Job Type: Full-time

Position Purpose:
Responsible for providing cardiovascular care services, including assessing and managing patients following established standards and practices. Compassionate, high quality cardiovascular care will be met by assuring that the needs of the patients, physicians, and other health care providers are accomplished in a timely and courteous manner. You will join a team of a four other PAs and an NPs.

Essential Responsibilities:

• Perform comprehensive medical history and complete physical exam in the office and at the one local hospital.
• Establishes a diagnosis, formulates a plan of care, evaluates the response to the plan, and revises the plan as needed, collaborating with or referring to physicians as needed.
• Collaborate with cardiologists in managing acute and long-term medical needs of the patient.
• Order appropriate diagnostic tests, treatments, medications, and referrals.
• Coordinate discharge and follow-up.
• Monitor and provide continuity of care between patient visits.
• Assists with diagnostic studies as required, including nuclear studies, echo-stress, and cardiac stress.
• Must be registered or certified physician assistant.
• EMR: Office uses Veradigm (Allscripts). The hospital is on Cerner. 

This is an exceptional opportunity where you would join a Certified Physician Assistant and two Certified Nurse Practitioner, four invasive-interventionalists and three invasive, non-interventional cardiologists in a premier, active, growing practice that was established in 1976. There is no managed care. The practice has a state-of-the-art nuclear medicine system and echo/ultrasound system and is on an Electronic Health Record. The office is located only one block from the hospital. There are 9 outreach clinics serviced by the cardiologists reaching two-thirds of the State, since 1978. The primary hospital offers two state-of-the-art cath labs and an active open-heart surgery program with two board certified cardio-thoracic surgeons. A benefits plan is offered that includes health insurance for the employee, a retirement plan, and CME reimbursement.

The work rotation would consist of 5 mid-levels. 

• One midlevel is scheduled to the hospital.  This rotation is 8:00 a.m. to 5:00 p.m., Monday – Friday, and 8:00 a.m. to noon Saturday and Sunday.  There is discussion to give this rotation a day off either before or after the rotation
• The hospital rotation moves to the hospital discharge position, for continuity of care.  This rotation updates the incoming hospital person about the patients.  This rotation begins at 8:00 a.m. until noon, discharging the patients in the hospital, then comes to the office at 1:00 p.m. until 5:00 p.m. seeing patients. 
• The discharge position the next week moves to the office, 8:00 a.m. to 5:00 p.m. 

Hospital Rotation: take phone calls for the cardiologists from the hospital nurses/hospitalists/other physicians, round patients, monitor stress tests (at the hospital), etc.  There is no night call or weekend call, everything is during the day. 

Office Rotation:  Patients are scheduled 8:00 a.m. to 3:00 (subject to change), with an hour for lunch, with the day ending at 5:00 p.m.  There are normally approximately 16 patients scheduled to the midlevels.  Patients are annual visits, follow up, post hospital discharge, complex patients, implanted device interrogation and possible Telehealth. Office midlevels also handle remote implanted device follow-up (pacemakers, defibrillators, implanted loop recorders), The RNs of the practice are the liaison between the patients and the midlevels.  The RNs forward labs, messages, reports, etc. that are outside of their scope of their license for the midlevels to manage and direct the nurse, the nurse then contacts the patient. 

If interested, the physicians would appreciate their rotating to the one-day remote outreach clinics.  There is an additional stipend for doing outreach.  The specific locations would be Rawlins, Wheatland, Gillette, and Riverton.  I think previously this was one or two days a month. 

Salary: Starting at $115,000 + benefits (Salary is negotiable based on experience)

Benefits Package:

• Licensing/Dues:  Wyoming Board of Nursing license, Federal and State DEA, Hospital Credentialing.  We will cover the cost of one organization membership that applies to your position.   
• Continuing Education/Seminars: Eligible after first year of employment; 2.5% of annual pay is allowed for courses that are job related after a year of employment. Training/education required to do your position in the first year will be provided, such as ACLS, and not counted against your continuing education allowance.
• Health/Dental/Disability/Life Insurance: Employees who work at least 30 hours per week are eligible the first of the month following employment and 60 calendar days. The practice pays the employee premium. 
• Dependents:   Dependents may be added at the employee’s cost.  Employer will pay 25% of any dependent’s premium during the first year, 50% of dependent premium during the second year, and 75% of dependents premium from the third year on.
• Employer offers both an HSA and traditional health insurance plan.
• Disability:
• STD = 15 consecutive days of disability – basic weekly benefit is 50% of covered weekly earnings up to maximum of $250/wk. You can purchase up to 60% of covered weekly earnings up to max of $750/wk. – after tax payroll deduction.
• LTD – 90 consecutive days of total disability – core benefit is 50% of covered monthly earnings up to $2,500/mo. You can purchase up to 60% of covered monthly earnings up to a maximum benefit of $5,000/mo. – after tax payroll deduction
• Effective:  When health insurance is effective.  Disability is effective after being off 14 days from disability from sickness or injury and submission of required paperwork.  
• Life Insurance:  Basic coverage $25,000, premium paid by employer. You may purchase additional life insurance on yourself and dependents paid through payroll, as an after-tax deduction.
• Cafeteria Plan:  Employees are eligible after 60 days of employment for the Group Health Insurance Premium and after 90 days for Dependent Care Costs portion of the plan. Employees are eligible after one year of employment for the Medical FSA-Reimbursement portion of the plan. There is a yearly limit of $3,050.  It is a use it or lose it plan.
• Holiday Pay (if applicable): After 90-days of employment, hours paid are based on the employee’s regularly scheduled hours
• Leave Time: Employees who work at least 20 hours per week.  Hours are accrued based on hours worked. You coordinate your leave days with the physician manager-physician shareholders and management team. 
• Employment years 1 – 4 accrue 3 weeks (15 days);
• Employment years 5 – 9 accrue 4 weeks (20 days);
• Employment year 10 + accrue 5 weeks (25 days).
• Six 3-day weekends annually
• Three to four end of the year holidays 
• Profit Sharing Plan: Employees are eligible after one year of employment, 1,000 regular hours worked and must be at least age 21. Entry dates are January 1 and July 1. Plan funding is voted on annually by shareholder physicians for funding amounts; funding is made at the discretion of the physician shareholders. 
• 401K Plan: Employee contributions only after-tax, no match.
• Sam’s Club: Eligible after 90 days of employment. The corporation will pay for your annual renewal.
• Verizon Wireless: 22% discount on monthly plan.