The South Bend Clinic

Nurse Practitioner/Physician Assistant - Pre-Surgical Clinic

Location US-IN-Mishawaka
Location : Name South Bend Clinic Day Rd
Pre-Surgical Clinic
Monday-Friday 8:00AM-5:00PM
1.0 (80 Hours)

Job Description

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POSITION: Nurse Practitioner/Physician Assistant


DEPARTMENT: Pre-Surgical Clinic


REPORTS TO: Director of Department Operations


REVIEWED BY: Chief Operating Officer and Human Resources


STATUS: Exempt




REVISED: 03/01/2020


INITIATED: 07/19/2010



POSITION SUMMARY:  Under the supervision and direction of the supervising physicians, the Nurse Practitioner/Physician Assistant provides direct patient care to (primarily) established patients of the practice. Care involves initial and subsequent histories and physical exams for both acute and routine office visits; appropriate documentation of all patient evaluations; involvement with initial triage and resolution of patient office calls; provision of emergency care to patients presenting to the office and/or in need of urgent attention throughout the clinic. The Nurse Practitioner/Physician Assistant will work collaboratively with the physicians in providing care to the patients in accordance with standards outlined by Indiana law 848 IAC 4-2-1. He or she will function within the legal boundaries of their advanced practice area and shall have and utilize knowledge of the statutes and rules governing state and federal drug laws and regulations, state and federal confidentiality laws and regulations, and state and federal medical records access laws.







  1. Performs initial and subsequent history and physical examinations on patients presenting to the clinic for scheduled appointments; these may be reviewed and co-signed by the supervising physician.
  2. Appropriately documents evaluations and progress notes for patients on initial and follow-up visits. To accumulate, correlate, and present the above data.
  3. Screens patients to determine need for further diagnostic or therapeutic care and follow-up.
  4. Refers patients to other medical specialists’ subject to the supervising physician’s discretion.
  5. Prescribes or provides diagnostic evaluations, subject to the supervising physician, including, but not limited to, laboratory, immunologic, radiographic, and imaging studies.
  6. Prescribes and dispenses therapeutic agents, subject to review of the supervising physician.
  7. Performs office procedures under the direction and supervision of the physician.
  8. Provides education and counseling for the patient and the patient’s family in preventative care, medical conditions, and the use of prescribed treatments and drugs.
  9. Emergency Duties: The NP should initiate activities but also make reasonable attempt to summon a physician as soon as possible. Actions may include the treatment of anaphylaxis as well as CPR and advanced cardiac life support as detailed in the AHA guidelines.
  10. Misc. Duties: Administrative duties determined by supervising physician as well as by Clinic administration, education of health care student, and other duties as negotiated with the supervising physician.
  11. The NP will adhere to the guidelines of collaboration as agreed to with the supervising physician.
  12. The NP will maintain regular communication and planning with the supervising physician so that chart reviews meet or exceed the established SBC guidelines and are recorded for audit records.
  13. The NP will provide evidence of continuing medical education credits to remain current in the field and to meet SBC requirements.


  1. Performs comprehensive medical examinations on new and established patients to diagnose and treat medical and surgical conditions.
  2. Documents visits and procedures using standard E&M guidelines and CPT codes within established clinic timeframes and in acceptable format, which supports billing of all services. 
  3. Submits completed fee tickets for services rendered, which is supported by medical record documentation.
  4. Assists physicians in the hospital and in the office setting with procedures, post op care, and follow up.
  5. Orders labs, radiology procedures, diagnostic testing and consults on patients as part of their treatment plan.
  6. Prescribes medications appropriate to patient diagnosis and within prescriptive authority of provider.
  7. Complies with the Physician Extender Policy by working collaboratively with the supervising physicians on chart review logs and didactic training sessions.
  8. Maintains CEU’s to comply with ISBH requirements for active licensure and to stay current in the field
  9. Meets MHSB and SJRMC medical staff requirements to maintain hospital privileges.
  10. Assists in the supervision of support staff to include training, lectures, demonstrations


NP - Must meet Indiana State Board of Nursing requirements for Nurse Practitioner licensure, have Medicare provider number, current Indiana licensure (RN + Nurse Practitioner), current DEA number, and current CSR number.

PA - Graduate from an accredited education program for Physician Assistants.

Knowledge, Skills, and Abilities:
Ability to assess patients by using advanced nursing knowledge and skills to identify abnormal conditions, diagnose health problems, implement treatment plans, evaluate patient outcomes, and collaborate with physicians. Uses critical thinking skills to make independent decisions, commensurate with autonomy, authority and responsibility of a nurse practitioner/physician assistant. Mathematical ability to calculate correct dosages for patient medications. Possesses excellent organizational skills and communication skills. Ability to work independently, manage multiple priorities and meet deadlines. Excellent medical documentation skills, for both letter dictation and medical record. Computer skills necessary to participate in patient scheduling, dictation review, and diagnostic results reporting


Special Demands/Requirements:



Physical Demands:

Climbing/Stooping/Kneeling/Crouching/Crawling/Reaching/Standing/Walking/Pushing/Pulling/Lifting/Fingering/Grasping/Feeling/Talking/Hearing/Repetitive Motions


Physical Requirements:

Light Work - Exerting up to 20lbs of force occasionally, and/or up to 10lbs of force frequently, and/or a negligible amount of force constantly to move objects. If the use of arm and/or leg controls requires exertion of forces greater than that for sedentary work and the worker sits most of the time, the job is rated light work.


Visual Acuity:

Biomedical/Equipment Operators, Inspection, Testing, Analysis, Close Assembly, Clerical, Administrative


Environmental Conditions:

The worker is subject to inside environmental conditions./The worker is subject to hazards.


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