MUSC Health – Black River Medical Center is seeking skilled PRN Physician Assistants or Nurse Practitioners to join their team of Emergency Medicine Advanced Practice Providers. Candidates will provide diagnostic, therapeutic, and preventive healthcare services for patients in Cades, SC and the surrounding communities.

MUSC Health Black River Medical Center opened in January 2023. The 64,000 sq. ft. rural hospital provides patients with a full range of modern diagnostic and interventional capabilities. Some of the services offered include 3-D mammography, MRI, nuclear medicine, CT scanning, on-site pharmacy, and a complete imaging department. The new facility features 25 inpatient beds, four observation beds, two operating rooms, and 16 emergency treatment rooms. The new hospital serves Williamsburg and lower Florence counties.

Scheduled Work Hours/Shift: Varies

Patient Population Focus
Emergency Department Management

Patient Population Age Range
0 years-death

Required Training and Experience

Required Minimum Training: Completion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below.

APRN License Type/Certification:

• AGPNP/ANP (Adult Gerontology Primary Care Nurse Practitioner or Adult Nurse Practitioner): Adult pts (13 years to death), stable chronic disease state management or primary care setting.

• FNP (Family Nurse Practitioner): (birth to death) Stable chronic disease state management, primary care across the lifespan.

Required Experience: 2 years of Emergency Room Experience as an APP or graduation from an Emergency Room Fellowship

Preferred Training and Experience

Preferred Training: Physician Assistant (PA) or if APRN, License Type/Certification identified below:

• AGACNP or ACNP (Adult Gerontology Acute Care NP/Acute Care Nurse Practitioner): Adult pts (13 years to death), acutely ill or injured, potentially unstable, or technologically dependent (vents, drips, monitors, etc.)

• FNP with current Emergency Room Nurse Practitioner (ENP) Certification

• AGPNP/ANP with current Emergency Room Nurse Practitioner (ENP) Certification

Preferred Experience: If APRN, 4 years as an Acute Care Nurse Practitioner in an Adult Emergency Department.

Degree of Supervision
Advanced Practice Registered Nurse or Physician Assistant will be assigned a Primary Supervising/Collaborating Physician employed by MUSC and will report directly to this physician.

Required Licensure, Certifications, Registrations

All certifications must be current and complete prior to start date:

• Basic Life Support (BLS)
• Advanced Cardiovascular Life Support (ACLS) required for adult inpatient positions
• SC DHEC
• DEA

Job Duties

Provides direct care to patients through the following activities:

• Takes comprehensive history and performs physical examinations
• Evaluates and treats on the basis of history, physical examination, radiological, laboratory, and other diagnostic test results pursuant to the practice agreement or scope of practice guideline
• Performs the following therapeutic procedures in accordance with procedural privileges, skill and proficiency as approved by the Clinical Division Chief:
  • Administration of Local and Digital Anesthesia
  • Complicated and Uncomplicated Repair of Lacerations
  • Removal of Foreign Bodies from Eyes, Ears, Nose, Skin, and Wounds
  • Trepination of Subungual Hematomas
  • Incision and Drainage of Abscesses
  • Urethral Catheterization
  • Placement of Peripheral Venous Access
  • Placement of Central Lines [with proof of competency]
  • Placement of Thoracostomy
  • Endotracheal Intubation [with proof of competency]
  • ACLS
  • Arterial Puncture
  • Venipuncture
  • Lumbar Puncture [with proof of competency]
  • Application of Splints
  • Arthrocentesis
• Initiates referrals to other health care provides, and/or consults with the attending physician or the collaborating physician
• Documents and bills for direct care provided
• Utilizes current research and evidence-based decision-making in all clinical practice
• Performs and participates in quality/performance improvement activities and clinical research
• Participates in and supports accreditation, compliance, and regulatory activities of the organization
• Demonstrates responsibility for professional practice through active participation in professional organizations and continuing education
• Potential to precept students at MUSC enrolled as an advanced practice provider student; and facilitates the learning of other new team members
• APRN or PA must maintain licenses, certifications, CNEs/CMEs, etc. as required by applicable policies and state law

Physical Requirements

Continuous requirements are to perform job functions while standing, walking and sitting. Ability to bend at the waist, kneel, climb stairs, reach in all directions, fully use both hands and legs, possess good finger dexterity, perform repetitive motions with hands/wrists/elbows and shoulders, reach in all directions. Ability to be qualified physically for respirator use, initially and as required. Maintain 20/40 vision corrected, see and recognize objects close at hand and at a distance, work in a latex safe environment and work indoors. Frequently lift, lower, push and pull and/or carry objects weighing 50 lbs(+/-) unassisted, exert up to 50 lbs of force, lift from 36" to overhead 25 lbs. Infrequently work in dusty areas and confined/cramped spaces