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ST. CHARLES HEALTH SYSTEM

TITLE: Advanced Practice Provider - Orthopedics (Hand)

REPORTS TO POSITION: Senior Medical Director, Orthopedics, Neurosurgery and Physiatry

DEPARTMENT: St. Charles Orthopedics & Neurosurgery

DATE LAST REVIEWED: February 4, 2025

OUR VISION: Creating America's healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: The Orthopedic, Neurosurgery & Physiatry Service Line at St. Charles Health System provides ambulatory, procedural, and inpatient care for the health system as well as within ambulatory surgery centers. This service line includes approximately 60 providers representing the full spectrum of neuromusculoskeletal care across inpatient, outpatient, ambulatory surgery centers and clinics. The team will collaborate extensively with the Bend-hospital based acute surgery and trauma team in the development, refinement and collaboration of a robust trauma program designed to meet the growing needs of the Central Oregon community.

POSITION OVERVIEW: Advanced Practice Providers (APPs) works in a supporting role in the clinic, hospital and operating rooms in both the hospital and ambulatory surgery centers with a team of Orthopedic Surgeons.

Work schedule: Provider will work a minimum of 40 hours per week with a minimum of 36 hours patient contact time. Duties include a blend of surgical assist, hospital rounding, admitting, discharges and scheduled and walk in clinic visits. This includes clinical documentation and all other necessary duties.

ESSENTIAL FUNCTIONS AND DUTIES:

Clinical Expectations:

• Assists physicians with the range of orthopedics surgeries including, but not limited to, sports, hand, foot & ankle, trauma and total joint replacement. Provide exceptional patient care.
• Maintain patient medical records including reports of all examinations, procedures, and other services performed.
• Performs pre-operative and post-operative care in clinics.
• Performs diagnostic and therapeutic procedures such as aspirations and injections of joints.
• Rounds in the hospital on orthopedic patients as needed.
• Exercises judgment on conditions requiring consultation, referral or evaluation by an orthopedic surgeon or other health care professionals.
• Participates in a call rotation and triages patient calls from the after-hours answering service.

Administrative Expectations:

• Documents all patient care within the Electronic Medical Record (EMR) and completes all necessary tasks in compliance with health system policies and regulatory agencies to ensure timely and accurate billing.
• Familiar with the SCHS organization structure.
• Participate in team meetings and assist in policy and clinical practice guidelines.
• Keep medical knowledge and skills current through regular CME activity.
• Must attest to having adequate (CME) to meet maintenance of board certification and compliance with MSO rules and continuing privileges without restriction.
• Keep all licenses and appropriate certifications current and unrestricted.
• Maintain active privileges at a St. Charles Health System hospital sufficient to permit performance of job duties.

Behavioral Expectations:

• Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.
• Provides and maintains a safe environment for caregivers, patients and guests. Conducts all activities with the highest standards of professionalism and confidentiality.
• Delivers first-rate customer service and/or patient care in a manner that promotes goodwill, and is timely, efficient and accurate, and courteous.
• Educates, counsels, and assists patients and families regarding current health problems, health maintenance activities and preventive behaviors.
• Provide a therapeutic presence in service to others by purposefully responding to the needs of patients/customers in a caring way.
• This includes introducing oneself and stating your purpose, asking the patient their preferred name, spending time with the patient to determine their care goals, active listening, and using skillful communications (appropriate touch, eye contact, etc.).
• Complies with all applicable laws, regulations, policies and procedures, supporting the health system's corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violations of applicable rules, and cooperating fully with all health system's investigations and proceedings.

EDUCATION

Required:

• Successful completion of an approved Physician Assistant or Nurse Practitioner course of study and certification as appropriate to the incumbent's license.
• Complete annual fire/safety, etc. education in-services as required. Attend mandatory educational offerings as described in SCHS policies/procedures and/or as required by other regulatory bodies.
• Complete annual CME as required to maintain license and appropriate Board certification.
• Complete in a timely manner assigned Computer Based Learning modules.

LICENSURE/CERTIFICATION/REGISTRATION

Required:

• Unrestricted Physician Assistant and/or Nurse Practitioner licensure in the state of Oregon.
• Physician Assistant requires NCCPA certification. Nurse Practitioner requires AANC, NCC or AANP, AMCB certification. If Physician Assistant, ability to establish and maintain a Collaborative Practice Agreement with a Supervising Physician through OMB.
• Unrestricted Federal DEA number registered in Oregon.
• Unrestricted ability to participate in Medicare / Medicaid, or other federal or state governmental health care programs.
• Current BLS certification.
• Additional certifications may be required based on privileges granted to provider by Medical Staff Services at SCHS Inpatient locations.

Preferred:

• Orthopedic Physician Assistant Certification through the National Board for Certification of Orthopedic Physician Assistants

EXPERIENCE

Required:

• Experience using EMR (Electronic Medical Records) software.
• Advanced written and verbal communication skills to effectively interact with a diverse population and professionally represent St. Charles Health System.
• Experience working in a team environment and proven ability to collaborate, manage facilitation and consensus building among health care professionals and agencies to achieve expected results.

Preferred:

• Prior experience with orthopedic surgery and/or trauma surgery.
• Epic EMR software experience

PERSONAL PROTECTIVE EQUIPMENT

• Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

GENERAL

• Must have excellent communication skills and ability to interact with a diverse population and professionally represent SCHS.
• Strong team-working and collaborative skills
• Ability to multi-task and work independently.
• Attention to detail.
• Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.
• Intermediate to advanced proficiency with Electronic Medical Record systems. Intermediate in Microsoft applications (Word, Excel).

ADDITIONAL POSITION INFORMATION

PHYSICAL REQUIREMENTS

• Continually (75% or more) Standing & Walking, Keyboard Operation, Using Clear and Audible Speaking Voice, Hearing at Normal Speech Levels.
• Frequently (50%) Sitting, Lifting, Carrying & Pushing / Pulling up to 25 lbs.
• Occasionally (25%) Bending, Stooping, Kneeling, Crouching, Lifting, Carrying & Pushing / Pulling 25 lbs. to 50 lbs., Grasping / Squeezing, Hearing at Whispered Speech Levels
• Rarely (10%) Climbing Stairs, Exposure to Wet / Slippery areas, Exposure to Chemical Solutions

**Nothing in this job description is intended, nor shall be interpreted, as a grant or approval of medical staff membership or clinical privileges. By law and applicable accreditation standards, medical staff membership and clinical privileges can be granted or approved only by a hospital's medical staff and governing body.

Employment processes and requirements, which are governed primarily by the human resources policies of St. Charles, are separate and distinct from medical staff membership and clinical privileging processes and requirements, which are governed primarily by the bylaws and policies of the hospital medical staff.

Accordingly, employed physicians and providers of St. Charles are required at all relevant times not only to satisfy the requirements and perform the duties set forth in this job description, but, also, to satisfy the requirements and perform the duties for obtaining and maintain appropriate medical staff membership and clinical privileges.

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