APP Hospitalist

Job Details: Job Location: 200 EAST ARIZONA AVENUE, 690 - SWEETWATER, TX, Salary Range: Undisclosed, Position Summary

The Advanced Practice Provider (APP) Hospitalist provides high-quality, evidence-based inpatient medical care in collaboration with the supervising physician(s). The APP evaluates, diagnoses, treats, and coordinates care for hospitalized patients while promoting safe, efficient, patient-centered care. Responsibilities include managing acute and chronic medical conditions, participating in multidisciplinary rounds, facilitating discharge planning, and supporting quality improvement initiatives.

The APP practices within the scope defined by state regulations, hospital bylaws, credentialing requirements, and collaborative practice agreements.

Essential Duties and Responsibilities

Direct Patient Care

Perform comprehensive history and physical examinations.
Evaluate and manage hospitalized adult patients with acute and chronic illnesses.
Develop and implement evidence-based treatment plans.
Order, interpret, and act upon laboratory, imaging, and diagnostic studies.
Prescribe medications and therapies within scope of practice.
Perform daily inpatient rounds and document patient progress.
Respond to changes in patient condition and initiate appropriate interventions.
Coordinate admissions from the Emergency Department and direct admissions as assigned.
Participate in discharge planning to ensure safe transitions of care.
Provide patient and family education regarding diagnoses, treatment plans, medications, and follow-up care.

Care Coordination

Collaborate with hospitalists, specialists, nursing staff, pharmacists, therapists, case management, and ancillary departments.
Participate in multidisciplinary rounds.
Communicate effectively with consulting physicians and primary care providers.
Assist in reducing unnecessary length of stay while maintaining quality outcomes.
Facilitate timely consultations and diagnostic testing.

Documentation

Complete accurate, timely, and compliant documentation in the electronic medical record.
Ensure documentation supports medical necessity, coding accuracy, and regulatory requirements.
Complete discharge summaries and transition documentation as appropriate.

Quality and Safety

Follow evidence-based clinical guidelines.
Participate in quality improvement initiatives.
Support hospital goals related to:

Readmissions
Length of stay
Hospital-acquired conditions
Patient safety
Sepsis management
Core measures

Participate in peer review and performance improvement activities.

Professional Responsibilities

Maintain required licensure and certifications.
Participate in continuing education.
Maintain collaborative relationships with physicians and clinical staff.
Participate in department meetings and educational conferences.

Procedures as indicated with appropriate credentialing and approved privileges Qualifications: Qualifications

Education

Nurse Practitioner

Master's or Doctorate in Nursing from an accredited program

OR

Physician Assistant

Graduate of an accredited Physician Assistant program

Licensure

Current Texas APRN or PA License
DEA Registration
Texas Controlled Substance Registration

Certifications

Required:

BLS
ACLS

Preferred:

FCCS
ATLS

Experience

One to three years of hospitalist or inpatient medicine experience preferred.
Experience managing adult medical patients.

Knowledge, Skills and Abilities

Strong clinical assessment skills
Critical thinking and clinical judgment
Ability to independently manage complex medical patients within scope
Excellent communication skills
Team-oriented approach
Strong documentation skills
Knowledge of evidence-based medicine
Familiarity with CMS quality measures
EMR proficiency

Physical Requirements

Frequent standing and walking
Ability to lift up to 35 pounds
Ability to respond rapidly to emergencies
Manual dexterity sufficient for procedures and documentation

Work Schedule

Typical Schedule:

Weekday and Weekend 8-hour days. Typically 8am-5pm
Holiday coverage will be required
Occasional night coverage if required

Performance Expectations

The APP Hospitalist will be expected to achieve performance standards including:

Average documentation completion within 24 hours.
Completion of discharge summaries within 72-hours of discharge.
Participation in multidisciplinary rounds.
Compliance with evidence-based clinical pathways.
Support organizational goals for:

Reduced length of stay
Reduced re-admissions
Appropriate utilization
Patient satisfaction
Quality metrics
Sepsis bundle compliance
Medication reconciliation compliance

Scope of Practice

The APP Hospitalist functions under the supervision of the CMO in accordance with:

Texas Board of Nursing or Texas Medical Board regulations
Hospital Medical Staff Bylaws
Collaborative Practice Agreement (NP)
Delegation Agreement (PA)
Hospital credentialing and privileging policies