Demo

APP Resident

RiverStone Health
Billings, MT Full Time
POSTED ON 4/23/2026
AVAILABLE BEFORE 6/23/2026

Working title: APP Resident

Classification title: APP Resident                            

Division: Community Health Center                                                                                        

Reports to: APP Residency Program Director

FLSA status: Exempt: Full Time

Schedule: Monday-Friday

Wage: $85,527 annually     

RiverStone Health:

Serving the Yellowstone County community and south-central Montana for nearly 50 years, RiverStone Health is an essential provider of personal and public health services. Health, Education, Leadership and Protection – HELP is what we do.  From medical, dental and behavioral healthcare; home care and hospice; public health services like immunizations, WIC, health promotion and restaurant inspections; and educating the next generation of health professionals, our expertise spans all ages and stages of life.  Underlying principles of access, affordability, compassion and quality in all interactions, RiverStone Health improves life, health and safety for all of the communities we serve.

Division and Program Overview: 

RiverStone Health Clinics are here for everyone. It doesn’t matter how much you earn, whether you have health insurance, or whether you’ve managed to take good care of your health in the past. Our healthcare providers work as a team to provide the best possible care for you and your family.  Our patients are at the center of the partnership we build with you and your family. Same-day appointments for minor injuries or illnesses often mean you can avoid the expense of emergency department visits.  In addition to our main Clinic in Billings, we have satellite Clinics in Bridger, Joliet, Worden and school-based clinics at Orchard Elementary School and Medicine Crow Middle School open to all students in Billings Public Schools and their families.

Job Summary:

This position provides general primary and preventive health care counseling and treatment for patients in accordance with licensure and approved privileges.  The position works as a team member to support patients to achieve health goals and/or improvement in health outcomes. Provides care to patients at our main campus Family Medicine Clinic, off site clinics, and specialty clinics: Schools, rural clinics, mobile unit, Hep C, Ryan White, Pediatrics, MSK, etc.

Essential Functions/Major Duties and Responsibilities: 

General Duties 95%

  • Counsel and educate patients about health issues such as diet, nutrition, emotional and mental health, sexually transmitted diseases, cancer, and contraceptives.
  • Assess patient’s health lifestyle, including taking a complete medical history of the patient.
  • Review medications patients are taking.
  • Perform physical examinations of patients.
  • Collect medical specimens and performs several basic medical tests.
  • Order medical laboratory tests and/or X-rays.
  • Evaluate medical test results and interpret them to patients.
  • Treat patient’s diagnosed conditions.
  • Provide surgical and/or other medical referrals as necessary.
  • Keep immediate supervisor and designated others accurately informed concerning work progress, including present and potential work problems and suggestions for new or improved ways of addressing such problems.
  • Attend regularly scheduled didactic sessions, meetings, conferences, workshops, and training sessions and review publications and audio-visual materials to become and remain current on principles, practices, and new developments in assigned work areas.
  • Responds to patients’ and citizens’ questions and comments in a courteous and timely manner.
  • Communicate and coordinate with other RiverStone Health programs to maximize the effectiveness and efficiency of interdepartmental operations and activities.
  • Participates in fulfilling the vision, mission, goals and objectives of RiverStone Health.
  • Participates in competency evaluation reviews with the Residency Program Director.
  • Engages in providing and receiving feedback related to Residency operations and training.

Non-Essential Functions/Other duties as assigned                            ≤5%

  • Perform other duties as assigned in support of RiverStone Health’s mission and goals.

Education and Experience:

Minimum Qualifications:

  • Graduate from an accredited program in Physician Associate Studies or Advanced Practice Degree in Nursing

  • Any combination of experience and training which provide the equivalent scope of knowledge, skills, and abilities necessary to perform the work.

Preferred Qualifications:

  • Clinical Rotation experience at a Community Health Center

Required Certificates, Licenses, Registrations:

  • Physician Assistant or Nurse Practitioner Licensed in the State of Montana, in good standing

  • Must be credentialed and privileged in accordance with RiverStone Health Clinic processes.

  • Current Basic Life Support (BLS) certification

Knowledge, Skills, and Abilities: 

  • Computer literacy, in Microsoft Office Suite.
  • Ability to maintain a calm and positive demeanor during difficult client interactions.
  • Ability to display non-judgmental and empathetic listening skills.
  • High degree of detail-oriented skill level.
  • Knowledge and understanding of protected sensitive patient health information (HIPAA) and confidentiality.
  • Ability to work collaboratively and maintain a positive work environment.
  • Ability to perform job duties with integrity and innovation to ensure completion and a high level of quality.
  • Ability to understand and adhere to required administrative policies and procedures.
  • Excellent communication skills to ensure efficiencies and quality customer service.

Customer Service Excellence: 

  • Doing things right the first time

  • Making people feel welcome

  • Showing respect for each customer

  • Anticipating customer needs and concerns

  • Keeping customers informed

  • Helping and going the extra mile

  • Responding quickly

  • Protecting privacy and confidentiality

  • Demonstrating proper telephone etiquette

  • Taking responsibility for handling complaints

  • Being professional

  • Taking ownership of your attitude toward Service Excellence

Supervision: 

  • None

Physical Demands and Working Conditions:

  • Work in performed in a clinic setting.

  • Standing, bending and lifting is required.

  • The position is regularly exposed to biological pathogens and contagious diseases where Personal Protective Equipment (PPE) and special precautions must be taken due to reduce exposure and mitigate risk.

  • Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, other vehicles, etc. Travel occurs in all weather conditions, including extreme heat and cold.

  • Create and maintain a safe/secure working environment by adhering to safety, security, and health requirements. Integrate injury, illness, and loss prevention into job activities by attending any necessary training and implementing best practices.

Freedom to Act & Decision Making: 

  • Work is structured by public health regulations and established medical practices.

  • Decisions directly affect the quality of services provided to the public.

  • The work is performed under the supervision and direction of the Director, and considerable leeway is granted for the exercise of independent judgment and initiative in patient care.

  • Responsible for the treatment of 4-10 patients per session, up to 20 patients per day.

Communications & Networking: 

  • Daily written and verbal communication with patients, patient family members, co-workers, and providers.

  • Work directly with other team members to provide quality customer service for patients and customers.

Budget & Resource Management: 

N/A

Salary : $85,527

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