PHYSICIAN EXTENDER (Kaua’i Region Medical Group)


POSITION: PHYSICIAN EXTENDER (Kaua’i Region Medical Group)

DATE POSTED: February 2021

JOB STATUS:  Permanent/Full-Time (EXEMPT)


JOB LOCATION:  HHSC Kaua’i Region – Kaua’i, HI

FUNCTION: This position serves the Kaua’i Region Clinics in Waimea, Port Allen, Kalaheo, Po’ipu, and Kapa’a. Kaua’i Veterans Memorial Hospital (KVMH), Samuel Mahelona Memorial Hospital (SMMH), and Kaua’i Region Clinics are part of the Kaua’i Region, Hawai’i Health Systems Corporation (HHSC), a public benefit corporation of the State of Hawai’i.

The Physician (Extender) is responsible for providing health care services to patients in collaboration with other providers. Duties include case management of patients; performing diagnostic and therapeutic procedures; providing quality, efficient, continuous and cost-effective care during the patient’s visit; and providing support to the family practice; performs physical examinations and health assessments, provides diagnosis formulation and implementation of treatment plans, evaluation, follow-up for health promotion and disease prevention as well as diagnosis and management of acute episodic and chronic illness of a patient; provides consultative and educational services to other providers and staff; improves and develops policies, procedures and guidelines and performs other duties as assigned.

This position is subject to shifts, which includes work on weekends. Incumbent may be required to travel to and from clinics within the region as may be determined by supervisor.


To qualify, you must meet all of the following requirements.  Please note that unless specifically indicated, the required education and experience are credited based on a 40-hour workweek.

Education: Master’s Degree in Nursing or a current certification for specialized and advance nursing practice in specialty area from an accredited program approved by a national certifying body recognized by the Board of Nursing or Graduate from an ARC-PA accredited Physician Extender program.

Licensure: Recognition as an Advanced Practice Registered Nurse (APRN) with Prescriptive Authority (non-controlled substance and controlled substance) from the State of Hawaii, Department of Commerce & Consumer Affairs at the time of appointment or Physician Extender Certified with Prescriptive Authority (non-controlled substance and controlled substance) from the State of Hawaii, Department of Commerce & Consumer Affairs at the time of appointment.

Experience: Three and one-half (3 ½) years of Physician Extender work experience, of which one (1) year must be satisfactory work experience serving in a full supervisory role, group of patient care units in a specific clinical services area or providing consultative and educational services to staff, program administrators and others for the development and improvement of PA-C policies, procedures and practices; organizing and managing a specialized health clinic in support of a hospital, institution or public health medical program; responsibility for implementing PA-C programs, policies and procedures; assuring conformance to doctor’s orders; evaluating the need for and providing emergency treatment services when necessary; determining whether or not to notify the physician of changes in patient’s condition, etc., and assigning and/or rescheduling personnel. In addition, must meet requirement for Recognition of Prescriptive Authority by Department of Commerce and Consumer Affairs, State of Hawai’i.

Supervisory aptitude: Demonstration of aptitude or potential for the performance of supervisory duties through successful completion of regular or special assignments which involve some supervisory responsibilities or aspects; by serving as a group or team leader, previous work experience in a position that demonstrates or performs supervisory functions or in similar work in which opportunities for demonstrating supervisory capabilities exist; by completion of training courses in supervision accompanied by application of supervisory skills in work assignments; or by favorable appraisals by a supervisor indicating the possession of supervisory potential.

Certification: Current certification of Basic Life Support (BLS) from the American Heart Association must be provided at time of appointment.


Knowledge of:  nursing theory and practice; nursing techniques and procedures; nursing literature and current trends and development in nursing. The ability to apply nursing theory an practice in planning and giving nursing care; recognize, interpret and evaluate symptoms of patient’s condition and take appropriate action. The employee should be able to initiate and maintain working relationships with members of the medical staff, administration, nursing, and other departments and agencies affiliated with the hospital.


Applicants must be physically able to perform, efficiently and effectively, the essential duties of the position which typically require the ability to read without strain printed material the size of typewritten characters, glasses permitted, and the ability to hear the conversational voice, with or without a hearing aid, or the ability to compensate satisfactorily.

Mental/Emotional Requirements: All applicants must possess emotional and mental stability appropriate to the job duties and responsibilities and working conditions.


COVID-19 vaccination is a condition of employment for Hawaii Health Systems Corporation.  After receiving a conditional offer of employment, all prospective new HHSC employees are required to be fully vaccinated against COVID-19.  New employees are required to provide confirmation of their full vaccination status by presenting their CDC vaccination card or VAMS Certificate prior to their start date.

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