Nurse Practitioner / Physician Assistant - PRN

Description

Summary

The Nurse Practitioner provides high quality, patient-focused health care services to all patients in collaboration with the other staff members to ensure that the individually planned needs and desires of patients are met, regardless of age or gender, on a continuing basis by performing the duties outlined below. The Nurse Practitioner will practice/perform the medical services as delegated or directed by the supervising physician as long as they are within the scope of practice for the RN/APRN. The NP will abide by the standards and laws governing the practice of nursing and advanced practice registered nursing as established by the designated State Board and specified State Professional and Occupational Standards. It is the obligation of each Nurse Practitioner to ensure that their supervisory requirements are adhered to, that the relationship of and access to the supervising physician is defined, and that a process for evaluation is established. It is the obligation of each Nurse Practitioner to keep current with required continuing education and licensure. 

Essential Duties and Responsibilities include the following.

• Maintains appropriate clinical standards. Follows the guidelines established by the Company policy and procedure manuals.
• Examines patients for symptoms and/or physical information while ensuring the delivery of high quality, patient-focused health care all while recognizing the patient’s individual rights.  
• Aides the patients in their right to be informed and to participate in making decisions in all aspects of their medical care and treatment and initiates a patient education plan according to the individualized needs of the patient, including patient and family instruction. Ensures that all aspects of care have respect for personal values and beliefs, and is focused on the individual needs of each patient.
• Elicits and reviews information about patient’s medical history.
• Orders or executes various tests, analyses, results, reports and diagnostic images to provide information on patient’s condition in a timely manner to determine appropriate treatment and follow up. 
• Administers or prescribes treatments and medications appropriate for patient condition.
• Promotes health by educational instruction as well as advising patients concerning diet, hygiene, and methods for prevention of disease.
• Refers patients to medical specialist for consultant services when necessary for patient’s well-being.
• Accurately, efficiently, and completely documents necessary data for patient records to facilitate completion of billing processes. 
• All entries into the medical record whether electronic or on paper will be legible, complete, dated, timed and signed with appropriate credentials. Documentation will be completed prior to discharge from the facility when possible but no later than 48 hours after discharge from the facticity. 
• Utilizes all equipment, supplies, facilities, and resources of the Company in a prudent and efficient manner.
• Participates in department quality improvement activities, staff educational programs, attends departmental meetings, and demonstrates and maintains clinical competency in the delivery of patient care services in accordance with Company guidelines.
• Participates in Peer Review and Chart Audit processes as designated by the Medical Director. 
• Maintains supervisory duties over staff as required.
• Must maintain collaboration with the physician to deal with issues outside of their scope of practice.
• Maintains competency in skills relevant to the scope of services provided in the facility. The scope of services in specific markets will require employees to complete relevant training and to obtain additional certifications or licensure. (DOT Certification, Occupational Medicine Certification, Dispensing Permits, Telemedicine permits, etc.)
• Other duties as needed.

Supervisory Responsibilities

May be required to supervise clinical and clerical staff.           

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Competencies  

To perform the job successfully, an individual should demonstrate the following competencies:

• Technical Skills - Strives to continuously build knowledge and skills; shares expertise with others.
• Customer Service - Responds promptly to customer needs.
• Interpersonal Skills - Maintains confidentiality.
• Oral Communication - Responds well to questions; participates in meetings.
• Written Communication - Presents numerical data effectively.
• Teamwork - Balances team and individual responsibilities; contributes to building a positive team spirit.
• Quality Management - Demonstrates accuracy and thoroughness.
• Business Acumen - Understands business implications of decisions; displays orientation to profitability.
• Cost Consciousness - Works within approved budget; develops and implements cost saving measures; contributes to profits and revenue; conserves organizational resources.
• Diversity - Promotes a harassment-free environment.
• Ethics - Keeps commitments; works with integrity and ethically; upholds organizational values.
• Organizational Support - Follows policies and procedures.
• Judgment - Exhibits sound and accurate judgment; supports and explains reasoning for decisions; includes appropriate people in decision-making process; makes timely decisions.
• Motivation - Sets and achieves challenging goals; demonstrates persistence and overcomes obstacles.
• Planning/Organizing - Prioritizes and plans work activities; uses time efficiently; organizes or schedules other people and their tasks.
• Professionalism - Reacts well under pressure; accepts responsibility for own actions; follows through on commitments.
• Quality - Monitors own work to ensure quality.
• Adaptability - Changes approach or method to best fit the situation; able to deal with frequent change, delays, or unexpected events.
• Dependability - Keeps commitments; commits to long hours of work when necessary to reach goals.

Requirements

Education and/or Experience Master’s Degree in Nursing 

Certificates, Licenses, Registrations State Registered Nursing License; State Advanced Practice Registered Nurse License; Collaboration Agreement; CDS Controlled Substance License as applicable per prescriptive authority; DEA Drug Enforcement Agency Registration Number as applicable per prescriptive authority; Basic Life Support Certification. Active medical board certification required per state requirements.

Other Qualifications Successful completion of Advanced Cardiac Life Support (ACLS) is preferred for full time NP. 

Language Skills Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.

Reasoning Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

Computer Skills Ability to perform this job successfully, an individual should have basic knowledge of EMR systems, specifically DocuTap, Excel spreadsheet software and MS Word Processing software.

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this Job, the employee is regularly required to stand or walk; use hands to finger, handle, or feel; reach with hands and arms and talk or hear; reach, stoop, bend, kneel, and/or crouch. The employee must frequently lift supplies and/or equipment and may be responsible for lifting, positioning, and/or transferring patients.  

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually quiet to moderate. The employee may be exposed to infectious or contagious diseases and a variety of electromechanical hazards. The employee may also handle emergency and/or crisis situations. 

The above job description is intended to describe the general nature and level of work being performed in the described position. This document is not intended to be an exhaustive list of all position duties and skills required of the individual classified in this position.