Sleep Medicine Nurse Practitioner

3 weeks ago

Berlin NH United States Arc Health Full time

Responsibilities

Seeking a full-time (4 day/week) sleep medicine APRN to join a highly productive and popular sleep medicine physician in northern New Hampshire to help meet increase clinical demands for services.

Provides office-based sleep services to new and established patients (above age 5; ages 2-5 with physician screening of case in advance), including management of positive airway pressure therapy, medication management, education/counseling, monitoring of medication compliance, ordering diagnostic tests (including home and attended sleep studies), ordering and authorizing durable medical equipment (DME), referral to related other specialties (e.g., cardiology, neurology, pulmonology), and communication with PCP s.

Most commonly encountered diagnoses are:

  • Obstructive sleep apnea and other sleep-related breathing disorders

  • Insomnia of various types

  • Hypersomnia

  • Restless legs syndrome

  • REM sleep behavior disorder

Partners with other members of sleep medicine team (e.g., sleep technologists, respiratory therapists, MA s).

Infrequently provides consultation for inpatients with support from sleep medicine physician.

Especially when sleep medicine physician is not on site or is off for the day, reviews and manages requests for prescription refills (including for controlled substances, such as Ritalin and Adderall).

EMR: EMR: Meditech Expanse
FTE- 0.8

Weekly Schedule: 4 days per week.

8 am to noon and 1pm to 5 pm (8 hours of clinical time/day)

  • Standard day off to be mutually determined at time of negotiation of practitioner employment agreement. Currently, Wednesday or perhaps Monday would be an option.

  • Appointment durations would begin at 60 minutes (new patients) and 30 minutes (established patients) to allow for orientation to facility and its EMR. At an appropriate time, appointment durations would be reduced to match standards for sleep medicine providers, i.e., 20 minutes for established patients and 40 minutes for new patients.

  • Typical productivity (based on usual mix of new and established patients) will be 12 to 16 patients per day.

  • Administrative time is generally not provided at the specialty practice. However, due to the volume of DME paperwork, prescription refills and monitoring, tasks to be delegated from the sleep medicine physician to the nurse practitioner, etc., 1 hour of administrative time per day will be provided once the practitioner is working at a full schedule or capacity.

Locations of care:

4 days in Berlin, 2 days per month in Colebrook, 2 days per month in Glen - 40 min - 1 hour apart


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