Nurse Practitioner-Same Day Access

Nurse Practitioner-Same Day AccessAs a core member of the Same-Day Access team, this position independently evaluates, diagnoses, and manages a broad range of acute and episodic medical conditions in a fast-paced ambulatory setting. The position requires strong clinical judgment and the ability to assess patient acuity, initiate appropriate diagnostic and treatment interventions, and determine when a patient requires a higher level of care, including referral or transfer to specialty, urgent care, or emergency services.This position works collaboratively with physicians, nurse practitioners, nursing staff, and other members of the Medical Services team to facilitate timely access to care, effective clinical decision-making, efficient patient flow, and appropriate coordination and follow-up care. The incumbent also serves as a clinical resource to nursing staff in the triage and management of patients presenting with medical concerns.This role functions with a high degree of clinical independence and accountability while maintaining timely and accurate clinical documentation, and practicing in accordance with Columbia Health policies and procedures, established clinical protocols, professional standards, and applicable regulatory and accrediting body.This is an essential onsite role with some evening and weekend responsibilities, as needed. Visa sponsorship is not available for this role.ResponsibilitiesDirect Patient Care (90%)Serve as a core provider within Same-Day Access, delivering timely, high-quality medical care for patients requiring same-day care, including evaluation and management of acute and non-acute illnesses, injuries, and time-sensitive medical concerns.Independently assess, diagnose, treat, and manage a broad range of acute and episodic medical conditions within the Nurse Practitioner's scope of practice and in accordance with established Medical Services policies, clinical protocols, and professional standards.Serve as a clinical consult for nurses as they triage patients over the phone or in person for time-sensitive medical concerns.Work collaboratively with nursing staff to optimize patient flow.Promote consistent, efficient, and patient-centered delivery of same-day care while maintaining quality and safety standards.Obtain comprehensive and problem-focused medical histories and perform relevant physical exams. Order and interpret appropriate diagnostic testing to diagnose and treat medical issues.Communicate with patients regarding results or follow-up plans pertinent to their same-day visit, including appropriate therapeutic interventions, patient education, and follow-up care.Assess patient acuity and clinical urgency and determine appropriate level of care. Refer to specialty care, urgent care, or emergency services, as relevant.Evaluate and document patients' responses to the plan of care in the Electronic Health Record (EHR). Maintain accurate and timely documentation in EHR in accordance with Columbia Health policies and procedures.Work closely with other members of the Same-Day Access team and other areas to support effective clinical decision-making, coordinated care, and efficient patient flow.Perform Other Duties as Assigned (10%)Minimum QualificationsGraduate from an accredited Nurse Practitioner program.Current New York State Nurse Practitioner license and DEA registration.Current board certification or eligible as a family nurse practitioner.Minimum 4 years post-training clinical experience in an urgent care, same-day clinic, outpatient primary care setting, community health clinic setting, student health care, or closely related environment.Must have current BLS and Infection Control Certificate.Demonstrated ability to assess patient acuity or potentially emergent conditions.Strong clinical judgment and demonstrated ability to assess patient acuity, manage complex and time-sensitive clinical situations, and appropriately determine when escalation to a higher level of care is required.Demonstrated ability to collaborate effectively across disciplines and build productive working relationships.Demonstrated ability to function effectively in a fast-paced, high-volume clinical environment while maintaining high standards of patient care.Preferred QualificationsExperience practicing in high-volume, urgent care, ambulatory acute care, walk-in, or same-day access setting.Experience providing healthcare to college-age or young adult populations.Experience working within an interdisciplinary, team-based healthcare delivery model.Other RequirementsEqual Opportunity Employer / Disability / VeteranColumbia University is committed to the hiring of qualified local residents.