Ambulatory Orthopedic APP (Full Time)

To be part of our organization, every employee should understand and share in the Yale New Haven Health System Vision, support our Mission, and live our Values. These values-integrity, patient-centered care, respect, accountability, and compassion-must guide what we do, as individuals and professionals, every day.

The Physician Assistant or Nurse Practitioner is a licensed professional provider who functions in collaboration with attending physicians in a variety of practice settings throughout Yale New Haven Health System. The Advanced Practice Provider (APP) delivers comprehensive, patient-centered care through assessment, diagnosis, treatment, education, and coordination of care while maintaining the highest standards of clinical excellence.

Northeast Medical Group is seeking a Physician Assistant (PA) or Nurse Practitioner (NP) to join our busy and growing Ambulatory Orthopedic Physiatry Practice located in Old Saybrook, Connecticut. This is an outstanding opportunity to become part of a collaborative, multidisciplinary team dedicated to providing high-quality outpatient musculoskeletal and orthopedic rehabilitation care.

The APP will work closely with experienced physiatrists and other healthcare professionals to evaluate, diagnose, and manage patients with a wide range of musculoskeletal and orthopedic conditions. This position offers an excellent opportunity for both experienced APPs and new graduates interested in developing expertise in orthopedic physiatry and rehabilitation medicine.

• Four 10-hour shifts per week
• Monday through Thursday
• No weekends
• No holidays
• No call responsibilities
• Outstanding work-life balance

• Perform comprehensive patient evaluations, including obtaining detailed medical histories and conducting focused physical examinations.
• Assess, diagnose, and manage patients with acute and chronic musculoskeletal and orthopedic conditions in the outpatient setting.
• Develop individualized treatment plans in collaboration with supervising physicians and the multidisciplinary care team.
• Order, interpret, and review appropriate diagnostic testing, laboratory studies, and imaging.
• Provide patient education regarding diagnoses, treatment options, rehabilitation programs, injury prevention, and long-term musculoskeletal health.
• Document patient encounters accurately and efficiently within the electronic medical record.
• Coordinate care with physicians, physical therapists, occupational therapists, and other healthcare professionals to optimize patient outcomes.
• Participate in quality improvement initiatives and maintain evidence-based clinical practice standards.

• Graduate of an accredited Physician Assistant or Nurse Practitioner program.
• Current or eligible Connecticut PA or APRN license.
• Board certification or board eligibility required.
• Connecticut Controlled Substance Registration and DEA registration (or eligibility) required.
• Excellent communication, interpersonal, and clinical decision-making skills.
• Ability to work collaboratively within a multidisciplinary outpatient practice.

• Experience in orthopedics, physiatry, sports medicine, rehabilitation, or musculoskeletal medicine is preferred but not required.
• Acute care or outpatient orthopedic experience is a plus.
• New graduates with a strong interest in orthopedic rehabilitation are encouraged to apply.

• Collaborative and supportive physician and APP team
• Mentorship from experienced orthopedic physiatrists
• Busy, established outpatient practice
• No weekends, holidays, or call responsibilities
• Excellent work-life balance
• Competitive compensation and comprehensive benefits package
• Opportunities for professional growth and continuing education within one of the region's leading academic health systems

• 1. Clinical Care * The Physician Assistant (PA) or the Nurse Practitioner (NP) provides assessment, triage, and therapeutic management of patient/family needs throughout the disease process as an integral part of an interdisciplinary team. The NP/PA, whether the practice setting is the inpatient, ambulatory, or outpatient settings, provides optimal patient care, from diagnostic to prognostic matters. This individual works in collaboration with the attending supervising/collaborating physician(s) in accordance with state law and hospital regulations, hospital policy, protocols and clinical pathways and may provide autonomous team based care. * Obtains medical histories, performs physical examinations, reviews/orders diagnostic/therapeutic tests and radiologic results, formulates and manages patient treatment plans. The NP/PA may perform procedures, prescribe treatment and medications in accordance with institutional and state guidelines, as well as, when necessary for scope within specialty or professional competency standards. In some clinical specialties, the NP/PA may have autonomous practice managing certain patient populations. * The NP/PA may also function as first or second assistant on operative cases (as long as within position scope and job educational prerequisites are in place), using fine motor skills and manual dexterity. * Other clinical job duties may be applied in accordance with departmental and operational goals, training related to profession and practice necessitated guidelines and responsibilities, inclusive but not limited to responding to emergency situations within the YNHHS parameters
• 2. Patient Education & Psychosocial Support * The NP/PA will educate patients/families on care and recommended or available resources. In collaboration with the supervising/collaborating MD, this may be inclusive of admitting instructions, treatment plan, actual and potential side effects of treatments/medications, and discharge plan. * The NP/PA, as part of a multidisciplinary team, provides psychosocial support to patients, their family members, and significant others in a caring, ethical, and professional manner.
• 3. Information Management * The NP/PA ensures appropriate documentation within the accordance of hospital and regulatory requirements and protects information of all forms, whether computer-based, paper, film, voice, or other media from unauthorized access modification, destruction, or intentional or accidental disclosure.
• 4. Quality Management * The NP/PA is expected to demonstrate a high standard of moral and ethical behavior, professionalism, compassion, and commitment to patient care. * Ensures compliance with patient related healthcare regulatory requirements, standards and recommendations.
• 5. Professional Development * The NP/PA continuously engages in projects that maintain and advance professional competency. * The NP/PA serves as a clinical resource for new house staff and may provide service specific orientation pertinent to clinical education * Consistently demonstrates high reliability organizational behaviors through reporting safety events as well as near misses. * The NP/PA continuously engages in projects that maintain and advance professional competency. * Maintains all employee requirements determined by hospital policy. * The NP/PA may serve as a clinical preceptor for NP/PA students and other health care professionals and may serve as a mentor to pre-PA/NP candidates. * The NP/PA may collaborate on research, quality assurance and performance improvement projects, and assist with the formation of protocols that will be applied to clinical practice or further their educational and clinical expertise.

Education

• Graduate from an accredited Nurse Practitioner or an accredited Physician Assistant Program.

Experience

• Clinical working experience as an NP/PA in the specialty/service line is preferred but not required.

• APRNs, PAs, CRNAs, and CNMs must be appointed to the Affiliated Medical Staff of a YNHHS hospital and go through the Medical Staff credentialing process. To be eligible, evidence of current competence to practice as an APRN, PA, CRNA, or CNM must be provided. This includes obtaining appropriate reference letters from physicians and other practitioners during the Medical Staff appointment process.

Licensure

• Active PA Certification by the National Commission of Certification of Physician Assistants (NCCPA), Connecticut State Physician Assistant License, ACLS/BLS Certified, when indicated for position profile DEA License.

• Pediatric position profile PALS, when indicated for neonatal care NRP Certification.

• Additional licensure, certifications and/or continuing education credits may be required during employment based on position and area of specialty. OR Connecticut State Registered Nurse License, Connecticut State Nurse Practitioner License, Board specialty certification, as appropriate for position profile ACLS/BLS Certified, when indicated for position profile DEA License.

ADDITONAL INFORMATION:

To learn more, please email our In-House Provider Recruiter:

[ ] Nathalie Martinez

[ ] Nathalie.Martinez@ynhh.org

Websites: www.northeastmedicalgroup.org/careers www.ynhhs.org

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