Emergency Medicine - Lead Advanced Practice Provider

About Us:

Aligned Providers Wyoming At Aligned Providers Wyoming, we believe in trust, integrity, and servant leadership as the foundation of everything we do. Our mission is rooted in the belief that rural communities deserve consistent, compassionate, and high-quality care — not just coverage. We're a provider-owned and democratic group , rooted in the heart of Wyoming, proud to deliver care in a way that honors teamwork, integrity, and community . Since 2016, we've been building clinician-led solutions for hospitals throughout Wyoming and the surrounding region. At APW, we don't just fill shifts — we build fulfilling careers. We are guided by the principle that true leadership means serving others first — our patients, our hospitals, and our colleagues. We believe that transparency, reliability, and professionalism are essential to building lasting partnerships with both clinicians and hospitals. Our culture fosters mutual respect, shared accountability, and a commitment to doing what is right — even when it's not easy. We hold ourselves to the highest ethical standards and expect the same from those we work with.

The Role:

Full-Time Emergency Medicine Lead

APP/APRN

Based at Cheyenne Regional Medical Center , this role is ideal for APPs who thrive in a fast-paced, high-acuity ED and want to grow long-term with a tight-knit, collaborative team.

What You'll Do:

Provide care for patients across all ESI levels in a 42-bed Emergency Department while maintaining a patient-centered care environment Serve as the professional and operational liaison for APPs practicing in the Emergency Department. Partner closely with the Site Medical Director, nursing leadership, and hospital administration to align APP practice with hospital policies, quality standards, and operational goals. Develop, manage, and evaluate operational initiatives with measurable outcomes related to APP performance, patient flow, and care delivery. Maintain oversight of APP scope of practice, regulatory compliance, and professional standards. Participate in interdisciplinary rounds and departmental leadership discussions. Perform advanced procedures within scope, including but not limited to suturing, splinting, intubation, central lines, chest tubes, lumbar punctures, procedural sedation, FAST exams, and other ED procedures. Maintain accurate, timely, and compliant documentation. Leadership & Administrative Responsibilities Provide direct leadership, supervision, mentorship, and performance evaluation of site APPs. Conduct and document APP performance reviews, addressing clinical quality, professionalism, documentation, patient relations, and overall effectiveness. Review Emergency Department charts for documentation quality, appropriateness of care, testing, and billing for APP services. Participate in peer review activities and ensure compliance with quality and safety standards. Remain actively involved in addressing and resolving patient complaints and grievances related to APP care. Assist the Medical Director with workforce planning, FTE analysis, and scheduling oversight. Oversee and validate APP schedules with the goal of publishing schedules at least 90 days in advance. Facilitate APP meetings and effectively communicate data, expectations, and performance outcomes. Support recruitment, onboarding, retention, and professional development of APPs, including participation in interviews and site tours. The Ideal Candidate We're looking for a clinically strong APP with demonstrated leadership ability who is ready to take ownership of APP operations and professional standards.

Qualifications:

Completed an approved/accredited

APP/APRN

- Emergency Medicine internship/fellowship/residency Is Certified by the AAENP Has 24 months of experience working in the Emergency Department as an APP or APRN (experience under any other licensure be considered) Has at least or ideally 6 months or more of leadership experience Licensed in Wyoming ; DEA required. Committed to living in or near Cheyenne, WY and growing with the team Professional, reliable, and legally eligible to work in the U.S. Current ACLS, ATLS, and PALS certifications . Compensation/Benefits and Schedule We're proud to offer clear, fair, and transparent compensation: Hourly Pay Full-Time (123 hours/month):(Total annual compensation $166,347) Clinical Hours paid at $98.47/hr . (For the first 90 hours - all hours over 90 are paid at standard rate) $5000/month admin stipend - 23 hours must be served on site 10 hours may be remote Additional Benefits Low-Cost health insurance (BCBS of TX). Dental, vision, life, and disability included. 401K with 4% match. $3,500 annual business expense fund (CME/licensing). Occurrence-based malpractice with tail coverage. Path to partnership after 1 year, with profit-sharing. No state income tax for Wyoming residents. Sign on bonus eligibility Admin supplies : A laptop and other needed office supplies will be provided .

Shift Structure Options:

7a-6p, 9a-6p, 10a-10p, 2p-11p, 5p-5a. Physicians are always on-site.

Fair scheduling:

all providers are rotating holiday and weekends

The Hospital:

Cheyenne Regional Medical Center Founded in 1867 as a frontier "tent" hospital, Cheyenne Regional Medical Center has deep roots in the community. Today, it is a 222-bed acute care hospital and Level II Trauma Center , continuing its pioneering spirit of compassionate, world-class care.

ED Highlights:

Patient volume: ~1.3-1.5 patients/hr.

Capacity:

42 beds.

EMR:

Epic. 24/7 transfer center

Support Services:

ICU(17-bed), cath lab, stroke and chest pain center Why Cheyenne? Cheyenne blends small-town charm with big-city access. Known for its Wild West roots and the world's largest outdoor rodeo, it offers rich traditions and year-round outdoor adventure — from biking and climbing to skiing and camping. Just a short drive to Fort Collins, Denver, and Rocky Mountain National Park , Cheyenne combines natural beauty, a strong sense of community, and affordable living with no state income tax A Few Non-Negotiables No Locums. We are building a long-term team. No 1099. This is a W-2 employed role only. No Cold Calls. Please submit your CV to be considered. No Pay Negotiation. Transparency and fairness matter. Everyone earns the same rate for the same role. Our Values Integrity Family and Community Selflessness Compassion Gratitude Ready to Apply? If you're excited to join a group that values autonomy, fairness, and teamwork, we'd love to hear from you.

Submit your CV to:

Maria Sellers Executive of Physician Recruitment Maria.

Sellers@Alignedproviders.com Aligned Providers Wyoming (APW) is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive, respectful, and equitable workplace where every team member can thrive. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, age, genetic information, disability, veteran status, or any other protected characteristic under applicable law

Pay:

$166,347.00 - $195,000.00 per year

Benefits:

401(k) 401(k) matching Flexible schedule Health insurance Health savings account Life insurance Tuition reimbursement Vision insurance Application Question(s): How soon are you able to start if the position is offered? What about you sets you apart from other applicants? What about this position is the biggest draw for you?

Experience:

Emergency medicine: 2 years (Required)

Clinical Leadership:

1 year (Required) Shift availability: Day Shift (Preferred) Night Shift (Preferred) Overnight Shift (Preferred)

Work Location:

In person