Advanced Practice Provider Nocturnist Hospitalist

Advanced Practice Provider-Nocturnist Hospitalist

Position Title: Nocturnist Hospitalist Advanced Practice Provider (APP)

Location:  Intermountain Medical Center

Department: Hospitalist Program

Position Type: Nocturnist

Hours: 4 twelve-hour night shifts per two-week pay period

We are a rapidly expanding team of Hospitalist physicians and advanced practice providers committed to clinical quality improvement and ensuring patients receive the highest quality care at an affordable cost.

Intermountain Medical Center is seeking a skilled and motivated Nocturnist Advanced Practice Provider (APP) to join our hospitalist team. The APP will work collaboratively with physicians and other healthcare professionals to provide high-quality care to hospitalized patients during the overnight hours. The ideal candidate will be comfortable working independently and handling a variety of clinical tasks.

Nocturnist Key Responsibilities:

Patient Admissions:

• Perform history and physical exams on patients admitted overnight.

• Develop and implement initial care plans in coordination with supervising physicians when required.

• Document all admissions clearly and timely in the electronic medical record (EMR).

Cross-Coverage:

• Respond to nursing staff requests for evaluation and care of existing inpatients.

• Address urgent clinical issues, including changes in patient condition, abnormal lab findings, or new symptoms.

• Perform reassessments and communicate with supervising hospitalists or specialists as needed.

• Respond to acute medical issues and emergencies (e.g., rapid responses, codes, sepsis, or critical changes in patient status)

Communication & Coordination:

• Return calls to consultants, primary care providers, and family members regarding patient care.

• Coordinate with the multidisciplinary team to ensure continuity and quality of care.

Clinical Documentation & Orders:

• Review and act on new laboratory, imaging, and other diagnostic test results.

• Place and modify orders as clinically indicated.

• Update handoff lists and communicate relevant changes to the day team.

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• Documentation and Compliance: Ensure accurate and timely documentation in the electronic medical record (EMR). Comply with hospital protocols, guidelines, and quality metrics. 

• Maintain accurate and timely documentation of patient encounters. Ensure that records are detailed, complete and comply with hospital policies, regulatory requirements, and best practice standards.

• Engage in quality improvement initiatives within the hospitalist program and the hospital. Participate in hospital committees, task forces, and meetings as required.

• Using quality and process improvement techniques and practices to make the hospital a safer place and improve patient outcomes.

• Stay abreast of current trends in healthcare practice and participate in continuing medical education to ensure optimal clinical knowledge and effective patient care skill. Knowledge of core competencies of clinical conditions..

Qualifications

• Education:

  • Master's or Doctorate degree in Nursing (MSN, DNP) or Physician Assistant Studies from an accredited program.

• Licensure/Certification:

  • Current licensure as a Nurse Practitioner (NP) or Physician Assistant (PA) in Utah

  • Board certification as an Acute Care Nurse Practitioner (ACNP), Adult-Gerontology Acute Care Nurse Practitioner (AG-ACNP), or Physician Assistant (PA-C).

  • DEA Certificate II through V - DOJ Drug Enforcement Division 

  • ACLS and BLS certification required; additional critical care certifications (e.g., FCCS, CCRN) preferred.

• Experience:

  • Minimum of 2 years of inpatient APP experience required; hospitalist or critical care setting preferred. Due to the proficient clinical skills necessary for this role, APPs currently in their training programs and/or recently graduated APPs will not be considered at this time.

• Skills and Abilities:

  • Strong clinical decision-making and critical thinking skills.

  • Ability to work independently and as part of a team in a fast-paced, high-acuity environment.

  • Excellent communication, interpersonal, and organizational skills.

  • Commitment to patient-centered care and continuous improvement.

  • Proficiency in handling acute and emergent medical situations.