Provider Services Nurse Practitioner - Bitterroot Valley

Provider Services Nurse Practitioner (NP) (Servicing Bitterroot Valley)

Our Mission To Provide Life-Changing Service Our Core Values - CAPLICO Celebration We love to celebrate successes and make work fun.

Accountability We hold ourselves to the highest standards of care and professionalism.

Passion for Learning Ongoing training and innovation are a part of our DNA. Love One Another We strive to see and treat each other as people whose interests matter as much as our own.

Intelligent Risk Taking We trust your judgment. Be innovative. Be entrepreneurial.

Customer Second In order for our patients to receive the care they deserve, we put our employees first.

Ownership We reward and support our employees who treat this organization as if they owned it.

I. JOB SUMMARY
The Provider Services Nurse Practitioner (NP) at Big Sky Home Health & Hospice plays a vital role in supporting the organization’s mission of providing life‑changing service by helping patients receive primary care services as they navigate a complex medical system. This role focuses on clinical service delivery, provider support, care coordination, and operational excellence across Big Sky's care continuum.

The Provider Services NP collaborates closely with the Executive Director, clinical leadership, and interdisciplinary teams to ensure high‑quality, cost‑effective, timely, and compliant care delivery. All services are provided within the NP’s scope of practice and aligned with organizational standards, regulatory requirements, and best practices.

II. DUTIES & RESPONSIBILITIES
Under the supervision of the Executive Director, provide clinical support and services that promote safe, effective, and efficient healthcare delivery across Big Sky's service lines as a primary care physician.
Support operational clinical workflows, provider services initiatives, and care coordination efforts to ensure continuity and quality of care.
Deliver clinical services as appropriate via in‑person visits, telephone, or telehealth encounters across multiple care settings, including residential, facility‑based, and home environments.
Serve as a clinical resource to interdisciplinary teams, supporting evidence‑based practice, quality improvement initiatives, and best‑practice standards.
Perform comprehensive patient evaluations including history taking, assessment, diagnosis, treatment planning, prescribing medications, patient education, and evaluation of care outcomes.
Collaborate with physicians, advanced practice providers, nursing staff, care coordinators, and operational leaders to optimize patient outcomes and service delivery.
Ensure compliance with state‑specific standards of practice for Nurse Practitioners and all applicable federal, state, and local regulations.
Document clinical findings, assessments, and care plans accurately, thoroughly, and timely in the electronic medical record.
Maintain strict patient confidentiality and safeguard protected health information at all times.
Participate in provider services initiatives, clinical protocol development, and quality assurance activities as assigned.
Maintain a safe working environment for self, patients, families, and staff by following infection control standards and utilizing appropriate personal protective equipment (PPE).
Engage collaboratively with internal teams and external partners including healthcare providers, community resources, patients, and family members.
Represent Big Sky Home Health & Hospice professionally at all times, fostering a cooperative and respectful work environment through tact, diplomacy, and a positive attitude.
Demonstrate professionalism by being reliable, autonomous, accountable, and adaptable to changing clinical and operational needs.
Manage workload effectively, prioritize responsibilities appropriately, and utilize work time productively.
Maintain humility, openness to feedback, and willingness to accept coaching, constructive criticism, or corrective action when necessary.

*This job description reflects the general nature and level of work performed and is not a comprehensive list of all responsibilities. Additional job‑related duties may be assigned as needed.

III. PRODUCTIVITY & PERFORMANCE EXPECTATIONS
Meet established productivity, quality, and operational performance standards as defined by Provider Services leadership and the Executive Director.
Productivity expectations may vary based on encounter complexity, care coordination activities, quality initiatives, and non‑visit‑based provider services responsibilities.
Complete all clinical documentation accurately and within 7 days of each patient encounter or service provided.
Participate in on‑call or clinical support rotation as required to meet organizational needs.

IV. JOB REQUIREMENTS
Master’s degree from an accredited Nurse Practitioner program with current and unrestricted state licensure, prescriptive authority, and credentialing eligibility.
Ability to successfully pass background check and drug screening.
Maintain a valid driver’s license, access to reliable transportation, and willingness to travel as needed.
Fluency in reading, writing, and speaking English.
Strong verbal and written communication skills with the ability to communicate effectively with providers, operational leaders, patients, families, and community partners.
Working knowledge of applicable federal and state regulations including HIPAA, OSHA, and healthcare compliance standards.

Clinical Competencies:
1. Comprehensive Assessment:
• Ability to perform a thorough assessment considering physical, cognitive, and 
psychosocial aspects.
• Ability to assess and diagnose acute and chronic illnesses and identify the risk factors 
associated with these conditions.
• Proficiency in evaluating functional status including activities of daily living (ADLs) and 
instrumental activities of daily living (IADLs).
2. Chronic Disease Management:
• Expertise in managing common chronic conditions in the adult and elderly populations
(e.g., diabetes, hypertension, osteoarthritis).
• Skill in developing and implementing personalized care plans for chronic disease 
management.
• Work closely with MA / support staff to coordinate patient care. Delegate tasks as 
appropriate.
3. Medication Management:
• Knowledge of geriatric pharmacology.
• Proficiency in medication reconciliation and management, considering potential 
interactions and side effects.
4. Palliative and End-of-Life Care:
• Competency in providing palliative care and managing end-of-life issues.
• Ability to facilitate discussions about advance care planning.
5. Fall Risk Assessment and Prevention:
• Skill in assessing and addressing fall risk factors.
• Knowledge of strategies to prevent falls in the elderly.
6. Cognitive Function Assessment:
• Ability to conduct cognitive assessments (e.g., Mini-Mental State Examination).
• Competency in identifying and managing cognitive impairments.
Communication and Patient Education:
7. Effective Communication:
• Strong communication skills to interact with patients, their families, and other 
healthcare professionals.
• Ability to explain complex medical concepts in a clear and understandable manner.
8. Cultural Competence:
• Sensitivity to cultural differences and the ability to provide culturally competent care.
• Recognition of the importance of family dynamics in the care of geriatric patients.
9. Patient and Family Education:
• Capability to educate patients and their families about health conditions, medications, 
and self-care.
• Ability to promote health literacy and empower patients to actively participate in their 
care.
Home Care Competencies:
10. Home Safety Assessment:
• Skill in assessing the patient's home environment for safety and making 
recommendations for improvements.
11. Telehealth Utilization:
• Competency in using telehealth technologies for remote patient monitoring and virtual 
consultations.
12. Resource Utilization:
• Knowledge of community resources and services available to support patients at home
or ALF.
Administrative Competencies:
13. Time Management:
• Efficient organization and time management skills for scheduling and conducting house 
calls.
14. Documentation:
• Accurate and timely documentation of assessments, care plans, and interventions.
• Accurate coding and billing of services based on established guidelines.
15. Collaboration:
• Ability to collaborate with other healthcare professionals, including primary care 
physicians, specialists, and home health agencies.
16. Legal and Ethical Considerations:
• Understanding of legal and ethical issues related to geriatric care, including informed 
consent and patient confidentiality.
17. Continuous Professional Development:
• Commitment to ongoing learning and staying current with advancements in care

V. WORKING ENVIRONMENT
X Blood & Bodily Fluids
X Latex
X Medicinal Preparations
X Tuberculosis (TB)
X Hazardous Drugs
X High‑Risk Medications
X Infectious and Contagious Diseases
X Exposure to varying weather conditions
X Unpredictable risks in patient environments
X Odors and Chemicals

VI. PHYSICAL REQUIREMENTS
Essential senses required: hearing, talking, vision, depth perception, touch, and smell.

Ability to maintain stable posture and mobility with hands free for routine and emergent patient care
Cardiovascular and physical endurance
Ability to work extended hours as necessary
Physical Demand Classification:

Medium: up to 50 lbs maximum, 25 lbs frequent, 10 lbs occasional
Activity Requirements (may include):

Sitting, standing, walking
Bending, kneeling, squatting
Reaching above and below shoulder level
Pushing/pulling objects
Repetitive hand movements (typing, documentation, device use)

VII. ACKNOWLEDGEMENT
I have read and understand the requirements and responsibilities outlined in this job description. I accept this position and agree to perform all essential functions safely and in accordance with Finding Home’s policies and procedures. I understand that my employment is at‑will and may be terminated by either party at any time, with or without notice.

This position consistently supports and promotes compliance with the Code of Conduct by maintaining confidentiality, protecting organizational assets, acting with ethics and integrity, reporting non‑compliance, and adhering to all applicable laws, regulations, accreditation standards, and organizational policies.

The employer for this position is stated in the job posting.  The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.  Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets.  More information about The Pennant Group, Inc. is available at http://www.pennantgroup.com.