a comprehensive assessment of the patient’s medical, physical and psychological status, develops medical care plans, implements and manages a treatment plan, periodically assesses patient’s medical needs, and provides patient education and counseling.


  1. Functions within the scope of practice as defined within state regulations. The APN/PA scope of practice will be defined by the collaborative agreement as completed with the collaborating physician.

  2. Adheres to patient confidentiality, infection prevention, safety and security measures, and all other hospital policies and procedures.

  3. Models St. Vincent core values.

  4. Works effectively and collaboratively in a diverse and multi-cultural environment.

  5. Collaborates with physicians and other health care team members in providing medical care for the patient. Communicates with supervising hospitalists to establish and update plan of care on both hospitalist admissions and hospitalist consults.

  6. Assesses the medical, physical and psychological status of patients by reviewing patient records, obtaining a comprehensive problem-oriented health history, performing a physical examination of appropriate complexity, and ordering and evaluating appropriate laboratory, radiology, EKG’s and other diagnostic studies as medically indicated.

  7. Interprets available data in order to establish a preliminary diagnosis and develop a treatment plan according to evidence-based guidelines.

  8. Coordinates acquisition of outpatient records from primary care providers and specialists

  9. Facilitates the admission process entering admission orders, reconciling admit medications, calling consults, and dictating and/or electronically documenting H&Ps in a timely fashion. Updates patients, family, nurses and other healthcare providers of plan of care.

  10. Performs daily rounds with and without supervising physician ensuring that all lab work, diagnostic work, and other tests are being done in a timely manner. Facilitates getting results of tests to the hospitalist to augment patient care and help accelerate the diagnostic and treatment process.

  11. Serves as liaison and facilitator of medical and social information among supervising hospitalist, staff members, other physicians, patients, and families.

  12. Proactively coordinates disposition planning with hospitalists, social service, care management, therapists, patients, and families to promote timely discharges.

  13. Instructs patient and family regarding medication and treatment. Provides appropriate patient education and counseling as to health maintenance, disease prevention, nutrition, and lifestyle changes. Assists patients and caregivers in identifying and utilizing community and other resources which will meet patient and family needs and lead to optimum health.

  14. Facilitates discharge process by preparing discharge orders. Reconciles medications at discharge and executes electronic/written/verbal prescriptions for medications including controlled substances within scope. Performs discharge summary as requested by supervising hospitalist.

  15. Fosters quality transitions of care by assuring follow up visits with primary care physicians and appropriate specialists are made. Helps ensure that primary care physician and appropriate specialists receive discharge summaries and any other relevant hospital reports. Follow up phone calls to discharged patients at request of physician or by protocol.

  16. Maintains comprehensive and complete medical records assuring that records are accurate and current. Updates diagnoses, problem lists, and medication lists as needed.

  17. Provides complete and appropriate information for billing purposes. Assures that all physician and nursing documentation is present to meet appropriate charge level.

  18. Completes necessary prior authorizations.

  19. Maintains availability in person, by email, and by cell phone/pager as required, including sharing call duty in the hospital and/or from home as required. Works as a team player in creating and adjusting work schedules with other physician extenders and supervising hospitalists. Cross-covers other physician extenders as necessary.

  20. Takes responsibility for assuring patient/family satisfaction.

  21. Works to exceed national benchmarks for quality care delivery, cost containment, and length of stay for various disease states.

  22. Assures the effective utilization of standing order sets and checklists intended to maximize efficiency, minimize iatrogenic complications, ensure adherence to core measures, reduce mortality, reduce readmissions, and optimize patient autonomy.

  23. Collects quality, efficiency, and satisfaction data as well as performs chart audits as requested to help advance hospitalist group goals.

  24. Provides opportunistic education to hospital nurses and other staff while conducting patient care and administers planned staff education sessions as required.

  25. Attends monthly hospitalist meetings, journal clubs, billing and documentation education, assigned committee meetings, and other necessary sessions conducted for or by the hospitalist group.

  26. Demonstrates commitment to further professional development by planning, attending, or participating in continuing educational programs and professional association groups and meetings.

  27. Other duties as assigned by supervising physician or hospitalist medical director that are within the scope of practice of an APN/PA.




Previous experience as a hospital-based nurse practitioner or physician assistant is desirable but not required.


Current Nurse Practitioner Licensure in Arkansas

Collaborative Agreement with supervising physician.

Drug Enforcement Administration (DEA) certificate and ability to maintain said certificate.

ACLS or ACLS instructor certification is required upon hire.

Job Nursing - Advanced Practitioner/Physician Assistant


Daily Schedule DAYS

Scheduled Hours per 2-week Pay Period 80

Weekends Required Occasional

Req ID: 2017-R0126301