Nurse Practitioner

Nurse PractitionerKaweah Health is a publicly owned, community healthcare organization that provides comprehensive health services to the greater Visalia area in central California. With more than 5,000 employees, Kaweah Health provides state-of-the-art medicine and high-quality preventive services in our acute care hospital, specialized health centers and clinics. Our eight-campus healthcare district has 613 beds and offers comprehensive health services across a broad continuum of care.The Nurse Practitioner is dedicated to enhancing the health and well-being of patients/families, nurses and the healthcare system by positively influencing patient outcomes utilizing evidence based practice and promoting excellent bedside practice through collaboration, leadership and mentoring.Qualifications:License/Certification Required:CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing NumberDrug Enforcement Administration (DEA) registrationCA RN licenseBLSPreferred: National Nurse Practitioner certification from American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC); for Hospice Advanced Practice Certified Hospice and Palliative Nurse (ACHPN).Education Preferred: MSN or DNPExperience Required:One year of recent RN specialty experience in an adult, critical care, or medical-surgical setting.For Hospice: two or more years of palliative care experience with patients at end of life.Preferred: One year of recent practice as a Nurse Practitioner with an emphasis in adult assessment and management of medical and/or surgical conditions.Knowledge/Skills/Abilities:Must complete credentialing through Medical Staff Interdisciplinary Practice Committee.Excellent written and oral communication skills and effective interpersonal relationships.Critical thinking, creative thinking, and creative skill in problem solving.Computer literate.Job Responsibilities:Responsible for enhancing patient throughput throughout the medical center and chronic disease management clinic.Uses knowledge and assessments of patients to design, implement and evaluate plans of patient care related to specialty area.Manages populations with disease states and non-disease based etiologies to improve and to promote health care outcomes.Collaborates with the interdisciplinary team on most complex patients within specialty area on a consistent basis.Focuses on population health management across the care continuum.Collaborates between the medical staff, nursing unit and ancillary departments to facilitate problem-solving.Designs, implements, and evaluates innovative individual and/or population-based programs of care to achieve high quality, cost-effective outcomes.Provides relevant patient instruction and education.Coordinates patient care including ordering, interpreting, and evaluating laboratory tests and radiographic studies to expedite treatment. Follows up on all abnormal findings.Orders transfers within the hospital or to other facilities to the appropriate level of care.Consults with medical staff, medical residents, nursing, case management, social work and clinical documentation staff as needed to meet documentation and throughput goals.Completes history and physical or medical screening exam, discharge summary/instructions and provides patient prescriptions as indicated to enhance throughput.Documents the necessary components in the medical record to meet documentation standards for the assigned DRG or APR-DRG, including appropriate patient status and level of care.Documents and orders the necessary components to meet CMS, core measure and Value-Based purchasing requirements.Serves as a leader/consultant/mentor/change agent in advancing the practice of nursing among other nurses and across organizations to achieve outcomes.Utilizes direct clinical practice to consult, educate, coach, and mentor staff nurses in achieving optimum patient outcomes.Serves as a change agent in health care settings by developing high-quality health care standards, assisting in the implementation of standards, order sets, clinical pathways, and facilitating goal setting while measuring achievements, and evaluating outcomes.Advances nursing practice through innovative evidence-based interventions, best-practice guidelines, and modification of professional standards and organizational policies that direct the care of nursing personnel and other providers of healthcare to improve outcomes.Uses clinical inquiry and research in an advanced specialty area of practice.Promotes use and understanding of evidence based practice.Reviews standards of practice and national guidelines for specialty area to determine appropriateness and to reflect current nursing clinical practice.Leads multidisciplinary groups to facilitate collaboration with other disciplines in the attainment of outcomes across the continuum of care.Performs consultative functions.Provides clinical expertise and makes recommendations to physicians, other health care providers, patients, and health care organizations.Attends appropriate Medical staff committees.Completes and maintains appropriate procedural training for the population being served (i.e. Cardiac Stress Testing).Addendum (essential for specific dept)CARDIAC CATH LAB ALSO RESPONSIBLE FOR:Coordinates overall clinical program and ensures processes are in place to assure smooth operations and patient flow for the clinical activities of cardiology services specific to heart valve devices (TAVR).Develops and implements required elements of an effective clinical program such as:Develops methods to ensure prompt access to care.Ensures processes are in place to provide coordinated patient flow across Physicians clinical sites.Develops collaborative partnerships with inpatient and outpatient facilities implementing the heart valve device.Develops & implements clinical guidelines.Aligns EMR to support care delivery.Facilitates establishment of clinical trial protocols at all sites in partnership with the Valve Consortium.Provides program and clinical input to marketing team to ensure web and related marketing tools are up to date.Practice Development:Develops & provides oversight of clinical program at affiliated hospitals.Directs development of education materials.Develops educational materials and training program for all patient care staff (inpatient and outpatient) who will participate in the clinical trial.Helps develop valve program at affiliated hospitals that provide a referral base of patients.Provides program and clinical input to quality assurance and quality check teams to ensure web and related marketing tools are up to date.Demonstrates ability to provide care or service adjusting approaches to reflect developmental level of population served:Communicates in a respectful manner.Ensures a safe, secure environment.Partners with patient/care-giver/management in care/decision making.Individualizes care/service plan to meet patient/customer needs.Modifies interventions/service based on population served.Provides patient/employee education based on assessment of learning needs of learner.HOSPICE ALSO RESPONSIBLE FOR:Understands the Hospice Conditions of Participation related to Nurse Practitioner regulations.Performs timely Hospice face-to-face visits including timely, accurate documentation.Additional Demonstrates a knowledge and understanding of:Joint Commission standardsCalifornia's Nursing Practice ActApplicable sections of California Title 22 and 16 and all other applicable regulationsApplicable Federal guidelines and regulations including HIPAAAmerican Nurses Association Scope and Standards of PracticePolicies and procedures for specialty areaNational standards for specialty area.Demonstrates professional citizenship and fiscal responsibility in the healthcare system by focusing on health policy and/or resource management to ensure quality, cost-effective outcomes of nursing care.Demonstrates the knowledge and skills necessary to provide care and services appropriate to the population served on the assigned unit or work area. Knowledgeable of growth and development for all patient/family cultural, linguistic, spiritual, gender