Nurse Practitioner - Urgent Care

Nurse practitioner provides patient services through the performance of patient evaluation, assessment and treatment in the medical office setting as allowed by state licensure laws under the supervision of the medical director. The nurse practitioner works closely with the clinic staff, hospital departments and community agencies.

Required Knowledge & Skills

Education: Master's Degree

Experience: Six months of related experience

Licenses and Certifications

* GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE

* GEORGIA NURSE PRACTITIONER LICENSE

* HEALTHCARE PROVIDER (CPR)

Qualifications

* Graduate of a recognized program for Nurse Practitioner training (MSN).

* Current certification as a Nurse Practitioner in Georgia

* ACLS recommended.

* Able to communicate effectively with medical and hospital staff and various populations in clinics and public screening events.

* Must possess the sense or discipline to work in accordance with accepted clinical standards.

* Must maintain high degree of confidentiality.

* Must possess the cognitive ability to understand patient medical records, physician orders and medical orders to be communicated to patient, hospital and/or other physician.

* Must be capable of dealing tactfully and effectively with patients, family members, other employees and physicians

* Must meet credentialing criteria.

* Prior experience in a like specialty preferred.

* Additional certification will be required for some specialties (i.e. ACLS, PALS)

Statement Of Employment Philosophy

Being a part of Tanner Health System is more than a job, it is a promise we make to treat every patient with exceptional service every time they walk through our doors. Service excellence is the foundation of our organizational culture and the expectations we all set for each other, our patients, physicians and our community. All employees agree to abide by a set of service standards. These standards are the promise we make to provide the best care possible, and represent our beliefs, values and who we strive to become. We each commit to making Tanner Health System a great place for our employees to work, for patients to receive care and for physicians to practice medicine.

Functions

Area of Responsibilities

* Patient Care: Performs evaluations, provide treatment and counsel patients. Order and interpret test results and recommend treatment of patients. Administer therapeutic procedures. Prescribe therapy or medication with physician approval. Provide physicians with assistance during surgery or complicated medical procedures. Demonstrates specialty and population specific competencies. Demonstrates an ability to effectively communicate based on specific specialty and population. Performs other duties as assigned by the supervising physician.

* Teamwork: Works well with others and functions as a team player. Offers ideas and solutions for issues that affect the team and work area. Participates in the training and skills development of new clinical staff. Assists as needed.

* Quality: Maintains evidence based medical care and clinical charting. Participates with clinical tracking and feedback. Integrates with clinical and administrative teams to administer high quality care.

* Development: Maintain and update level of skill for pertinent medical assistant duties. Participates in continuing education. Participates in the development of new programs (ex: Process Improvement, Quality Initiatives).

* Customer Service: Participates in patient satisfaction initiatives. Demonstrates excellent customer service skills. Communicates effectively with patients and management regarding service recovery opportunities. Works together with other team members to achieve Office and System customer service goals.

PATIENT CENTERED MEDICAL HOME RELATED DUTIES AND RESPONSIBILITIES*Access to Care: Triages patients who may need urgent or emergent care. Provides clinical advice by phone during office hours within designated time frame. Documents clinical advice in the medical record. Utilizes and provides continuity of medical record information for care and advice when the office is not open. Documents after hours clinical advice in patient records. Asks patients about care obtained outside the practice. Provides access to evidence based care and self-management support. Participates in a structured communication process, i.e. huddles. Authorizes and uses standing orders for important conditions. Provides extended hours as needed to accommodate patient population.

• Identify and Manage Patient Populations: Collects and reviews clinical data, i.e. problem list, allergies, BP, height and weight, tobacco use, current medications. Completes comprehensive health system. Provides input for three different preventive care services. Provides input for three different chronic care services.
• Plan and Manage Care: Implements evidence based guidelines. Provides a written plan of care for the patient family. Assesses and addresses barriers when the patient has not met treatment goals. Identifies patients who might benefit from additional care management support. Reviews and reconciles medications. Provides information about new prescriptions. Assesses understanding about medication and barriers to adherence. Documents over the counter medication, herbal therapies, and supplements. Generates and transmits prescriptions to pharmacies. Performs patient specific drug-drug and drug-allergy interactions.
• Self-Care Support and Community Resources: Provides educational resources to assist with self-management and support. Develops and documents self-management plans and goals in collaborations with the patient, family. Documents self-management abilities and provides tools to record self-care. Counsels patients' families to adopt healthy lifestyles.
• Track and Coordinate Care: Tracks referrals to patients' families. Tracks labs and imaging tests until results are available, flagging and following up on overdue results. Notifies patients' families of abnormal lab test results, as needed. Establish and document agreements with specialists in the medical record if co-management is needed. Collaborates with the patient family to develop a written care plan for patients transitioning from pediatric care to adult care.

Compliance Statement

Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.

Required Knowledge & Skills

Education: Master's Degree

Experience: Six months of related experience

Licenses and Certifications

* GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE

* GEORGIA NURSE PRACTITIONER LICENSE

* HEALTHCARE PROVIDER (CPR)

Supervision

Regularly uses assistance and leads the work of one to four co-employees, may instruct new employees and correct work routines, checks results and may discuss with employee's superior.

Qualifications

* Graduate of a recognized program for Nurse Practitioner training (MSN).

* Current certification as a Nurse Practitioner in Georgia

* ACLS recommended.

* Able to communicate effectively with medical and hospital staff and various populations in clinics and public screening events.

* Must possess the sense or discipline to work in accordance with accepted clinical standards.

* Must maintain high degree of confidentiality.

* Must possess the cognitive ability to understand patient medical records, physician orders and medical orders to be communicated to patient, hospital and/or other physician.

* Must be capable of dealing tactfully and effectively with patients, family members, other employees and physicians

* Must meet credentialing criteria.

* Prior experience in a like specialty preferred.

* Additional certification will be required for some specialties (i.e. ACLS, PALS)

Definitions

Nurse practitioner provides patient services through the performance of patient evaluation, assessment and treatment in the medical office setting as allowed by state licensure laws under the supervision of the medical director. The nurse practitioner works closely with the clinic staff, hospital departments and community agencies.

Position Responsibilities

Contact with Others: Requires frequent contact with many persons at different levels inside and outside of the organization to carry out organization policies and programs and obtain willing acceptance, consent, or action.

Effect of Error: Probable errors not easily detected and may adversely affect external as well as internal relationships and may result in major expenditures for equipment, materials, or procedures detrimental to the patient's welfare or the organization's interest. Work is subject to general review only and requires considerable accuracy and responsibility. Continually works with reports, records, plans, and programs of a major functional area of the organization where integrity is required to safeguard the organization's position. Duties may involve the preparation of data on which the administration bases important decisions and are highly confidential.

People Management Responsibilities

Supervisory Responsibility: Supervises a small section of employees (up to 15); orients and trains employees; schedules, assigns, checks, and maintains flow of employees work; carries out most personnel decisions, and initiates minor personnel actions. Work Environment/Physical Effort

Mental Demands: Work involves a variety of problems in a general field, some of which are complex. Involves some independent judgment to decide what to do to assemble facts, determine variations from standard procedures, or plan other action to be taken to meet general objectives.

Working Conditions: Moderate - (About 50% of the day) Involved in exposure to dirt, odors, noise, or some work is performed with exposure to temperature/weather extremes/occupational risk. Limited probability of coming into contact with blood borne pathogens, other potentially infectious diseases, or biomedical/bio-hazardous materials.

Working Conditions Aspects for Immunizations

Performs tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps (needles): Yes

Directly works with Patients less than 12 months of age: Yes

Physical Effort: Moderate physical effort - Lifts, carries, or handles lightweight (1 to 25 lbs.) materials or equipment for about half of the day. Very occasional physical effort with medium weight objects (25- 60 lbs.). Office or laboratory work requires close visual effort and concentration more than half of day. Works in reaching or strained positions for less than half of day.

Physical Aspects

Bending: Frequent = 34% - 66% of the time

Typing: Occasional = 1% - 33% of the time

Manual Dexterity -- picking, pinching with fingers etc.: Frequent = 34% - 66% of the time

Feeling (Touch) -- determining temperature, texture, by touching: Frequent = 34% - 66% of the time

Hearing: Constant = 67% - 100% of the time.

Reaching -- above shoulder: Frequent = 34% - 66% of the time

Reaching -- below shoulder: Frequent = 34% - 66% of the time

Visual: Constant = 67% - 100% of the time.

Color Vision: Frequent = 34% - 66% of the time

Speaking: Constant = 67% - 100% of the time.

Standing: Constant = 67% - 100% of the time.

Balancing: Occasional = 1% - 33% of the time

Walking: Frequent = 34% - 66% of the time

Crawling: Occasional = 1% - 33% of the time

Running - in response to an emergency: Occasional = 1% - 33% of the time

Lifting up to 25 lbs.: Constant = 67% - 100% of the time.

Lifting 25 to 60 lbs.: Frequent = 34% - 66% of the time

Lifting over 60 lbs.: Occasional = 1% - 33% of the time

Handling -- seizing, holding, grasping: Occasional = 1% - 33% of the time

Carrying: Constant = 67% - 100% of the time.

Climbing: Occasional = 1% - 33% of the time

Kneeling: Occasional = 1% - 33% of the time

Squatting: Not required

Tasting: Not required

Smelling: Occasional = 1% - 33% of the time

Driving -- Utility vehicles such as golf carts, Gators, ATV, riding lawnmowers, skid steer, aerial lift: Not required

Driving -- Class C vehicles: Occasional = 1% - 33% of the time

Driving -- CDL class vehicles: Not required

N95 Respirator usage (PPE): Occasional = 1% - 33% of the time

Hazmat suit usage (PPE): Not required

Pushing/Pulling -- up to 25 lbs.: Occasional = 1% - 33% of the time

Pushing/Pulling -- 25 to 60 lbs.: Occasional = 1% - 33% of the time

Pushing/Pulling -- over 60 lbs. : Occasional = 1% - 33% of the time