Nurse Practitioner

Nurse Practitioner: Employer-Based Clinic The Nurse Practitioner serves as the primary onsite provider in an employer-based clinic, delivering comprehensive acute care, occupational medicine, and preventive services to employees and eligible dependents. The NP independently evaluates, diagnoses, treats, and follows patients across the spectrum of work‑related and non‑work‑related conditions, collaborates with onsite employer stakeholders (HR, Safety, Risk), and coordinates referrals to external specialists when appropriate. The NP also champions evidence‑based protocols, regulatory compliance (OSHA, DOT, workers’ compensation), and data‑driven quality improvement to enhance workforce health, safety, and productivity. Key Responsibilities Direct Patient Care (Acute Care & Limited Primary Care) Perform comprehensive and problem‑focused history and physical exams; formulate differential diagnoses; develop and implement evidence‑based treatment plans for acute illnesses and minor injuries (e.g., URI, influenza‑like illness, asthma exacerbation, otitis media/externa, conjunctivitis, dermatitis, lacerations, sprains/strains, minor fractures stabilization, burns). Provide procedures within scope (e.g., wound care, I&D of simple abscesses, splinting, suture/staple placement and removal, ear irrigation, nebulizer therapy). Prescribe medications and therapeutics per state law and organizational privileges; manage medication safety and formulary adherence. Deliver health maintenance: immunizations, routine screenings, chronic condition triage and referral (e.g., hypertension/diabetes detection and stabilization pending primary care follow‑up). Utilize shared decision‑making and culturally competent communication; provide patient education and return‑to‑work guidance. Occupational Medicine Conduct and document work injury evaluations; initiate treatment plans; coordinate workers’ compensation documentation; develop return‑to‑work and modified duty recommendations. Perform post‑offer/pre‑placement exams, fitness‑for‑duty evaluations, respirator medical clearances, and other job‑specific health assessments per employer standards. Order, interpret, and act on occupational exposure testing (e.g., audiometry coordination, vision screening, bloodborne pathogen follow‑up, lead/heavy metals, TB screening). Administer and oversee DOT/FMCSA physicals (requires certification – covered by employment), including medical certification determinations; maintain required documentation and examiner registry as applicable. Support OSHA compliance through accurate injury/illness documentation and timely reporting; collaborate with Safety/HR on trends, prevention strategies, and policy updates. Provide vaccination programs (e.g., influenza, Hepatitis B), post‑exposure prophylaxis protocols, and drug/alcohol testing processes (if within scope/policy). Scope of Procedures Wound care & closure, foreign body removal (superficial), I&D (simple), splinting, injections (IM/SC), PFT coordination, phlebotomy oversight, ECG, basic MSK ultrasound (if trained). Care Coordination & Operations Coordinate referrals to external specialists, imaging, and rehabilitation; ensure appropriate care transitions and follow‑up. Maintain accurate, comprehensive EHR documentation; leverage templates and smart tools for occupational encounters and regulatory forms. Support population health initiatives (e.g., targeted outreach for high‑risk conditions, ergonomic programs, wellness campaigns). Participate in quality improvement (QI) projects, clinical audits, and policy/protocol development; contribute to performance dashboards. Experience: 2–3+ years of NP experience in urgent care, emergency, family medicine, internal medicine, or occupational health (employer‑based clinic experience strongly preferred). Benefits Tuition assistance and career development programs Robust Retirement Plan Night, weekend and PRN shift differentials #J-18808-Ljbffr Kootenai Hospital