Nurse Practitioner or Physician Assistant

Job Summary:

The Nurse Practitioner/Physician Assistant is responsible for the delivery of quality medical care to patients of Midtown Health Care and functions as a member of the multi-disciplinary health care team within the scope of his or her medical practice.

Supervisory Responsibilities:

None.


Duties/Responsibilities:

1. Provides direct patient care to clinic patients.

1. Examines, diagnoses, and prescribes appropriate treatment plans for patients. Follow appropriate standards of care for each patient.
2. Refers patients for appropriate specialty care services, lab and x-ray and any other ancillary services that are appropriate for patient's management and care. Reviews all lab and x-ray reports for patients under his/her care on a timely basis and makes medical management decisions appropriately.
3. Refers patients requiring hospitalization or assessment and management of conditions to supervising physicians or appropriate specialist. Follows patient's progress with physician.
4. Maintains health records for all patients and provides appropriate follow-up instructions through the use of electronic health records.
5. Formulates, initiates, and monitors patient management plans for patients using protocols and/or consultation with a supervising physician.
6. Provides continuity of care to patients and serves in rotation for after-hour care coverage.
7. Ensures that patient and family are educated about diagnosis and the plan of care.
8. Consults with physicians and other members of the health care team as necessary.
9. Participates in specified health promotion, education, and/or prevention programs as needed.

1. Participates in the review, development, and training of patient care policies, procedures, protocols, and standing orders.
2. Provides teaching and clinical supervision to nursing staff and trainees.
3. Accepts responsibility for remaining current with medical and health care trends and information that impact the medical practice.
4. Assists in maintaining an efficient, safe, secure, orderly, and aseptic environment of care for all patients and employees.
5. Performs other duties as assigned.

Duties 1 through 5 are designated as ADA Essential Functions and must be performed in this job. All other job duties are secondary functions.

Knowledge, Skills, and Abilities:

• Ability to efficiently carry out Midtown Health's Center mission statement and comply with its policies and procedures.
• Ability to establish and maintain effective working relationships with patients, co-workers, and the public and to be able to demonstrate cultural awareness and sensitivity.
• Must be able to maintain strict confidentiality of sensitive information in accordance to HIPAA regulations.
• Ability to comply with all occupational safety and health standards and all rules, regulations, and orders issued under the Occupational Safety and Health Act (OSHA).
• Ability to utilize critical thinking and problem solving skills to address clinic's needs.
• Ability to interpret oral and written instructions and do appropriate follow-up.
• Ability to work independently and as a team member.
• Must have exceptional time management and organizational skills.
• Ability to constructively participate in quality improvement efforts.
• Ability to actively participate in marketing and outreach activities when requested and emergency response events when required.
• Bilingual (English/Spanish) verbal and written skills highly desired.
• Knowledge of advanced principles of health promotion, prevention, and motivation.
• Knowledge and understanding of program requirements to maintain FQHC and PCMH status.
• Ability to document, with clarity, all information relevant to a patient's needs.
• Ability to effectively present information in small group situations to patients, clinic staff, and the general public.
• Ability to navigate EHR, Nexus, and communicable disease reporting systems.

Education and Experience, Licensure and Certification:

• Graduation from an accredited school of nursing and a Nurse Practitioner/Physician Assistant program recognized by the Board of Nursing or from a program otherwise designated for Family Nurse Practitioners/Physician Assistant which has been approved by the State Board of Nursing.
• Administrative experience as an APRN in implementing community health programs preferred.
• Current unrestricted license to practice as an Advanced Practice Registered Nurse in the State of Nebraska is required or ability to obtain licensure.
• Current Drug Enforcement Administration (DEA) license is required or ability to obtain licensure.
• Must meet all credentialing requirements as required by Medicaid, Medicare, and insurances.
• Current certificate in BLS required.
• Must have a valid driver's license and the ability to utilize own transportation for work purposes.

Physical Requirements:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Maintain physical condition appropriate to the performance of assigned duties and responsibilities which may include sitting or standing for extended periods of time.
• Exerts up to 50 pounds of force occasionally, and/or up to 20 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects.
• Must be able to walk, use hands to finger, handle, or feel; reach forward with hands and arms.
• Requires occasional bending, stooping, or stretching.
• Ability to reach by extending hand(s) and arm(s) in any direction.
• Finger dexterity required to manipulate objects with fingers rather than with whole hand(s) or arm(s), for example, using a keyboard.
• Hearing required to be within normal parameters to perform job requirements.
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Working Conditions/Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Ability to work varied and extended hour scheduling as requested including early mornings, evenings, and occasional weekends.
• Ability to work in a smoke-free and drug-free work environment.
• Ability to work with a moderate noise level in the work environment.
• While performing the duties of this job, the employee is frequently exposed to significant work pace/pressure. The noise level in the work environment is usually moderate.
• Requires frequent exposure to communicable diseases, bodily fluids, toxic substances, medicinal preparations and other conditions common to a clinic environment.

Other Duties:

This job description is not designed to cover or contain a comprehensive listing of duties or responsibilities that are required of the employee for this job. Duties and responsibilities may change at any time with or without notice.

EEO Statement:

Midtown Health Center is an equal opportunity employee and will consider all qualified candidates regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or because he or she is a protected veteran.