Job Description

You\'ll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet\xc2\xae Recognition consecutively since 2006.

And you\'ll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!

You can make a difference here.

About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.

Your Benefits
We provide a comprehensive and competitive benefits package to all permanent full-time employees (minimum of 24 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. for more information or .

Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet\xc2\xae-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. to learn more!

Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. to learn more!

Nurse Practitioner or Physician Assistant-Neurosurgery
NEUROSURGERY (BILLINGS CLINIC CLINIC)
req5829

Shift: Day, Evenings, Nights, Weekends
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours (Exempt)
Starting Wage DOE

Under clinical supervision of a physician and direct supervision of the Manager/Director, the Physician Assistant provides general medical care, treatment and health care services to patients within the scope of their licensure and expertise level of the supervising physician.

Essential Job Functions

• Supports and models behaviors consistent with the mission and philosophy of Billings Clinic and department/service.
• Examines patients and performs comprehensive physical examination, compiles patient medical data including health history and results of physical examination.
• Administers or orders diagnostic tests, such as x-ray, laboratory, and other ancillary services as appropriate and differentiates between normal and abnormal information contained in the test results. (Patient Care, Testing Diagnostic Tests)
• Performs therapeutic procedures, such as injections, immunizations, suturing, wound care and managing infections within the scope of their licensure and the expertise level of the supervising physician. (Patient Care, Procedures, Midlevel Scope of Practice)
• Formulates diagnosis of medical problem, develops, implements and monitors patient care plans, records progress notes and assists in the provision of continuity of care; conferring with the supervising physician as necessary and/or appropriate. (Patient Care, Treatment plan, Patient Care Plan)
• Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Education, Patient, Educates Patient)
• Refers patients to other health care providers and appropriate sources of care as necessary.
• Participates in on-call rotations and off hour rounding as it pertains to the specific department. (working condition)
• Identifies needs and sets goals for own growth and development; meets all mandatory organizational and departmental requirements; acquires knowledge and skills essential to incorporating into practice proven new evaluation/treatment modalities.
• Utilizes performance improvement principles to assess and improve quality; participates in the continued program development and marketing of service line.
• Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.
• Performs other duties as assigned or needed to meet the needs of the department/organization.

• Assists the physician in all aspects of surgical procedures. Assists surgeon with instruments, supplies, equipment, and retraction during surgical procedures. (Patient Care, Procedures, Assist Surgeon Providers)
• Maintains appropriate theoretical and clinical skills with application and patient relevance of commonly utilized equipment specific to the surgeon\'s needs for the specialty/department and other areas as appropriate; pharmacological application; application of laboratory values and radiologic findings with disease process or physiological status. (Patient Care, Skill Set, Maintains Clinical Skills)
• Performs wound exposure, suturing, hemostasis and tissue handling procedures as training and skill level allows under the direct supervision of the physician. (Patient Care, Surgical Services, Wound Care)
• Assists physician with post operative follow-up care in both the hospital and/or clinic. Instructs and counsels patients and families regarding compliance with prescribed therapeutic regimens. (Patient Care, Surgical Services Post Op Care)
• Adheres to universal and sterile field protocols during operative procedures. Assist with room flow in the operating room. Knowledgeable in instrumentation and patient positioning. (Patient Care, Surgical Services, Sterile Field)

Minimum Qualifications
Education for Nurse Practitioners

• Graduate of an accredited nurse practitioner program
• Current Board Certification as a Nurse Practitioner
• Approved to practice as a Nurse Practitioner with a current Montana and/or Wyoming Board of Nursing License as an advance practice nurse
• Current Montana and/or Wyoming license as a Registered Nurse as appropriate to service area
• Additional unit specific requirements are listed above

Education for Physician Assistants

• Graduate of an accredited physician assistant program
• Current National Commission on Certification of Physicians Assistants (NCCPA) Board Certification/License as Physician Assistant
• Approved to practice as a physician assistant in Montana or Wyoming by Board of Medical Examiners
• Additional unit specific requirements are listed above

Certifications and Licenses

Certifications and Licenses

• Healthcare Provider CPR Certification; additional CPR certifications may be required depending on the patient population and/or service area

Billings Clinic is Montana\'s largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at

Billings Clinic is committed to the principles of Equal Employment Opportunity. All policies and processes are designed toward achieving fair and equitable treatment of all employees and job applicants. Employees are encouraged to discuss any concerns they have in this regard with their immediate supervisor and/or the Vice President People Resources. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, creed, religion, national origin, gender, gender identity, sexual orientation, age, marital status, genetic information or disability.

Billings Clinic