Advanced Practice Provider - Urgent Care - PRN/Casual - Rotating

Why Work For Nebraska Methodist Health System

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care a culture that has and will continue to set us apart. It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary

Location: MPC Gretna Urgent Care Address: 11946 Standing Stone Drive, Gretna NE Work Schedule: M-F 10a-10p / Weekends and Holidays 12p-6p Rotating. Casual/PRN employees work on an 'as needed' basis to meet the needs of the business. Work days/hours will often vary from week to week. Provide quality of care and safety for patients.

Essential Functions

Perform primary health care for patients by utilizing the processes of assessment and diagnosis of health status.

• Obtain patient's medical and history information. Data collection is prioritized according to immediate condition or needs.
• Perform physical exam and determine patient's mental status.
• Develop and implement treatment, follow-up and evaluation plans for patient outcomes.
• Collaborate with physicians and other disciplines as appropriate and provide regular and consistent feedback.
• Use appropriate assessment techniques & diagnostic information. Performs tests relevant to patient condition and record findings.
• Order appropriate ancillary tests.
• Derive diagnosis from assessment data and diagnostic information as data becomes available.
• Use new or additional data to form a treatment plan.
• Perform telephone triage to determine patient condition and provides appropriate consultation scheduling appointments when needed.
• Incorporate research into clinical practice as appropriate.
• Provides non-urgent, urgent and sometimes emergent healthcare. This may include assessment, consultation, establishing diagnoses and implementation of a treatment plan according to approved practice protocols.

Implement interventions consistent with the established plan of care in a safe and appropriate manner.

• Apply established therapeutic practices to patient's concerns and needs.
• Administer medications and immunizations using the appropriate method and with physician oversight if applicable.
• Prescribe medications according to Controlled Substance Registration Certificate issued by the DEA.
• Generate referrals to appropriate services as needed to further diagnose and/or progress of care.

Evaluate patient care to determine response to care/interventions for optimal patient outcome.

• Evaluate the patient's capabilities and/or limitations related to nursing and medical interventions.
• Recognize and address patient and family capabilities and limitations (physical and mental).
• Return patient telephone calls.
• Monitor outcomes and documents patient response to interventions.
• Seek out new treatment methods necessary to ensure patient progress.

Provide patient and family teaching and education specific to the patient's health care.

• Proper use of medication and health/illness prevention to ensure adequate knowledge/awareness.
• Interview and advise specific to patient needs.
• Demonstrate sensitivity to family regarding need for patient information on a timely basis.
• Work collaboratively with physicians and other team members to provide appropriate patient education geared to the patient's needs and family's ability to provide care.
• Use adult learning principles for teaching purposes being careful to check for understanding and being available for follow-up questions.
• Recommend references and resources such as printed materials, online, community and other information sources to fulfill the family's need for education.

Maintain a professional behavior in attitudes, demeanor, and interactions to achieve organization's mission.

• Communicate effectively with physicians, staff and patients.
• Approachable and professional in working with other health professionals, patients and their family.
• Maintain a professional appearance, behavior, and work environment.
• Initiate action to correct, prevent, and/or minimize risk(s) to the patient, family or hospital/clinic employees (i.e., falls, needle sticks, patient concerns).
• Communicate to appropriate personnel regarding unresolved issues.
• Serve as a role model in the provision of emerging care.
• Serve as a reliable/knowledgeable resource for staff.
• Participate in meetings, research on special projects and professional organizations.

Comply with the bylaws, rules and regulations of the organization as they pertain to Nurse Practitioners or Physician Assistants.

• Know and follow organization policy & procedures.
• Follow Medical Protocols for professional discipline.
• Maintain certification/licensure.
• Follow guidelines of regulatory bodies (FDA etc.).

Maintain complete patient records.

• Document data appropriately.
• Document treatment plan of care that is individualized, appropriate and reflects patient's needs.
• Document interventions.
• Document consultations with other practitioners/physicians.

Participate in performance improvement and outcome management.

• Meet regularly with medical director for chart reviews.
• Identify concerns in patient care & follows up according to hospital policy.
• Participate in patient satisfaction and other quality improvement initiatives.
• Participate in tracking of variances in care.

Provide appropriate care specific to the age of the patient to ensure understanding and comfort level of treatment as outlined in the "Age Specific Criteria".

• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.
• Right Task
• Right Person
• Right Communication (clear, concise, correct, complete)
• Right Feedback

Job Requirements

Education

• Graduate of a Master's of Science in Nursing (MSN) or Doctorate of Nursing Practice (DNP) from an accredited Nurse Practitioner program required.

Experience

• Two years of previous clinical experience preferred.

License/Certifications

• Current valid Registered Nurse (RN) license, valid compact multi-state license, or a temporary permit while awaiting licensure required.
• Current Nurse Practitioner (APRN.NP.NE or ARNP.IA) licensure for work state required.
• Controlled Substance Registration Certificate (CSRC) issued by the DEA required.
• Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.

Skills/Knowledge/Abilities

• Strong leadership, problem-solving and medical judgement skills required.

Physical Requirements

Weight Demands

• Medium Work - Exerting up to 50 pounds of force.

Physical Activity

• Occasionally Performed (1%-33%):
• Climbing
• Crawling
• Kneeling
• Sitting
• Frequently Performed (34%-66%):
• Balancing
• Carrying
• Crouching
• Distinguish colors
• Keyboarding/typing
• Lifting
• Pulling/Pushing
• Repetitive Motions
• Stooping/bending