Physician Assistant (PA)/Nurse Practitioner (NP) Family Medicine West Union, IA (.8 - 1.0 FTE)

Schedule Weekly Hours:

We are seeking a Physician Assistant (PA) or Nurse Practitioner (NP) to add to our current clinician group. Our team currently includes two Family Physicians and seven midlevel practitioners, as well as several specialists from the La Crosse Gundersen Health System campus who provide outreach services in the West Union area. The West Union location is a Monday through Friday family medicine practice with walk-in clinic appointments. In addition, the practice has two satellite clinics located in Postville and Fayette both are a Monday through Friday family medicine practice.

This position will work Monday through Friday with hours that may flex between 7:30 a.m. to 5:00 p.m. at our West Union clinic and at one of our satellite locations.

West Union is a rural community in beautiful NE Iowa. Enjoy your life and practice in West Union, the county seat for Fayette County. Our town has been designated a Green Main Street community with many outdoor recreational opportunities, a wonderful school system, and a robust community. The population base for West Union and surrounding rural communities is approximately 21,000. A state-of-the-art, completely remodeled, full-service hospital is attached to the clinic.

An Iowa license and completion of an accredited Physician Assistant or Nurse Practitioner program is required to start but not a prerequisite for applying.

Gundersen Health System offers:

• Competitive Salary
• 10 days of CME plus funds
• Loan Forgiveness
• Base Retirement Contribution and 401K matching program for retirement
• Additional benefits include:

Malpractice, health, dental, life, disability, and vacation

Gundersen Health System is:

• A physician-led, not-for profit healthcare system
• Located throughout western Wisconsin, northeastern Iowa, and southeastern Minnesota caring for patients in 22 counties
• A regional referral center with regional hospitals
• A teaching hospital with 325 beds and a Level II Trauma and Emergency Center
• The designated Western Academic Campus for the University of Wisconsin School of Medicine & Public Health
• We offer a competitive salary, loan forgiveness, generous benefits, including CME time and monetary allowance, retirement plan and more.

Gundersen Health System is an award winning, physician-led, integrated healthcare system employing nearly 900+ clinicians. Our mission is to distinguish ourselves through excellence in patient care, education, research, and improved health in the communities we serve. A rewarding practice and an excellent quality of life awaits.

West Union is located in the Northeast corner of Iowa. The bluff country of Northeast Iowa is remarkable in so many different ways. For more information about West Union, IA visit http://www.westunion.com/

Position Purpose: * The Nurse Practitioner (NP) performs the functions of examining, assessing, planning and implementing the health care of assigned patients in collaboration and under the general supervision of a licensed physician. The NP secures patient histories, performs physical examinations, orders laboratory tests, develops and implements treatment plans, performs diagnostic and treatment procedures, records findings, and provides patient education and counseling to enhance our effectiveness in providing primary care, preventative services, and improved outreach. Scheduling Pattern: * Monday through Friday Clinic hours. Extended hours as required by the needs of the organization. Education/Licensure/Training/Experience: Masters of Science in Nursing granted by an accredited college or university, and is qualified for certification as a nurse practitioner. A current license to practice as a Registered Nurse in the stat of employment, current certifications as an Advanced Registered Nurse Practitioner in Iowa. Must be able to apply diverse principles of logic, medical or scientific thinking to a wide range of health care situations. Ability to apply accepted methods of treatment and creative new developments to heath care problems. Special Skills & Abilities: * Annual Competency Skills Review: Completion of an annual skills evaluation is required of this position to demonstrate competency to perform the NP role. This evaluation is reviewed and delegated by the supervising physician as appropriate activities for this NP, based on training and experience and the practice setting and practice needs. The list is reviewed and updated on an annual basis. Additional activities may be performed under direct physician supervision as required. * Scope of Practice: The NP's practice may not exceed his or her education, training, or experience and may not exceed the scope of practice of a supervising physician. * Prescriptive Authority: The NP prepares prescription orders for medications, including controlled substances, in accordance to all applicable state and federal laws, under the guidance of a supervising physician. Supervision is assured through the use of written guidelines which are updated and reviewed annually, direct consultation for situations not covered by guidelines, and/or countersignature of the patient record. The NP does not prescribe substances a supervising physician does not have authority to prescribe, Schedule I controlled substances, anabolic steroids to enhance athletic performance, nor experimental or investigational substances, except as directed by research protocol approved by Gundersen's Institutional Review Board and a supervising physician who is an investigator in the study. Schedule II controlled substances listed as stimulants or depressants require prior approval and direction by the supervising physician. They are limited to use in treatment of cancer-related pain, narcolepsy, hyperkinesis, drug-induced brain dysfunction, epilepsy, and refractory depression. All written prescriptions issued by a Nurse Practitioner shall contain the date of issue; name and address of patient; name of substance/device, strength, quantity, and directions for use; the Nurse Practitioner's name, the practice address and phone number; the Nurse Practitioner's signature; and the Nurse Practitioner's DEA number, if a controlled substance. Working Conditions: * May be exposed to communicable diseases, toxic substances, ionizing radiation, medicinal preparation, hostile situations, stressful situations, and other conditions common to working in a health care environment. Access to Patient Information: * In order to comply with HIPAA, all employees must abide by organization and department policies regarding security and privacy. All staff members must work together to ensure patient confidentiality. This position will be working in a patient care area and will have access to oral, written, and electronic data containing patient information. This information is needed in order to carry out the duties assigned to this position. All staff will display name badges when seeking data. Staff will have electronic access via their own individual password and will log off as appropriate when inquiry is complete. Patient records and charts will be kept in a confidential manner in a controlled area to assure privacy and security of such information. Standards of Behavior * Finance/Affordability - GPLHC will make decisions that support our Mission and Vision while ensuring financial viability. 1. Acts as a responsible steward of the resources with which we work including time, materials, supplies, equipment and property. Provides suggestions for utilization of facility assets. 2. Observes work hours, attends work regularly, keeps absenteeism/tardiness at a minimum. Ready to work at start of shift and works until off the clock. 3. Works in a cost effective manner. * Quality - To promote quality outcomes while emphasizing positive patient experiences 0. Uses appropriate communication with patients, coworkers, leaders and other departments to ensure continuity of services and sharing of information. 1. Properly introduces self, acknowledges all customers and recognizes individuals' privacy, dignity and personal preferences. 2. Greets, listens and provides timely feedback to patients, guests and coworkers. 3. Uses courteous phone techniques and returns calls in a timely fashion. 4. Treats everyone with the utmost respect, dignity, courtesy and confidentiality. 5. Supports process improvement initiatives and participates in quality activities. 6. Demonstrates continual awareness and use of appropriate infection prevention practices. 7. Keeps current with all policies/procedures. Consistently follows policies. When in doubt, seeks clarification. 8. Performs job assignments according to facility standards. 9. Practices service recovery - key words at key times. 10. Seeks and supports a non-violent climate; a culture where safety and security is our number one goal. 11. Immediately reports all safety hazards, accidents/incidents. 12. Works to understand and value the diversity of our customers and coworkers. * Service - To provide the services our patients need in the appropriate setting. 0. Promotes Gundersen Palmer Lutheran Hospital and Clinics and its services in a positive manner to all customers. 1. Demonstrates and encourages a multidisciplinary team approach to providing services and problem resolution. 2. Handles unanticipated events/crisis situations professionally, is alert to potential problems and notifies appropriate individuals. 3. Demonstrates ability to make appropriate decisions as needed in a timely manner 4. Identifies areas for improvement in their job/department and participates in performance improvement initiatives. 5. Initiates own education, growth and development through training and development activities such as internal or external courses, seminars, on-the-job training, etc. 6. Accepts supervision and instruction; is open to suggestions, clarifies responsibilities and is flexible. 7. Demonstrates responsibility for own judgment/actions; is receptive to constructive suggestions offered by others. * Workplace of Choice - to create an environment to attract and retain excellent staff and physicians. 0. Regularly attends scheduled departmental staff meetings or meets with manager to receive updates. 1. Attends mandatory in-service sessions (100% compliance). 2. Gives full attention to task at hand and completes work accurately and on time. 3. Projects image of professionalism through appropriate attire and behavior (including proper name tag display). 4. Willingly shares in the distribution of work load/assignments. 5. Demonstrates core value of the Employee Code of Conduct in interactions with peers, patients/patient's family members, physicians and others. 6. Resolves issues or problems directly, openly and effectively, utilizing appropriate chain of command as needed. 7. Demonstrates flexibility and cross trains as customer needs require. 8. Ensures Kronos timecard is completed and ready for supervisor to sign by 8:30 a.m. Monday of payroll week. 9. Adapts to changes in department and organization when policies and procedures change. 10. Assists new coworkers in orientation and adaptation to the department and the organization. 11. Contributes to a positive work environment. 12. Demonstrates willingness to take on additional responsibility when department work loads demands. * Growth/Community - to expand services at Gundersen Palmer Lutheran Hospital and Clinics that meets the need of our communities. 0. Follows HIPAA guidelines and reports confidentiality breeches. 1. Takes pride in Gundersen Palmer Lutheran Hospital and Clinics as if he/she owns it. 2. Represents Gundersen Palmer Lutheran Hospital and Clinics positively in the community. 3. Participates in events in the community in which you work or live. % Essential Functions: * Finance/Affordability - GPLHC will make decisions that support our Mission and Vision while ensuring financial viability. 1. Prepares and submits accurate billing and insurance claim information reflecting the services provided, in compliance with the standard coding guidelines, federal and state regulation, insurance contract terms, and Gundersen Palmer policy and procedures. * Quality - To promote quality outcomes while emphasizing positive patient experiences 0. Supports the Gundersen Palmer Mission Statement, values, and goals of service by demonstrating concern for quality, efficiency, and effectiveness of operations, services, activities, and personnel. 1. Cares for patients of any age to obtain a personal medical history, perform an appropriate physical examination, record and present pertinent data concerning the patient in a manner meaningful to the supervising physician. 2. Performs and assists in performing routine diagnostic studies and therapeutic procedures. 3. Recognizes medical emergencies and initiates evaluative and treatment procedures necessary in life-threatening situations, and immediately reports to supervising physician. 4. Assists the practice physicians in quality improvement efforts by participating in quality improvement teams, maintaining necessary logs, preparing reports, and participating in practice evaluation and education programs. * Service - to provide the services our patients need in the appropriate setting. 0. Maintains knowledge of current statutes regulating Nurse Practitioner practice and provides within the limitations as established by the state licensure boards, local and federal regulations. 1. Instructs and counsels patients on physical and mental health, including diet, disease, medications, treatment, growth and development, screening and disease prevention. 2. Prepares and maintains clinical records in a problem-oriented format, fostering communication between health care providers, continuity of care and coordination of services. 3. Facilitates referrals to community health facilities, agencies and resources. 4. Provides patient services in outpatient facilities, hospitals, nursing homes, extended care facilities, and patient homes as required. 5. Consults with the physicians, nursing staff, and technicians in order to evaluate standards of patient care provided and makes recommendations for improvement. * Workplace of Choice - to create an environment to attract and retain excellent staff and physicians. 0. Complies with and keeps current regarding licensure. 1. Participates in the annual performance review process by completing a self-evaluation instrument, assisting the general supervising physician in updating the job description and scope of practice, establishing a personal education plan, and meeting with the general supervising physician and administrative director to review progress and establish future goals. 2. Maintains Basic Life Support (BLS) certification. * Growth/Community - to expand services at Gundersen Palmer Lutheran Hospital and Clinics that meets the need of our communities. 0. NP undertakes additional primary care job-related duties as requested.

If you need assistance with any portion of the application or have questions about the position, please contact HR-Recruitment@gundersenhealth.org or call 608-775-0267

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Equal Opportunity Employer