St. Johns Medical Center
  • Hospitalists
  • Jackson, WY, USA
  • Full Time


Responsible for providing inpatient services, including assessing, diagnosing, prescribing, treating and educating patients and families.  Works collaboratively with physicians, physician assistants and other clinicians in a team approach to patient care.  


1. Patient assessment and admission to Hospitalist service 

Assesses patient status by obtaining health history through patient/family interviews and chart reviews; assessing presenting illness, risk factors, and family history, psychosocial situation, and cultural factors; and performing appropriate physical examination, and plan of care.

Orders/performs appropriate laboratory and radiology diagnostics as well as other screening tests. Interprets these tests. Seeks other information as needed, including consultation with physicians and other clinicians, for evaluation of illness. Integrates data to determine diagnosis and therapeutic plan, including identification of any health risks.

2. Manages existing patients in collaboration with Hospitalist

Develops and implements treatment plan by prescribing/dispensing medications and/or injections in compliance with medical practice guidelines and state laws. Performs appropriate medical procedures within scope of practice. Delegates direct and indirect patient care activities to appropriate personnel. Provides instruction/education to patient/family regarding medications and treatments. Educates patients regarding health promotion/illness prevention.

Communicates in a timely manner follow-up with Hospitalist outstanding labs/tests, and coordination of testing.
Communicates appropriate case management information to other professionals and community agencies. Acts as consultant/collaborator to clinical team on area of specialty.

3. Patient Discharge

Responsible for patient discharge, discharge planning and coordination of care with outpatient providers and agencies.  Collaborates with physicians and other clinicians to ensure continuity of care.

4. Documentation, Participation, Compliance

Prepares documentation for medical records and updates patient medical chart by posting examination and test results, diagnosis, medications, and treatment in written/computerized manner in a timely fashion. Participates in peer reviews, chart reviews, staff education, clinical guidelines development, and other continuing education and quality assurance activities to demonstrate compliance with standards, regulation, policies and procedures. Promotes patient advocacy. Understands and follows state and federally mandated requirements regarding patient confidentiality and patient rights. Follows relevant policies, procedures and practice guidelines.

5. Workup and optimization of preoperative patients 

Provides comprehensive preoperative health assessments prior to surgeries to assure medical optimization prior to anesthesia. The NP will conduct in-depth interviews with patients and/or family, construct comprehensive medical histories, perform initial and periodic physical examinations, evaluate patient behavior and explore patient's interpretation of health needs. NPs directly perform or order appropriate diagnostic studies and interpret finished results; develop and implement long and short range treatment plans. NPs work in collaboration with other health care team members, consulting and referring as appropriate, but retain responsibility for the ongoing clinical management of the patient.

6. Orthopedic Program Participation

Responsible for occasional community teaching programs, patient education classes, and assisting with special projects.



Minimum Education

Required: Graduate of an accredited school of nursing with advanced preparation as a Nurse Practitioner.  BSN required. Masters degree preferred.  

Minimum Work Experience

Required: One year of nurse practitioner experience.

Preferred: Prefer minimum of three years of professional nursing experience as a registered nurse in a clinic setting, plus prefer two year of nurse practitioner experience. Experience in inpatient and/or orthopedic care.

Required licenses

Current State of Wyoming:  RN License with certification as an Acute Care Nurse Practitioner with prescriptive authority (ACNP). Current DEA and controlled substance licensure. Current BLS, ACLS, PALS certification. Prefer ATLS certification.


Working Conditions

Hospital environment.  Frequent exposure to communicable diseases, toxic substances, ionizing radiation, medicinal preparations, and other conditions.  OSHA Exposure Category: Category #1'Possible job related exposure to blood and/or body fluids.  Requires the appropriate use of personal protective equipment (PPE). May involve irregular work hours including weekends, evenings, holidays and natural disasters.

Physical Requirements

Requires standing and walking for extensive periods of time.  Occasionally requires lifting and carrying items weighing up to 50 pounds.  Requires correct vision and hearing within normal range with or without use of corrective devices.  Must be able to verbally interact with staff, clients and public.  Manual dexterity of hands/fingers for writing and computer use.  Requires working in emergency situations, which may be considerably stressful.  

Direct Reports


Reports to

Clinical Medical Director and Chief Nurse Officer


St. Johns Medical Center
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