**Description** PeaceHealth is seeking an Nocturn Intensivist Nurse Practitioner or Physician Assistant to join our collegial Critical Care team at the PeaceHealth Southwest Medical Center in Vancouver, Washington. ICU/Critical Care experience as a PA or NP is preferred **.** Will accept new graduates with prior ICU/CCM nursing experience. **Why you’ll love the practice:** + Join an established program of 12 ICU Physicians and 7 NPs/PAs + Collegial, fun group with longevity of physicians and clinicians + An Intensivist physician works alongside the PA/NP at night. Autonomy for your work with in-house support at all times. + Ability to do procedures with excellent mentorship + We only cross cover ICU patients and not the floors or ER patients + Two 24-bed ICUs (combined MICU, CVICU, SICU) + 12-hour NIGHT shifts + Three shifts per week + Paid PTO: 28 days per year + CME: $3,300/year + 5 days/year paid CME leave **Why you’ll love Vancouver:** + Vancouver is a robust, independent city with over 160,000 residents and is the largest suburb of Portland, Oregon. + Outdoor enthusiasts will enjoy quick access to the Pacific Ocean, Mount Hood, Mount St. Helens, and never-ending recreational activities of the Pacific Northwest. We are home to some of the world’s best mountain biking and wind-surfing locales. + Nationally recognized farm-to-table cuisine, craft microbreweries, and gourmet coffeehouses will keep the most discerning food critic happy. + A thriving arts, theater, and music scene and our 26 colleges and universities attract renowned authors, performers, and speakers. + There is no Washington State personal income tax. **Hospital Highlights:** + PeaceHealth Southwest Medical Center is a 450-bed hospital with a Level II trauma center. + The Emergency Department is the busiest in Southwest Washington, caring for over 85,000 patients yearly. + State-of-the-art 14-bed inpatient rehabilitation floor provides intensive therapy services. + Our integrated physician-led medical group has over 1,300 active medical providers with most specialty services represented. **PeaceHealth Benefits:** + Competitive compensation plus signing bonus and relocation assistance + First year salary guarantee: $170,164-$205,899 ($81.82-98.99/hour) depending on years of experience as an Advanced Practice Clinician (PA/NP) + EPIC health records + CME reimbursement up to $3,300/year + Fully paid malpractice insurance + Exceptional health coverage options and retirement plan + Employee Wellness Program with FitBit allowance and up to $400 in incentives for healthy lifestyle _____ **If this opportunity resonates with you, please apply on-line and attach your resume.** No need to enter info about licenses, training, experience as that will pre-populate from your resume. **Thank you, Kim Dianich, CMSR PHR - Lead Physician & Clinician Recruiter** Vancouver, Washington – look any direction and the scenery is astounding! Snow-capped mountains, nationally protected evergreen forests, the waterfall-laced Columbia River gorge, and rugged Pacific-coast beaches – all within a short 90-minute drive. The northwest is a dream come true for outdoor enthusiasts. And against that magnificent backdrop, Vancouver and neighboring Portland, Oregon offer all the best amenities of city living. What makes our area so special? A thriving arts scene, varied professional sports teams, unique neighborhoods, and a wealth of diverse culinary destinations. _PeaceHealth’s community of health care professionals in the Vancouver area include PeaceHealth Southwest Medical Center, a 450-bed tertiary-level hospital with complete services, and PeaceHealth Medical Group, a multi-specialty group serving communities throughout Clark County._ **Job Summary** Within scope of practice and in alignment with both hospital staff bylaws and PHMGs physician supervision expectations, responsible for advanced level of nursing evaluation, clinical assessment, prescribing and monitoring medications and follow-up care for patient. Responsible for patient and family teaching. **Essential Functions** + Effectively identifies, evaluates, and addresses disease prevention and health promotion issues of the population in the practice while administering quality patient care. + Works in an independent and interdependent relationship with members of the medical staff, which allows for consultation, collaboration, or referral. + Gives directions to nursing and other staff. + Prescribes medications and treatments and ongoing medication management. Orders lab and diagnostic tests when appropriate and interprets test results. + Educates patients and/or families about preventive care, medical issues, and use of prescribed medical treatments and/or medications. + Maintains legible, accurate, and confidential medical records. Documents all medical evaluations, diagnoses, procedures, treatment, outcomes, education, referrals and consultations according to established standards. + Analyzes new knowledge gained from conferences, workshops, professional literature, or “hands-on training” and assimilates this knowledge into clinical practice. + Performs other duties as assigned. **Qualifications** **Education** + Accredited Program Required: Physician Assistant or Nurse Practitioner. and + Required: . Must be Board Certified by the AAPA or AACN **Experience** + Minimum of one year preferred Physician Assistant or Nurse Practitioner experience **Credentials** + Required : Nurse Practitioner or Physician Assistant - Washington + Required : Drug Enforcement Admin and + Required within 30 Days: Basic Life Support or + Required within 30 Days: Advanced Cardiac Life Support or + Required within 30 Days: Pediatric Advanced Life Support **Skills** + Demonstrated knowledge of and ability to apply age specific principles of growth and development and life stages to meet each patient’s needs. (Required) + Effective verbal and written communication skills (Required) + Interpersonal skills necessary to work productively with patient, families, nursing staff, and other departments. (Required) + Personal responsibility for ongoing educational growth and collaborating with others to provide solutions for continued patient quality. (Required) **Department / Location Specific Notes** Behavioral Health: + Requires training in psychopharmacology. Oregon West Network: + License as a PMHNP. Oregon West Network – Wound and Ostomy: + Position will be primarily caring for outpatients. + Minimum of five years clinical experience required. + Wound care experience required. + CWOCN (Wound, Ostomy and Continence Certification) preferred. If not certified, must obtain CWCN (Wound Care Certification) within 6 months of hire and COCN (Ostomy Care Certification) within 18 months of hire. Oregon West Network – Sacred Heart Medical Center – Neurohospitalist Nurse Practitioner: + Must complete at least eight hours annually of education and training related to the care of acute stroke patients. Oregon West Network – Orthopedic Comprehensive Total Joint Care service + This position provides direct support to patients entering in to the orthopedic total-joint service line at PeaceHealth Sacred Heart Medical Center at RiverBend, in direct collaboration with the orthopedic surgeons and other specialty disciplines, with the goal of optimizing the surgical episode of care for high surgical risk patients. Palliative Care: + Supporting management of pain and other symptoms, assesses the impact of functional status on quality of life. Leads the conscious practice of cultural humility with the interdisciplinary team cultural assessment of patients. Leads care of the patient with serious illness, guiding the team through ethical principles to represent the patients’ preferences. + Effectively identifies, evaluates, and addresses disease process and symptom management of the patients in Palliative care. + Visits patients and families at their place of residence/clinic/acute care setting. Assesses condition, symptoms and manages patient’s condition related to palliative care. + Participates in case conferences and interdisciplinary team meetings. + Educates patients and/or families about symptom care. + Hospice and Palliative Care Certification for Nursing within 2 years of hire. + ANCC/AANP certification required. (ANP-Adult Nurse Practitioner; ARNP-Advanced Registered Nurse Practitioner, FNP-Family Nurse Practitioner or GNP-Geriatric Nurse Practitioner). Cottage Grove: + May include providing services in a walk-in clinic. This position would need a FNP certification to serve all ages. PHSW Psychiatry Clinic: + Provide advanced practice medical nursing services to patients on the inpatient and partial hospital psychiatric units including direct clinical assessment, general medical care and collaboration with multidisciplinary treatment team. Provide patient, family and staff education and consultation. PHSW O/P Behavioral Health: + One year experience as an advanced practice psychiatric-mental health nurse preferred. PHSW Heart & Vascular Ancillary: + Advanced nursing knowledge related to cardiovascular disease management in adults required. + Assess health status through obtainment of relevant health history, physical exam, preventative screening and identification of risk factors. Formulate appropriate differential diagnosis and identification of patient needs. Coordinate access for appropriate testing modalities (i.e. stress testing vs. CTA), to diagnose and direct plan of care to appropriate path for patient condition. May develop program guidelines, protocols, policies and procedures to facilitate organizational management of patient populations on cardiac and vascular-related topics. Participate as a clinical resource for nursing staff, physicians, hospital and other health care providers. Serve as an advocate for patients, staff and management. Assist in the assessment of clinical nurse performance and validates clinical competencies. Role model clinical expertise by educating community and hospital staff. PHSW Pain Management: + Perform a focused physical assessment. Order and evaluate diagnostic and screening labs, tests and imaging studies. Manage basic care complications and medications as part of the pain management team. + Demonstrated success in improving patient outcomes related to chronic pain. + Extensive knowledge of psychological issues and expertise with counseling, limit setting and liaison work with health care providers. + Five years' advanced nursing practice in pain management preferred. + Demonstrated success in quality improvement and legislative change in area of pain management or either acute and/or chronic pain preferred. + Experience designing/implementing clinical trials or studies preferred PHSW Palliative Care: + Experience dealing with terminally ill patients. + Valid driver's license with an automobile that is insured to state regulations and is in good running order. + Five years’ advanced nursing practice preferred. + Advanced Certified Hospice and Palliative Nurse (ACHPN) preferred. PHSW Bariatric Center: + Proven ability to teach/train and advanced nursing knowledge related to weight management and diabetes. PHSW Hospice Medicare Certified: + Valid driver's license with an automobile that is insured to state regulations and is in good running order. + Ability to provide advanced nursing knowledge related to hospice, adult medicine and the death and dying process. UGMC Interventional and procedural imaging: + Primally caring for patients in the procedural imaging departments. + Expected to perform cardiac stress testing and serve as the interventional RN for procedural imaging, as well as PICC line placement and management. + Advanced nursing knowledge related to cardiovascular disease management. + ACLS required at date of hire and experience in procedural and imaging departments preferred. **Working Conditions** Lifting + Audiologist/Psychologist: Sedentary work. Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Consistently operates computer and other medical equipment. Fine motor skills to be able to grasp and control medical equipment. + Midwife: Ability to move around area with occasional sitting. Patient handling no greater than 35 lbs. without the use of assistive equipment and/or devices. Lifting (non-patient) up to 20 lbs. Bending/ stooping/ squatting/ reaching kneeling frequently. Perform hands on CPR at least 20 mins using 100-125 lbs. of force (National Assoc. of EMS Physicians and AHA) Frequency should be seldom or occasionally. Environmental Conditions + Midwife: Exposure to biohazard, body fluids and airborne particles. + Time spent on site in medical/hospital setting. Mental/Visual + Vision and hearing required within normal limits (glasses, contacts, hearing aids permitted). + Ability to communicate and exchange accurate information. See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility (https://www.thecaregiver.org/wp-content/uploads/2017/05/PeaceHealth-Statement-of-Commitment-to-Diversity-and-Inclusion-vFINAL.pdf) . PeaceHealth has exceptional benefits. (https://careers.peacehealth.org/pages/benefits-culture) EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws. REQNUMBER: 106184