Nurse Practitioner-Clinics

Kaweah 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.

It takes a special person to work for Kaweah Health. We serve a region where the needs are great, which makes the rewards even greater. Every day, we care for people facing unique challenges and in need of healing. Throughout it all, our focus is to make a difference, and we do — in the health of our patients, our loved ones, and our community.

Benefits Eligible

Full-Time Benefit Eligible

Work Shift

Day - 9 Hour Shift (United States of America)

Department

7025 Cardiology Center - TulareTo function as a member of a health care team to deliver quality health care while working alongside and under the supervision of a physician.

QUALIFICATIONS

License /Certification
Required:

CA Nurse Practitioner (NP) and Nurse Practitioner Furnishing Number

Drug Enforcement Administration (DEA) registration

CA RN license

BLS

NP Certification by national certification board and Master’s degree in Nursing or Doctor of Nursing Practice degree; or obtained Medicare billing privileges as an NP before Jan 1, 2003 and NP Certification by national certification board; or obtained Medicare billing privileges prior to Jan 1, 2001.

Knowledge/Skills/Abilities
Prior to hire, HR must receive clearance from KH Medical Staff office that the medical staff credentialing process is complete.
Bilingual preferred.

JOB RESPONSIBILITIES
Essential

Secures a complete health history, including but not limited to, obstetric, gynecologic, contraceptive, medical, surgical, family health and psychosocial aspects, and records findings accurately and succinctly.

Performs appropriate general examinations, diagnostic tests, and other types of more specialized procedures as may be indicated by patient history and complaints, according to protocol. Provides specialized and or advanced practice services within the scope of training.

Provides relevant patient instruction and education. This may include medication information, disease education, health promotion, care instructions, etc.

Follows up on all abnormal findings within a timely manner, responds to patient clinical needs, and refers to other providers as appropriate.

Charts all information with regard to the client's examination and plans for treatment within the electronic medical record. Chart review meets quality improvement standards. Completes timely chart documentation.

Consults with assigned supervising physician when necessary. Reviews complex cases with the supervising physician in accordance with appropriate protocols (e.g. NP protocols or PA service agreement) as indicated.

Pursues and completes ongoing, high-level continuing medical education activities. Shares new clinical practice updates or information with the APP team and clinical leadership.

Attends APP and clinical site meetings to keep current with organization communication and priorities. Participates and engages in organizational quality improvement initiatives. Provides feedback and input on clinical processes.

Coordinates clinic coverage with other providers. Provide backup coverage as needed.

Provides care delivery within a team-based, patient-centered approach. Engages the patient and their family in the decision-making process regarding their care. Utilizes care team members appropriately (e.g. pharmacy, care coordinators, dieticians, etc.).

Utilizes evidence-based practice guidelines and resources for clinical practice.

IF ASSIGNED TO HEART FAILURE CLINIC
Order, interpret, and evaluation diagnostic testing such as Echocardiograms, ECG/EKG’s, lab results, stress testing, and imaging studies. Prescribe medications and titrate guideline-directed medical therapy. Monitor patients receiving advanced therapies including Diuretics, Inotropes, LVAD support, and Transplant evaluation.
Provide patient and family education regarding disease management, medication adherence, diet and sodium restriction, fluid management, and symptom monitoring.
Strong cardiovascular assessment skills, Device Management (ICD/CRT), Ability to manage complex chronic disease such as Cardiomyopathy, Hypertension post MI heart failure management, and volume overload management.

IF ASSIGNED TO ELECTROPHYSIOLOGY CLINIC
Diagnose and manage arrhythmias such as Atrial Fibrillation, Ventricular Tachycardia, and Bradycardia.
Order and interpret-ECG’s/EKG’s, Holter Monitors, Event Monitors, Stress Tests, Lab and Imaging results.
Assist with electrophysiology procedures including-Cardiac Ablations, Pacemaker/ICD implantation, Loop recorder insertion, and Cardioversions. Conduct Pre and post-operative evaluations and monitor procedural recovery and complications.
Interrogate and manage cardiac devices-Pacemakers, Implantable ICD’s, and Cardiac resynchronization therapy (CRT) devices. Review remote monitoring data and adjust device settings according to physician protocols.
Educate patients and families on-Arrhythmia conditions, medication, device care, lifestyle modification, and anticoagulation management.

Additional

Works collaboratively with all members of the care team and support staff. Acts as a clinical team leader for safety, training, and support of staff as indicated.

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, and age specific needs. Able to effectively communicate and care for patient and family as reflected in the Plan for Provision of Care.

Performs other duties as assigned.

Pay Range

$72.90 -$109.36

If you want to use your talents alongside people who face each day with courage and purpose, in an environment that empowers you to do your absolute best, this is where you belong.