Certified Registered Nurse Practitioner, ID Clinic

ID Nurse Practitioner

The ID Nurse Practitioner will be responsible for delivering primary medical and preventative care to individuals living with HIV. This will occur in collaboration with the clinic's board certified Infectious Diseases supervisor. The NP will perform comprehensive medical assessments, order appropriate diagnostic testing, and recommend treatment for acute and chronic medical conditions. The Nurse Practitioner works within a collaborative model to provide quality care and to improve patient outcomes for patients. The position combines the roles of provider, educator, researcher and administrator. The Nurse Practitioner must honor the Commonwealth of Pennsylvania's Nurse Practitioner's guidelines and ethical commitment. All communication to include privacy and security of patient protected health information must be exercised at all times.

This position reports directly to the Project Director and Medical Director of the ID Clinic.

Duties & Essential Job Functions

• Work closely with Infectious Disease Attending to provide acute and chronic medical care for patients in the ID clinic.
• Perform comprehensive medical assessments, including ordering and interpreting diagnostic testing, and treating a wide variety of general medical diseases, such as diabetes and hypertension, using evidence-based practices in a cost effective way.
• Treatment plans are documented as progress notes in the electronic medical records system and need to be an accurate reflection on the patient encounter.
• Communicate clearly and effectively with patients and other healthcare workers
• Provides women's health and wellness services including breast and cervical cancer screening / PAP tests and coordinating a respective Clinical Quality Improvement (CQI) project
• Provides and monitors continuity of care between patient visits and evaluation and management of emergency situations.
• Provides psychosocial counseling and support to patients and families and makes community referrals as necessary.
• Identifies treatment-related toxicities and initiates medical interventions in collaboration with the Attending physician.
• Evaluate patient intervention outcomes and demonstrates expertise in symptom-management.
• Monitors and adjusts patient medications and treatments according to protocols and in collaboration with the Attending physician.
• Manages telephone calls related to emergency situations, symptom management and psychosocial and family concerns.
• Provides continuity of care across settings (home health).
• Exercises HIPAA confidentiality and security measures at all times.
• Participates in quality improvement reviews and activities in the clinical setting.
• Performs and documents comprehensive medical and psychosocial health histories and examinations on patients. Collaborates with attending physician in managing acute and long-term medical needs of patients.
• Provides follow-up care for hospitalized patients in the outpatient clinic.
• Interviews and advises patients regarding health and illness prevention. Recommends resources to meet patient and family needs.
• Instructs patients and families regarding medications and treatment instructions.
• Understands and adheres to "incident-to" and "non-incident-to" service and billing guidelines using proper procedures based on service conditions at the time.
• Practice as an outpatient provider with thirty-six (32) hours of patient care per week (with availability for 3 patient slots per hour, 96 patient slots per week) and four (8) hours of administrative time per week, and must be present on-site at least forty (40) hours per week, which includes administrative time. Administrative time must be coordinated and planned to occur outside of patient care hours and when there is otherwise an adequate number of providers to cover overall patient care responsibilities. The particular days scheduled will be worked out with the Medical Director and Practice Manager
• Must have zero charts overdue > 10 days no more than 100 at end of month
• Monitor lab and document box of other providers as assigned and direct any questions or concerns to the Medical Director
• Willingness to see patients at Wilkes-Barre practice in order to assist with expanding the service line to Luzerne county.
• Perform other duties as assigned.

Educational Responsibilities

• Provides information on disease, treatment, health promotion, and disease prevention to patients and families.
• Evaluates patient, nursing, and community educational programs and materials and acts as a resource in relation to those materials.
• Participates in weekly clinic multi-disciplinary meetings
• Demonstrates responsibility for self-learning through participation in continuing education activities and conferences.
• Provides education to nursing students.

Research Responsibilities

• Demonstrates knowledge of the research process.
• Collects and manages data as needed.
• Reviews, disseminates, and incorporates research findings into clinic practice

Clinical Responsibilities

• Provide comprehensive medical care for patients living with HIV. Treatment of all comorbidities (diabetes, HTN, etc) in patients with HIV.
• Understand and follow standard practice guidelines when delivering medical care (evidence- based medicine)
• Collaborate with Infectious Disease Attending on evaluating and treating patients with hepatitis C and patients seeking PrEP.
• Complete testing and treatment for STDs
• Implementing treatment and managing the care of the patient and treatment to maximize successful treatment completion.
• Supervision of the RN who will be administering professional nursing care to patients as part of the strategic initiative.
• Reporting to the Infectious Diseases Medical Director on strategic initiative progress and any clinical issues.

Medication Administration

• Administration of medications and injections, including non prescription medications
• Prescribe and dispense relevant medications to the area of practice for the CRNP
• Prescribe and dispense schedule II medications with DEA certificate
• Prescribe and dispense schedule III, IV, and V medications with DEA certificate

Basic Intervention

• Treatment of minor superficial wounds
• Cleansing and irrigation of wounds
• Suture and staple removal
• Wound care and packing

Requirements

Qualifications

• Current license to practice as a Nurse Practitioner (CRNP) in Pennsylvania.
• Current BLS and ALS Certification.
• Current DEA number from the United States Drug Enforcement Administration.
• Demonstrated ability to function both independently and in collaboration with other health care professionals.
• Previous experience working in a mental health specialty is a plus.
• HIV/AIDS experience preferred but not essential

The Wright Center for GRaduate Medical Education