Description STATEMENT OF PURPOSE The purpose of the Emergency Department Nurse Practitioner / Physician Assistant position is to provide safe, timely, compassionate, and evidence-based care to patients presenting to the Emergency Department across the lifespan. The Nurse Practitioner functions as an integral member of the Emergency Department team, working collaboratively with emergency physicians, nurses, ancillary services, EMS, and other healthcare professionals to evaluate, diagnose, treat, and appropriately disposition patients. This is a full time, benefited position working 80 hours per two week pay-period. Hours are Monday-Friday with variable hours. JOB FUNCTIONS Quality Performs comprehensive patient evaluations including detailed history, physical examination, assessment, and diagnosis; initiates, reviews, and revises treatment plans. Demonstrates knowledge of growth and development across the lifespan and provides age-appropriate care. Orders or transmits orders for laboratory, radiology, therapeutic, and other diagnostic studies; arranges admissions and completes required medical record documentation. Ensures legible, timely, and compliant documentation that meets coding and reimbursement standards. Practice in accordance with current evidence-based standards, hospital policies, regulatory requirements, and professional standards. Participates in performance improvement initiatives. Assists in development, revision, and implementation of department policies and procedures. Attends designated meetings, drills, and in-service programs. Maintains required certifications and completes annual competency evaluations. Follows disaster procedures, standard precautions, aseptic techniques, infection control and isolation guidelines; investigates and reports incidents per risk management policy. Service Perform comprehensive and focused histories and physical examinations. Perform medical screening examinations and determine the patient's presenting level of acuity. Develop differential diagnoses and appropriate diagnostic and treatment plans. Recognize and respond appropriately to changes in patient condition. Diagnose and manage acute and chronic conditions presenting in the Emergency Department within the provider's scope of practice. Order, interpret, and act upon laboratory, radiologic, cardiac, and other diagnostic results. Initiate appropriate medications, treatments, and interventions. Reassess patients and modify treatment plans based on clinical response. Participate in trauma activations and other emergency response protocols. Provide timely evaluation and treatment to support efficient Emergency Department operations. Manage appropriate patients independently while collaborating with the emergency physician for complex or high-acuity presentations. Facilitate appropriate disposition, including discharge, observation, admission, consultation, or transfer. People Communicate effectively with inpatient services, specialists, receiving facilities, and EMS. Work collaboratively with emergency physicians, nurses, paramedics, technicians, laboratory, radiology, respiratory therapy, pharmacy, surgery, and other healthcare professionals. Participate in interdisciplinary communication and handoffs. Maintain effective communication with the Emergency Department leadership team regarding patient care, operational concerns, and quality issues. Support a culture of teamwork, respect, accountability, continuous improvement, and patient-centered care. Attends mandatory education and contributes to a culture of clinical excellence and accountability. Finance Complete accurate and timely documentation to support appropriate coding, billing, reimbursement, and regulatory requirements. Support efficient Emergency Department throughput while maintaining patient safety and quality of care. Growth Identify opportunities to improve patient flow, reduce unnecessary delays, and increase appropriate utilization of Emergency Department resources. Collaborate with Emergency Department leadership and medical staff to identify opportunities for service expansion and improved patient access. Build strong working relationships with EMS, primary care, specialty services, community healthcare organizations, and referral partners. Promote positive patient experiences that support patient confidence in JRMC's Emergency Department and healthcare services. Participate in community education, outreach, and healthcare initiatives as appropriate. Maintain current knowledge of emerging practices, technologies, and models of emergency care that may improve services at JRMC. Requirements QUALIFICATIONS/REQUIREMENTS FOR THIS POSITION: Preparation & Training - Must be a graduate from a nurse practitioner training program approved by the Commission on Accreditation of Allied Health Education Programs (CAAHEP). Must have successfully completed the certifying examination of the National Commission on Certification of Nurse Practitioner. Must hold licensure/registration as required in the state of North Dakota. DEA certification required. Position is required to attend BLS, ACLS and Non-Violent Crisis Intervention (NCI) training in the appropriate timeframe according to department orientation checklist. Preferred: ATLS, TNCC / ATCN and Rural Emergency Medicine experience. Work Experience - Prefer previous experience as a NP with preference for Emergency Department or Critical Care experience. The successful applicant must be able to demonstrate that during the past 12 months he or she has been actively involved in clinical practice as a nurse practitioner and has provided inpatient or outpatient services to a reasonable number of patients, which can be documented. Attendance - Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee is expected to report to work as scheduled, on time and prepared to start working. Employee is also expected to remain at work for their entire work schedule. Analytical Ability - A high level of analytical ability is required in a variety of duties in order to gather and interpret complex data and to find solutions to difficult problems. Independent Judgement - Must have critical thinking and organizational skills as well as strong oral and written communication skills. Contact with Others - Demonstrates effective interpersonal skills in interactions with patients, staff and co-workers. Must demonstrate social sensitivity and the ability to communicate effectively in a professional manner. Supervising the Work of Others - Required to plan, assign work to and check the work of others. Supervision is provided to RN. Responsibility for Welfare of Others - High degree of contact with other employees that may result in minor discomfort and delay to patients and co-workers. Mental/Visual Effort - Must be able to speak and write the English language in an understandable manner. Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position. Required duties are such that concentrated attention must be applied on demand consistent with manual skill requirements in situations that may at times be stressful. Visual acuity necessary for reading charts and working with medical devices or instruments; color perception necessary for interpreting testing procedures involving color comparisons and supplies. Working Conditions - Works in a clean, well-lighted, heated, ventilated area. OSHA job classification: This position is defined as a Category I in which the employee does have exposure to blood borne pathogens and other potential infectious materials. Participates in and complies with JRMC Safety Management program. Position is subject to frequent interruptions. Work may be beyond normal working hours, on weekends and holidays. Position is subject to on-call after regular working hours. Risk of exposure to elements and hazards related to travel and work in satellite clinics. Must hold a current, unencumbered North Dakota driver's license. Working areas are clean and vented, but on occasion the position requires tasks that will expose individual to grinder dust. Physical & Sensory Effort - Requires moderate to high levels of physical and sensory effort. The role involves prolonged periods of standing and walking during patient evaluations, procedures, and follow-up care. Frequent bending, stooping, reaching, and positioning of patients is required, particularly during patient assessments and different procedures performed in the Emergency Department. The provider must possess sufficient manual dexterity and fine motor skills to perform detailed assessment, interpretation of diagnostic results, and accurate documentation. Auditory acuity is necessary for effective communication with patients, families, and interdisciplinary team members. The role also requires the ability to respond quickly in emergency situations, maintain focus for extended periods, and manage multiple clinical priorities in a fast-paced environment. Occasional lifting, repositioning, or assisting with patient transfers may be required, consistent with safe patient handling guidelines. Promotion - No formal line of promotion. Background - A comprehensive background check will be conducted as a condition of employment for this role. Drug Screen - A urine drug screening is required for all positions and must be completed within 30 days of the date of hire. Physical Requirement - These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation. Employee Requirements Visual Observation - Continuously Standing - Continuously Walking - Continuously Sitting - Occasionally Hands and Finger Dexterity - Continuously Reaching with Hands and Arms - Continuously Climbing - Rarely Stooping/Kneeling/Crouching/Crawling - Frequently Hearing/Listening - Continuously Tasting or Smelling - Occasionally Working Inside - Continuously Working Outside - Never Working in Extreme Heat - Never Working in Extreme Cold - Never Working with Hazardous Materials - Rarely Noise - Continuously Working in Dirt/Dust - Rarely Driving - Ocassionally Lifting / Carrying / Pushing / Pulling: Up to 10 pounds - Occasionally Up to 25 pounds - Occasionally Up to 50 pounds - Occasionally Up to 75 pounds - Occasionally Up to 100 pounds - Occasionally Over 100 pounds - Occasionally
About Crossover Health Crossover Health is creating the future of health as it should be. A national, team-based medical group with a focus on wellbeing and prevention that extends beyond traditional sick care, the company delivers an entirely new model of healthcare—Primary Health—built on the foundation of trusted relationships, an interdisciplinary care team approach, and outcomes-based payment. Crossover’s Primary Health model integrates primary care, physical medicine, mental health, health coaching, care navigation and more, and delivers care in surround-sound—in-person, virtually and via asynchronous messaging. Together we are building a community of members that embraces healthcare as a proactive part of their lifestyle. Job Summary The Nurse Practitioner is responsible for meeting all clinical, administrative, and financial performance metrics. This position is responsible for implementing, delivering, and ensuring that the highest quality of patient-centered care is delivered. Job Responsibilities Provides patient centered, comprehensive primary care services Participate in the selection of suitable treatment plans for all patients Supervise staff to ensure the care team is providing appropriate care in accordance with their duties and obligations Assist other care providers and extended care teams Provide continuous availability for medical and technical questions to the employees, patient care staff, and ancillary care providers including after hours coverage Actively participate in quality improvement programs, as well as participate in multidisciplinary quality assurance programs Collaborate with the management team as needed to ensure improvement of patient care Cooperate with clinical outcome reviews and measurements Comply with all policies, procedures, and protocols Provide general medical care and treatment to patients in the health center under the direction of a physician (depending on state) Submits health care plan and goals of individual patients for periodic review and evaluation by physician. Prescribes or recommends drugs or other forms of treatment such as physical therapy, inhalation therapy, or related therapeutic procedures May refer patients to physician for consultation or to specialized health resources for treatment. Performs other duties as assigned. Required Qualifications Minimum of 5 years of clinical experience in Internal Medicine or Family Practice Must be Board Certified Must be licensed to practice in appropriate state Current BLS (Basic Life Support) certification required Preferred Qualifications Proficient in promoting the clinic Strong communication skills Physical Job Requirements May require standing, walking and sitting for extended amounts of time. Occasionally lift and carry items weighing up to 50 lbs. Manual and finger dexterity and hand-eye coordination Includes full range of body motion including potential of handling and lifting patients. Requires corrected vision, hearing and speech within normal ranges. Must be able to effectively communicate with patients and team members. Crossover Health is committed to Equal Employment Opportunity regardless of race, color, national origin, gender, sexual orientation, age, religion, veteran status, disability, history of disability or perceived disability. If you need assistance or an accommodation due to a disability, you may email us at careers@crossoverhealth.com . To all recruitment agencies : We do not accept unsolicited agency resumes and are not responsible for any fees related to unsolicited resumes. #LI-Onsite
Responsibilities INTAKE CLINICAL ASSESSOR- NIGHT SHIFT- (PRN) ***PRN - Must be able to work 36 hours/month with one weekend shift.*** Horizon Health is seeking an Intake Clinical Assessor for our BRAND NEW unit called Altru Behavioral Health Center in Grand Forks, ND. This is a 24 bed inpatient psychiatric unit for adult and pediatric patients. The Admissions Clinician provides assessments to assist the physician in identification of appropriate level of care for potential patients. The Admissions Clinician is the initial contact with referral sources and potential patients, coordinates the referral and intake process, facilitates the admission process and maintains communication with referral sources, families, patients and unit staff. The Admissions Clinician is responsible for the verification and prior authorization of insurance benefits as needed. RESPONSIBILITIES: Answers telephone using the appropriate greeting and attempts to obtain all pertinent clinical, demographic and insurance information from the caller to determine caller’s needs. Performs telephonic risk screening to determine level of suicidality/homicidality with caller in crisis. Demonstrates knowledge of admission criteria for inpatient and outpatient levels of care and is able to recommend appropriate service recommendations for each individual. Provides referral recommendations to appropriate resources whenever a caller is not appropriate for services Schedules assessments with potential patients and referral sources and explains the assessment/admission process. Promptly greets patient and family upon notification of their arrival. Informs patient and family of evaluation and admission process. Conducts walk-in and scheduled assessments, coordinates with the reviewing psychiatrist, and makes appropriate clinical recommendations for the individual seeking care. Conducts assessments for pre-accepted patient transfers (direct admits) coming from hospitals and other approved referral sources. Identifies potential problematic disposition cases, including placement problems, medical needs or developmental delays, and seeks supervision prior to acceptance. Accurately and thoroughly enters information into the electronic medical records system in accordance with departmental protocol. Accurately and thoroughly reviews and completes all admission paperwork, ensures patient signature on all required areas. All information is reviewed with patient in an understandable manner with consideration of age and ability. Demonstrates knowledge of voluntary admission and involuntary procedures for court commitment. Coordinates and arranges for emergency medical or psychiatric care in the event a patient is medically compromised or if we cannot accommodate the patient; completes Memorandum of Transfer form accordingly. Makes appropriate referral for alternative level of care or notifies referral source for follow up if patient is determined not to be appropriate for admission. Completes referrals and Crisis Safety Plan for patients being referred out. Documents in a clear, concise, and timely manner. Utilizes appropriate terminology in documentation. Exhibits excellent customer relations skills as evidenced by supportive and constructive communication with all contacts including coworkers, patients, visitors, families and referral sources. Promotes a safe work environment for self, patients and coworkers by complying with environment of care, safety, infection control and universal precaution guidelines. Acquires and maintains current knowledge in assessment techniques, crisis intervention, varying levels of care and available resources. Participates in staff meetings, hospital committees, program development and innovations which will enhance the quality of services provided to patients/ Benefit Highlights for full-time positions: Competitive Compensation Excellent Medical, Dental, Vision, and Prescription Drug Plan 401(K) with company match and discounted stock plan Long and Short-term Disability Flexible Spending Accounts; Healthcare Savings Account Life Insurance Career development opportunities within the company Tuition Assistance Rewarding work environment – Enjoy going to work every day! For more information on this position, email Oscar Hernandez, Horizon Health Corporation, Senior Executive Recruiter at Oscar.Hernandez2@horizonhealth.com About Universal Health Services One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $14.3 billion in 2023. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 96,700 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com Qualifications Master's Degree in Counseling, Psychology, Social Work, or Human Services field, OR licensed RN LCSW, LPC, LMFT preferred 1-2 years of experience preferred in psychiatric health care. Working knowledge of DSM-V diagnostic criteria, mental status exam, and addiction and recovery field. Supervisor experience preferred. EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success. Avoid and Report Recruitment Scams At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449 . All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws. We believe that diversity and inclusion among our teammates is critical to our success.
