APRN (Sleep Medicine)
2 months ago
Schedule 4 .5 days/week or 5 days/week may be possible in future if sufficient clinical demand and clinic space 4 days per week. Standard day off to be mutually determined at time of negotiation of practitioner employment agreement. Currently, Wednesday or perhaps Monday would be an option. 8 am to noon and 1pm to 5 pm (8 hours of clinical time/day) Appointment durations would begin at 60 minutes (new patients) and 30 minutes (established patients) to allow for orientation 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. Nurse practitioner will see more established patients than new patients. Such level of productivity may not be achieved until 9-12 months after commencement. Administrative time is generally not provided at the specialty practice. However, due to the volume of 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 when rendering care independently (specific days of week to be determined at time of negotiation of practitioner employment agreement or commencement of employment, based on available space and operational needs at each site).
Job Summary Joining the highly productive and popular sleep medicine physician and selected outreach clinic sites 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: Meditech Expanse
Job Requirements Candidates should have prior experience (at least 2 years) in broad spectrum of sleep medicine services. If not experienced in sleep medicine, prefer candidates have prior experience in primary care, pulmonology, cardiology, neurology, or related specialty. New graduates considered and will be trained in sleep medicine here. Selected new graduates will be considered if they possess at least 5 years of RN experience, excellent critical thinking skills, outstanding communication skills (e.g., demeanor, listening and validating, respectful/professional), and have demonstrated a high capacity and eagerness to learn. Eagerness to learn about sleep medicine pathophysiology and principles, interpretation of sleep medicine diagnostic tests, medications, challenges, risks, and professional rewards. Eagerness to/interest in counseling and educating patients and families. Whole person philosophy of care. Team oriented, collaborative, and patient focused. High level of customer service (patient satisfaction) is expected.
Commencement Bonus $15,000 Paid on first pay date following hire (up to 17 days). Not a signing bonus
Benefits Retirement Plan(s): 403b, 457b Vacation: 5 weeks Holidays: 6 days Pro-rated for status of 0.8 FTE to 4.8 days or 38.4 hours. Sick Time: 4 days CME: 2 weeks per year - For 0.8 FTE, translates into 2 regular weeks of CME or 8 days annually. Health Insurance: Yes Relocation: Varies depending on distance of move, size of family, etc. Taxable. Mileage: 62.5 cents/mile - Consistent with policy, shall reimburse the Practitioner for mileage related to outreach clinic travel (to/from sites).
About the Location Berlin is located at in northern New Hampshire, north of the White Mountains, in the state's North Country region. The city is bordered to the south by Randolph and Gorham, north by Milan, east by Success and west by Kilkenny. New Hampshire Route 16 passes through the center of the city, leading north to Errol and eventually to Rangeley, Maine, and leading south through Gorham and Pinkham Notch to North Conway and the Seacoast Region of New Hampshire.
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