Nurse Practitioner/Physician Assistant for Acute Care

Req No.
Clinical Care
Regular Full-Time
Tulare Regional Medical Center (Tulare, CA)


***$10,000 sign on bonus who join our team at HCCA Full Time!***


Be a part of TEAM HCCA at Tulare's Hospital!      


HealthCare Conglomerate Associates (HCCA) is a performance driven organization dedicated to providing the highest level of service to our patients, our physicians, our teammates, and our community. HCCA's vision is to develop a high quality, affordable integrated delivery system focused on improving the wellness and health of the community. Our goal is to be recognized as the best integrated delivery system in the country by being the BEST place to work, practice and receive care.  


Tulare's hospital's commitment to providing greater access to medical care is demonstrated through its Medical Offices located in Tulare and also the nearby community of Earlimart. Its first-class Evolutions Fitness & Wellness Center epitomizes Tulare hospital's fresh approach to health and wellness. 



To develop a best-in-class, performance-driven, integrated delivery systems focused on wellness and improving the health status of the community.



Provide high quality, lower cost integrated delivery system focused on wellness and improving the health status of the community.  To be recognized as one of the best integrated delivery systems in the county. 


* Best place to work.


* Best place to practice.


* Best place to receive care. 



* Honesty and integrity.

* Innovation and creativity.

* High quality, lower cost care.

* Service excellence.

* Results-oriented.

* Team-work and mutual accountability.

* Forward-thinking.

* Culturally competent team and organization. 


We offer a competitive compensation package, benefits package and a pleasant work environment. Our current benefit package includes: health insurance (medical EPO or PPO; dental and vision), 401k, Life Insurance, Long Term Disability, Flexible Spending Account, (medical and daycare), vacation, sick and holiday programs. Benefits package offered to full time and part time employees. 


HCCA is an equal opportunity employer.


The Nurse Practitioner/Physician Assistant for Acute Care assess, diagnose, monitor, promote health and protection from disease, and manage patients within age group of collaborating/supervising physician. NP/PA may admit patients to the hospital. They may provide care to patients in the intensive care setting in conformance with unit policies as well as assess, stabilize, and determine disposition of patients with emergent conditions consistent with medical staff policy regarding emergency and consultative call services. General core privileges include the procedures on the following procedure list and such other procedures that are extensions of the same techniques and skills.


The exercise of these clinical privileges requires a designated collaborating/supervising physician with clinical privileges at this hospital in the same area of specialty practice. All practice is performed in accordance with a written agreement and policies and protocols developed and approved by the relevant clinical department or service, the medical executive committee, nursing administration, and the governing body.  


 Essential Functions 

  • Perform history and physical
  • Apply, remove, and change dressings and bandages
  • Counsel and instruct patients, families, and caregivers as appropriate
  • Debridement and general care for superficial wounds and minor superficial surgical procedures
  • Dictate discharge summaries
  • Direct care as specified by medical staff - approved protocols
  • Implement therapeutic intervention for specific conditions when appropriate
  • Implement palliative and end of life care through evaluation, modification, and documentation according to the patient’s response to therapy, changes in condition, and to therapeutic interventions to optimize patient outcomes.
  • Initiate appropriate referrals
  • Insert and remove nasogastric tube
  • Make rounds on hospitalized patients
  • Order and initial interpretation of diagnostic testing and therapeutic modalities such as laboratory tests, medications, hemodynamic monitoring, treatments, IV fluids and electrolytes, EMG, electrocardiogram, and radiologic examinations including arthrogram, ultrasound, CT, MRI, and bone scan studies, etc.
  • Perform urinary bladder catheterization (short term and indwelling) e.g., Robinson, coudé, Foley
  • Perform venous punctures for blood sampling, cultures, and IV catheterization
  • Record progress notes
  • Abscess incision and drainage
  • Wound V.A.C. dressing changes
  • Removal of wound drains
  • Suturing
  • Downsizing tracheotomy tubes and placing fenestrated trachs
  • Decannulating tracheotomies
  • Peripherally inserted central catheter (PICC) insertion
  • PICC removal
  • Additional duties may be assigned



Experience, Education & Competency Requirements

  • Able to make decisions using discretion and independent judgment.
  • Able to troubleshoot and be resourceful in resolving any problems or issues that arise
  • Able to prioritize, multi-task and manage time to meet deadlines and time constraints
  • Ability to work with and supervise others as needed. 
  • Bilingual preferred
  • Knowledge of medical guidelines and procedures regarding examination, therapy and recovery
  • Possess foresight to plan and prepare in advance for payments due, meetings and any other timely events.
  • Excellent problem solving skills
  • Excellent verbal and written communication skills 
  • Must work well with all levels of persons and personalities. 


Nurse Practioner Requirements:

  • Bachelor’s degree in Registered Nursing (BSN).
  • Master’s degree as Nurse Practitioner, preferred
  • Possession of a current certificate of completion from an accredited Nurse Practitioner Program, preferred.
  • Current and valid CA Nurse Practitioner License.
  • Current CA Furnishing License
  • Current DEA License
  • Current CPR card.
  • Current ACLS card.
  • 2-year experience advance practice, preferred.
  • 3-years’s acute care clinical practice experience
  • 2-years’s NP experience, preferred


Physician Assistant Requirements:

  • Current and Valid CA Physician Assistant License.
  • Master’s degree, preferred
  • Bachelor’s degree
  • Possession of a current certificate of completion from an accredited Physician Assistant Program, preferred.
  • Current CA Furnishing License
  • Current DEA License
  • Current CPR card.
  • Current ACLS card.
  • 2-year experience advance practice, preferred.
  • 3-years acute care clinical practice experience.
  • 2-years PA experience, preferred



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