Occupational Medicine Physician Assistant

About this role

• **Position Overview** The 30+ year company supports the petrochemical and manufacturing industry domestically and internationally and is positioned along the Gulf Coast, providing training, occupational medicine, and innovative solutions to industry.
• The Medical Provider (Nurse Practitioner or Physician Assistant) provides comprehensive occupational health services to employees and employer clients within the oil & gas, petrochemical, manufacturing, construction, and related industries.
• The Medical Provider independently evaluates and manages patients within the provider's authorized scope of practice and applicable physician delegation/collaboration requirements, including occupational injuries and illnesses, medical surveillance, fitness-for-duty and return-to-work evaluations, regulatory examinations, and preventive occupational health services.
• The position works collaboratively with physician leadership, clinical staff, operations, and employer representatives to provide safe, efficient, evidence-based, and regulatory-compliant occupational healthcare.
• **Essential Functions** Clinical Care & Occupational Injury Management * Evaluate, diagnose, treat, and manage occupational injuries and illnesses within the provider's authorized scope of practice.
• * Develop evidence-based treatment plans that promote appropriate recovery, functional restoration, and safe return to work.
• * Determine appropriate work status, restrictions, limitations, and follow-up intervals based on the employee's medical condition and essential job functions.
• * Recognize conditions requiring emergency evaluation, specialist referral, higher-level care, or physician consultation.
• * Evaluate occupational exposures and provide appropriate initial management, testing, follow-up, and referral when indicated.
• * Provide follow-up care and coordinate treatment to facilitate timely and medically appropriate case resolution.
• Procedures & Acute Care * Perform occupational medicine procedures within demonstrated competency and authorized scope, including laceration repair, wound care, foreign-body removal, splinting, and other minor procedures.
• * Provide initial evaluation and stabilization of acute workplace injuries and illnesses and determine appropriate disposition.
• * Maintain competency in emergency response procedures and use of clinic emergency equipment.
• Occupational Examinations & Medical Surveillance * Perform pre-placement, periodic, return-to-work, fitness-for-duty, and other employer-directed occupational medical examinations.
• * Perform medical surveillance examinations required by applicable OSHA standards and employer programs.
• * Conduct respiratory protection medical evaluations and other occupational medical clearance assessments.
• * Perform DOT/FMCSA examinations when appropriately certified and other regulated or industry-specific examinations when appropriately trained and credentialed.
• * Review relevant medical testing, laboratory studies, audiometry, spirometry, imaging, and other occupational health data and determine appropriate disposition or follow-up.
• * Identify abnormal findings requiring additional evaluation while distinguishing occupational medical clearance decisions from the employee's general medical care.
• Fitness for Duty / Work Status * Assess an employee's medical ability to safely perform essential job functions when requested and medically appropriate.
• * Develop medically appropriate work restrictions based on functional limitations and anticipated recovery.
• * Review job descriptions, physical demands, and safety-sensitive duties when necessary to support medical clearance decisions.
• * Escalate complex, unusual, or high-risk fitness-for-duty and work-relatedness determinations to physician leadership as appropriate.
• Regulatory & Employer Services * Apply applicable occupational health regulations, medical standards, employer protocols, and organizational policies when performing medical evaluations.
• * Maintain familiarity with relevant OSHA medical surveillance requirements and other regulatory or consensus standards applicable to assigned services.
• * Perform specimen collection or drug/alcohol testing-related clinical functions within the provider's authorized role and organizational protocols.
• * Maintain appropriate separation between medical recommendations and employer administrative or employment decisions.
• * Protect employee medical confidentiality and communicate occupational medical information to employers consistent with applicable law, regulation, authorization, and organizational policy.
• Documentation & Case Management * Complete accurate, timely, and legally appropriate medical documentation for all patient encounters.
• * Clearly document diagnosis, treatment, work status, restrictions, follow-up recommendations, and medical rationale when appropriate.
• * Participate in occupational case-management discussions and communicate clinically appropriate information to employers, adjusters, case managers, specialists, and other stakeholders within applicable confidentiality requirements.
• * Facilitate continuity of care and timely case progression while maintaining independent clinical judgment.
• Telemedicine and Off-Site Services * Provide occupational health evaluations through approved telemedicine platforms in accordance with applicable laws, regulations, and clinical protocols.
• * Provide medical services at company clinics, client sites, mobile locations, or other approved locations as operationally required.
• * Determine when telemedicine is clinically appropriate and when an in-person evaluation or higher level of care is necessary.
• * Participate in after-hours or on-call occupational medical coverage according to the organization's established coverage model.
• Quality, Teamwork & Professional Responsibilities * Provide clinical direction and guidance to nursing, paramedic, medical assistant, technician, and other clinical personnel involved in patient care, consistent with organizational policies and applicable scope-of-practice requirements.
• * Collaborate effectively with physicians, APPs, nurses, paramedics, technicians, operations personnel, and administrative staff.
• * Participate in chart review, peer review, quality improvement, patient safety, and clinical competency activities.
• * Participate in development and implementation of clinical protocols, workflows, and new occupational health programs.
• * Identify clinical or operational concerns and appropriately escalate patient-safety, regulatory, or quality issues.
• * Maintain required licensure, certifications, continuing education, and demonstrated clinical competencies.
• **Qualifications** Required Qualifications * Graduate of an accredited Nurse Practitioner or Physician Assistant program.
• * Current, unrestricted Texas license as an Advanced Practice Registered Nurse/Nurse Practitioner or Physician Assistant, as applicable.
• * Current national certification appropriate to professional discipline.
• * Current BLS certification; ACLS certification if required by organizational policy or assigned clinical responsibilities.
• * Ability to obtain and maintain applicable prescriptive authority and DEA registration when required for assigned responsibilities.
• * Demonstrated competency in evaluating and managing acute illness and injury.
• * Ability to obtain and maintain organizational credentialing and applicable client/site access requirements.
• * Valid driver's license and ability to travel to assigned clinics and client locations when required.
• Preferred Qualifications * Two or more years of experience in occupational medicine, urgent care, emergency medicine, family medicine, or another relevant ambulatory clinical setting.
• * Occupational medicine experience serving oil & gas, petrochemical, refinery, manufacturing, construction, maritime, or other safety-sensitive industries.
• * FMCSA National Registry of Certified Medical Examiners certification.
• * Experience with OSHA medical surveillance programs.
• * Experience with occupational injury management, work restrictions, return-to-work, and fitness-for-duty evaluations.
• * Experience interpreting occupational audiometry and spirometry.
• * Experience with telemedicine and employer-based occupational health programs.
• * Demonstrated competency in minor procedures commonly performed in occupational medicine.
• **Knowledge, Skills, Abilities** Knowledge: * Occupational injury and illness evaluation and management * Return-to-work and fitness-for-duty principles * OSHA medical surveillance and respiratory protection concepts applicable to assigned duties * DOT/FMCSA requirements when applicable * Medical confidentiality and employer communication * Basic principles of work-relatedness and occupational exposure evaluation Skills: * Clinical assessment and medical decision-making * Minor procedures * Interpretation of commonly used occupational testing * Concise medical documentation * Communication with patients, employers, clinical staff, and physicians * Effective case management and interdisciplinary collaboration Abilities: * Exercise appropriate independent clinical judgment within scope of practice * Recognize when physician consultation or escalation is required * Manage multiple patients and competing priorities * Make timely decisions in safety-sensitive situations * Apply protocols without substituting them for clinical judgment * Communicate appropriate work restrictions without unnecessarily disclosing confidential medical information * Function effectively in clinic, telemedicine, mobile, and industrial environments **Physical & Environmental Requirements** The position requires the ability to perform clinical examinations and procedures in outpatient occupational health settings.
• Duties regularly involve sitting, standing, walking, use of computers and medical equipment, and positioning necessary to examine and treat patients.
• The employee may occasionally lift or assist with movement of medical supplies or equipment up to 25 pounds.
• The position may require travel between clinics, mobile units, and client locations.
• Work may occasionally occur in industrial environments requiring appropriate personal protective equipment and compliance with client/site safety requirements.
• Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position.
• **Reporting Responsibilities** The Medical Provider reports directly to the Regional Medical Director.
• This position does not have direct reports.
• *Disclaimer: This job description is not intended to be an exhaustive list of all duties, responsibilities, or qualifications associated with the position.
• Duties and responsibilities may be revised at any time based on business needs.
• This document does not create an employment contract, implied or otherwise, and employment remains at-will unless otherwise stated in a written agreement signed by an authorized company representative.*

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