Nurse Practitioner/Physician Assistant: Emergency Observation Unit, Saratoga Springs, New York

Advanced Practice Provider: Saratoga Hospital – Emergency Department Observation Unit

Compensation: $65.57/hr - $81.53/hr

Saratoga Hospital Emergency Department seeks an experienced full-time Advanced Practice Provider to join our growing team. The APP will provide direct, high-quality protocol-driven clinical care to patients placed in the ED observation unit, managing evaluation, treatment, and disposition planning in close collaboration with emergency physicians, and other medical staff. This role is ideal for a provider who thrives in a fast-paced, protocol-driven environment and is comfortable managing a diverse range of short-stay conditions.

Primary Job Responsibilities:

• Perform history and physical examinations, order and interpret diagnostic studies, and develop treatment plans for patients in the observation unit

• Manage common observation-status conditions (e.g., chest pain, syncope, abdominal pain, cellulitis, asthma/COPD exacerbation, dehydration, TIA, atrial fibrillation with RVR, and other short-stay protocols)

• Apply and follow evidence-based observation protocols and clinical pathways to drive efficient, appropriate length of stay

• Round on observation patients at regular intervals, reassessing clinical status and adjusting plans of care

• Determine and coordinate patient disposition (discharge, inpatient admission, or transfer) in collaboration with ED physicians and hospitalist teams

• Order and interpret labs, imaging, and other diagnostics; consult specialists as needed

• Perform bedside procedures within scope of practice and credentialing (e.g., laceration repair, splinting, paracentesis— as applicable)

• Provide clear discharge instructions, medication reconciliation, and outpatient follow-up planning

• Document thoroughly and accurately in the EMR to support medical necessity, billing, and continuity of care

• Communicate effectively with patients, families, nursing staff, and the broader care team

• Participate in unit quality improvement initiatives, protocol development, and metrics review (e.g., LOS, conversion rate, readmissions)

• Maintain compliance with hospital policies, CMS observation status guidelines, and regulatory requirements

Requirements & Skills:

• Current license to practice as a Nurse Practitioner or Physician Assistant in New York State

• Sound clinical judgment and diagnostic reasoning in time-sensitive situations

• Strong communication and collaboration skills across multidisciplinary teams

• Comfort with protocol-driven care while exercising independent clinical judgment

• Efficient, accurate EMR documentation

• Ability to multitask while remaining professional, focused, composed and positive.

• Demonstrates excellent customer service skills and must display integrity, friendliness and compassion.

• Establishes an appropriate and effective rapport with others.

• Demonstrates flexibility

• Takes initiative

• Embraces new opportunities to grow both personally and organizationally.

• Demonstrates effective problem-solving skills.

• Ability to work as part of a team and independently.

About Saratoga Hospital Medical Group (https://www.saratogahospital.org/saratoga-hospital-medical-group)

Saratoga Hospital Medical Group, a multispecialty group of 450 providers including physicians and advanced practice providers, contributes significantly to the hospital’s continued growth and reputation for excellence.

Saratoga Hospital (https://www.saratogahospital.org/)

Saratoga Hospital is a 171-bed independent, locally governed, thriving community hospital and a leading healthcare provider in the region. We have enjoyed continuous growth for more than a decade, along with a reputation for high quality, personalized, compassionate care. Since September 2004, Saratoga Hospital has maintained Magnet® recognition for nursing excellence from the American Nurses Credentialing Center—the highest honor an organization can receive for professional nursing practice.

The Albany Med Health System

Saratoga Hospital is an affiliate of the Albany Med Health System. This gives our physicians and APPs access to shared best practices, continuing medical education (CME), and teaching opportunities. This partnership has added access to services typically not offered by community hospitals, as well as a seamless connection to the Capital Region’s only academic medical center and the highly specialized medical care it can provide.

Compensation and Benefits:

• Health and Prescription Plan, Dental and Vision Insurances

• 403(b) Retirement Plan with employer contributions

• Flexible Spending Account(s) including Medical Reimbursement and Dependent Care Account

• Paid Time Off, PTO for CME, CME stipend, professional dues; professional liability coverage

• $200 annual YMCA discount, a number of supplemental insurance products, services, discount programs and more!

Saratoga Hospital is a not-for-profit 501 © (3) entity for those participating in the Public Service Loan Forgiveness Program.

About Saratoga Springs:

Located a half hour from Albany (https://urldefense.com/v3/\_\_https:/www.albany.org/\_\_;!!IxnU!zDBhrkYKRiKG6\_NQw2XZQ69gU2hng6qx9XeqGJ459Wb3vAOaZvYDxGp-rvFJZmtu\_gzaSda2SPTC2vETDULYa0KCrg8F5ZqnX6ekS1Q$) , New York State’s Capital City, and Albany International Airport; (http://www.albanyairport.com/)

• Three hours from New York City, Montreal and Boston — right on the edge of New England,

• Saratoga County offers family-oriented neighborhoods and communities and excellent schools — both public and private.

• Saratoga and towns throughout the region draw many to a variety of specialty shops, spas, eateries, many with locally sourced food and regionally produced craft beverages.

• Music, art, cultural festivals and farmer’s markets add to the vibrant community feel and social scene.

• Famous venues include: Saratoga Race Course featuring world-class thoroughbred racing, Saratoga Performing Arts Center (https://urldefense.com/v3/\_\_https:/spac.org\_\_;!!IxnU!2pSsCNywa1EiFgi66ss86F\_wkyLSVmSCqYs-GT1Zgblvthsp0IsA5AFoF\_pMnl05J0xlNdw0TuQY4WZXriBsPhnm0SI79ElDzuEYggE$) , Saratoga Spa State Park (https://urldefense.com/v3/\_\_https:/parks.ny.gov/parks/saratogaspa\_\_;!!IxnU!2pSsCNywa1EiFgi66ss86F\_wkyLSVmSCqYs-GT1Zgblvthsp0IsA5AFoF\_pMnl05J0xlNdw0TuQY4WZXriBsPhnm0SI79ElDONqJubI$) , and Saratoga National Historic Park.

• Outdoor enthusiasts will love the natural beauty of the Adirondacks (https://urldefense.com/v3/\_\_https:/www.iloveny.com/places-to-go/adirondacks\_\_;!!IxnU!2pSsCNywa1EiFgi66ss86F\_wkyLSVmSCqYs-GT1Zgblvthsp0IsA5AFoF\_pMnl05J0xlNdw0TuQY4WZXriBsPhnm0SI79ElDouRU3qA$) , nearby Berkshires and Green Mountains, Saratoga Lake, Lake George, other waterways, and more.