PACT Primary Care Nurse Practitioner

1 month ago

Prescott, Arizona, United States Veterans Health Administration Full time

The Float/Gap Nurse Practitioner (NP) performs same duties as an assigned team PACT NP but will float to different teams as needed.

The duties of the position include but are not limited to:

Ongoing, continuous care of one or more assigned panel(s) of Veterans
Utilizing all available tools to enable effective and efficient identification and interventions of individual patients
Ensuring appropriate evaluation and access is provided to patients assigned to the patient panel
Functioning at the full extent of the team member's relevant clinical privileges, credentials, scopes of practice, elements of practice, certification, or other facility approved documentation of competency
Participating in team performance improvements and sustainment activities to optimize team efficiency and care delivery to patients
Implementing primary care operations management processes, as appropriate
Managing communications and facilitating safe transitions of patients between PACT's site of care and other health care settings, using informal and formal communication methods, as appropriate
Providing health education, and health coaching on wellness, disease prevention, chronic care management, and self-management skills to patients and personal supports persons
Engaging patient in using health care, encouraging patients to engage personal support persons, receiving input from patient and personal support persons regarding VA care
Using formal and informal communicators that are respectful, effective, timely, an bidirectional with all team members (including patient and personal support persons) to convey significant, clinically relevant information for the care of the patient
Collaborating with informatics technology staff to develop and implement systematized, electronically supported tools to support PACT care delivery process (e.g. pre-visit reminder calls, post-hospitalization follow-up up calls, recall scheduling procedures, new patient orientation, disease registries and primary care protocols for chronic disease management
Ensuring patient's care plan contains medical recommendations for clinically indicated care
Offering clinically indicated health care services to patients assigned to PACT, and providing or arranging for care to which patients' consent
Providing leadership to the team including shared delegation of appropriate care and care processes to appropriate team members
Reviewing available clinical and performance data with team, focusing on continuous improvement of critical team processes
Evaluations and treatment, including face to face, telephone, and/or video to home clinics
Initial and ongoing assessment of patient's medical, physical, and psychosocial status
Obtaining and documenting a comprehensive medical/physical history and physical examination
Ordering and following-up on appropriate diagnostic tests
Reviewing and interpreting laboratory tests and take appropriate action
Referring patients to consultations with specialty clinics
Providing medical advice to patients, families, and community health providers by telephone
Managing chronic and acute medical problems
Entering orders into VA Electronic Medical records for medications, consults, testing, etc.
Women's Health examinations and counseling, including preventive care services such as but not limited to breast and cervical cancer screening, osteoporosis screening, intimate partner violence screening and military sexual trauma screening
Communicating with patients via secure email
Timely completion of peer reviews
Timely closure of encounters

Work Schedule:
This position potentially requires flexibility in schedule and assignments, as this is a 24/7 hospital. Some positions require rotation of tours or indefinite work on non-administrative tours as established by the immediate supervisor. Not all duties may be listed, so other duties may be assigned.

Telework:
Not available.

Virtual:
This is not a virtual position.

Relocation/Recruitment Incentives:
Not authorized.

Permanent Change of Station (PCS)
:
Not authorized.

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