Nurse Practitioner (NP) - PRN

Nurse Practitioner (NP) - PRN STGi is currently seeking a Nurse Practitioner to provide services at our Community Based Outpatient Clinic (CBOC). Job Summary The general duty of the Nurse Practitioner is to provide professional clinical services under the direction of the CBOC Primary Care Provider (PCP). The Nurse Practitioner is an Advanced Practice Registered Nurse who provides a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems; and comprehensive, integrated primary health care which addresses a majority of the client’s health care needs on an ongoing basis. The NP is knowledgeable in assessment, treatment and evaluation of a comprehensive range of health care problems; emergency measures; preventive health; prescribing medications and other treatments; ordering, conducting, interpreting laboratory and diagnostic studies and procedures; and patient and family education utilizing community, social, and health resources. The NP maintains knowledge of current practice, acts as a role model and mentor to other APRNs, acts as client advocate, and participates in professional activities at local and state level. These duties include: Essential Functions Provide primary and preventive medical care to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within the scope of training. Provide medical patient care to the scope and standards of practice established by a nationally recognized credentialing organization representing Nurse Practitioners. Function within the scope of practice of the state Nurse Practice Act (NPA), the Joint Commission standards, VA Medical Center guidelines, and the Office of the Inspector General. Work closely with the Patient Aligned Care Team (PACT) and extended support staff, including daily huddles with the team. Emphasize wellness, prevention, and early detection. Supervise support staff in delivery of care to patients. Maintain universal precautions and infection control practices. Provide smooth and timely flow of patients in accordance with VA access standards and triage protocol. Perform cardiopulmonary resuscitation (CPR) and assist during respiratory and cardiac arrest procedures. Investigate health problems or health needs by gathering and assessing historical information. Perform a physical examination appropriate to the patient’s history. Diagnose health problems based on interpretation of the patient’s history, physical exam findings, and diagnostic test results. Develop a treatment plan, tailored to the patient’s needs, which includes health education, pharmacologic and non-pharmacologic treatment. Prescribe medications, as appropriate. Evaluate the results of the treatment plan, modifying the plan as needed to achieve the treatment goals. Make referrals for specialty evaluation or treatment. Direct and coordinate the provision of health care services for patients in primary care, i.e., walk‑in patients. Provide a model for clinical practice within the clinic setting. Set up and operate therapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, automatic electronic defibrillator (AED), and portable suction. Obtain patient history on new and follow‑up and record appropriate findings according to VA standards. Perform initial and periodic physical examinations within limits of privileges and record findings. Order diagnostic tests according to the chief complaint, physical and emotional/mental findings and symptoms. Demonstrate knowledge of pharmacology. Prescribe and administer medication within limits of privileges and state and federal regulations. Recommend and follow‑up on laboratory tests and specialized diagnostic procedures, as deemed necessary. Document all pertinent patient information in the medical records and Veterans Health Information Systems and Technology Architecture (VISTA) to demonstrate quality care delivery and promote continuity of care. Keep the VISTA clinic reminder tracking system current for each enrolled patient. Close patient charts within 24‑72 hours of encounter and place Return to Clinic (RTC) orders promptly. Assist in scheduling patients for initial and follow‑up appointments in accordance with the VA’s access standards and the patient’s medical necessity. Keep patients informed of their plan of care, including lab and diagnostic test results as needed. Provide health educational materials, resources and education to patients and their families for informational purposes and in accordance with their need and learning capacity. Assist the Registered Nurse to ensure all patient information on electronic encounter documentation is complete and accurate. Comply with all federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), Veteran Affairs, and Subcontractor safety and operational regulations, directives and standards. Participate in the ongoing Performance Improvement Program between the VAMC and STGi Performance Excellence program including regularly scheduled peer reviews. Ensure that all required reports and clinical information is completed in an accurate, timely and complete fashion. Participate in staff development programs. Perform other clinical duties assigned within limits of privileges. Maintain confidentiality of all information and support patients’ privacy, rights, and safety. Aid in management/coordination of the CBOC’s day‑to‑day activity. Perform other work‑related duties as assigned. Required Skills Three years of clinical nursing experience is required. Minimum of one year clinical experience as an APRN is required (three years preferred). Experience in outpatient care in a Family Medicine or Internal Medicine environment is preferred. APRN must have a current and unrestricted DEA License. The APRN will be required to obtain and maintain a Scope of Practice/Collaborative Agreement with a state‑licensed physician prior to delivery of health care. Current and unrestricted Idaho license. Must comply with all state requirements and regulations. Possess Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) certification from American Heart Association (AHA) or the Military Training Network (MTN). Prescriptive authority in accordance with state rules and regulations. Ability to set realistic, measurable education goals for patients, taking into consideration patient/family needs, level of understanding, and available local resources. Ability to develop and provide individualized and group counseling, guidance, and health instruction with a focus on disease prevention and health maintenance. Experience with safe and reasonable practices regarding opioid medications for chronic pain. Working knowledge of Microsoft Office Software and excellent computer maneuverability. Must have exceptional diplomatic communication skills and experience in handling difficult customer situations. Must be detail oriented and have the ability to multi‑task. Required Experience Education Must possess a master’s degree in nursing from an NLN AC or CCNE accredited nursing program. Must maintain a full and current certification as a Nurse Practitioner from the American Nurses Association (ANA). Must have an ANA certification as a Nurse Practitioner in either Adult Health or Family Practice. Working Conditions/Physical Requirements Moderate physical activity. Requires handling of average‑weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day. Work is normally performed in a typical interior/office work environment. Required to respond to any medical emergency within the clinic, where a fast walk or job may be necessary to provide assistance. Disclaimer The preceding job description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Equal Opportunity / Affidative Action Statement STGi is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class. #J-18808-Ljbffr