CHI Franciscan Health

1717 South J Street
Tacoma , WA
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Physician Assistant

CHI Franciscan Health
Tacoma, WA Full-time
Posted on July 12, 2018


Inpatient Team Physician Assistant Job Description




Responsible for assisting hospital-based physicians in providing specialized inpatient healthcare services that provide for quality, efficient and effective patient care in accordance with Franciscan Health System (FHS) standards/guidelines, applicable statutory requirements and accepted clinical practice for the Physician Assistant profession.  An incumbent is engaged in admitting, consulting, attending and discharging Inpatient Team patients following established protocols as determined by the Inpatient Team Medical Director.  Work includes providing direct patient care by examining, diagnosing and analyzing total patient health condition, and developing short- and long-term goals and treatment plans in collaboration with a physician and/or established protocols/standards.  Physician Assistants are familiar with the patients throughout the continuum of care, and they tailor care and education to meet each patient's needs. 


Requires licensure as an Advanced Registered Nurse Practitioner (ARNP), with prescriptive authority.  An incumbent exercises a high degree of independent judgment and applies advanced skills obtained through academic and clinical preparation.  Unusual problems or proposed deviations from guidelines, practices or precedents are discussed with a physician before being initiated.


ESSENTIAL JOB FUNCTIONS:  The following section contains representative examples of job duties that might be performed in positions allocated to this job class.  FHS is a dynamic organization, and the environment can be fluid.  Roles and responsibilities may be altered to accommodate changing business conditions and objectives as well as to tap into the skills and experience of its employees.  Accordingly, employees may be asked to perform duties that are outside the specific work that is listed.  It is not required that any position perform all duties listed, so long as primary responsibilities are consistent with the work as described.  Performance standards developed for incumbents allocated to this job class may also contain relevant job content information and are referenced hereto.


  1. Assesses and interprets the health of hospitalized patients to determine patient care needs by taking extensive personal and family medical histories; contacts and/or consults with primary care physician in cases where additional medical information regarding previous illness or treatment is required; communicates the progress and needs of the patient during hospitalization and at time of discharge; presents pertinent data to Inpatient Physician or members of inter-disciplinary team in accordance with established procedures.
  2. Performs thorough physical examinations of patients utilizing the techniques of observation, inspection, palpation, percussion and auscultation and related methods; arranges, orders and evaluates patient’s screening, diagnostic and therapeutic services/tests as necessary to obtain additional data upon which evidence-based patient care protocols will be determined; reviews and evaluates results.
  3. Evaluates patient’s clinical diagnosis and initiates appropriate management in accordance with medical guidelines and protocols; develops and carries out treatment plan(s); manages cases from inception to termination for various conditions/diseases (e.g. hypertension, diabetes, dietary deficiencies, kidney infections, and communicable/respiratory diseases, etc); prescribes and administers appropriate medications within the limits of the applicable legal statute; refers patient to specialized services as needed.
  4. Performs routine therapeutic and minor surgical procedures such as administering injections, incising/draining infections, caring for superficial wounds, lacerations and burns, removing foreign bodies and lesions from the skin, and administering subcutaneous local anesthesia; performs routine laboratory and screening techniques such as drawing venous blood and interpreting laboratory findings, taking cultures, performing pulmonary function tests, tonometry and audiometry.
  5. Monitors ongoing delivery of patient care services; evaluates medical condition of patient and in collaboration with physician and other healthcare providers; interprets monitoring data to determine when a change in care is appropriate and makes decisions regarding treatment changes within defined scope of responsibility; follows up to ensure treatment is delivered as ordered, and to ensure continuity of medical care; advises physician of developments in patient’s condition when indicated.
  6. Collaborates with physicians, professional nursing staff and ancillary members of the patient care team in determining patient care, treatment and the general management of patients; interprets and facilitates the application of standards of the Physician Assistant practice to the patient care process. Will actively participate in collaborative care rounding and other key patient care and quality initiatives, to include rounding.
  7. Explains/interprets results, findings and diagnosis to patient and/or patient’s family; answers questions and provides counseling and advice on methods of treatment, control/prevention.
  8. Completes medical records in a timely manner, consistent with all related Medical Staff Bi-Laws. Documents, in a thorough and accurate manner, all interactions in patient’s medical record in accordance with FHS procedures; prepares written reports and related documentation as required; applies knowledge for completion of medical coding/billing practices to facilitate proper reimbursement via Epic and any other required systems.
  9. Attends and actively participates in Inpatient Team staff meetings; presents and discusses clinical concerns and issues; maintains established departmental policies and procedures, quality improvement, safety, environmental and infection control standards.
  10. Makes referrals to other healthcare providers as necessary; confers directly regarding diagnosis or care-management problems.
  11. Keeps abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility.
  12. May instruct nursing staff and paraprofessionals in techniques for enhancing their diagnostic, treatment, counseling, and/or referral skills.


Performs related duties as required.


MINIMUM JOB QUALIFICATIONS:  The following section contains representative examples of competencies and job qualifications directly related to successful performance in the position.  The categories are broad, reflecting minimum requirements.  It is not intended to be an exhaustive list of all possible requirements nor does it include general competencies, expectations and/or skills that are universally applicable to the work, but are not critical for recruitment purposes or to overall job performance. 


Education/Work Experience Requirements

Board certified or eligible.  Internal Medicine or Family Practice with special interest in Internal Medicine specialty.


Job Knowledge/Skills:


  •  Knowledge of professional and advanced nursing theory/practice and clinical therapeutic models sufficient to assess, diagnose, plan, execute and evaluate patient care.
  •  Knowledge of FHS policies, standards and procedures and legal regulatory requirements applicable matters within designated scope of responsibility.
  •  Knowledge of nursing protocols and procedures sufficient to provide a variety of skilled nursing services.
  •  Knowledge of current principles, methods and procedures for the delivery of medical evaluation, diagnosis and treatment.
  •  Knowledge of FHS procedures, safety and infection control standards sufficient to maintain the expected level of efficiency.
  •  Knowledge of pharmacology as applied to clinical nursing and the prescription of drugs as authorized within the Nurse Practitioner formulary and applicable statutes.
  •  Ability to construct and interpret a medical history, perform a physical assessment, evaluate patient behavior, perform/interpret laboratory tests and develop/implement treatment plans for patients.
  •  Ability to understand and apply quality, safety and infection control standards.
  •   Ability to prepare accurate written reports, medical records and other documentation.
  •  Knowledge of nursing science basic to medicine (e.g. anatomy, pathophysiology, microbiology, etc), diagnostic techniques, and current treatment methods for common human diseases, disorders and injuries.
  •  Knowledge of L&I billing practices and reimbursement levels.
  •  Knowledge of theory and practice of patient management/treatment within scope of certification.
  •  Knowledge of diagnostic tests/procedures used in clinical settings to determine the health status and appropriate care of patients.
  •  Knowledge of documentation procedures for charting and reporting physical/mental status of patients.
  •  Ability to establish and maintain effective working relationships as required by the duties of the position, including patients and other health professionals and paraprofessionals.
  •  Ability to understand and accurately execute the provisions of policies and procedures and the instructions of physicians and other healthcare staff.
  •  Ability to make clear and accurate explanations of technical conditions to professionals and laypersons.
  •  Ability to understand and apply appropriate coding and billing protocols for professional services rendered.
  •  Ability to keep abreast of trends, developments and regulatory requirements impacting matters within designated scope of responsibility.
  •   Ability to use automated systems at an acceptable level of proficiency.



Licensure in the State of Washington.

BLS and ACLS certification.

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