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Nurse Practitioner Role
2 months ago
This position involves diagnosing and treating acute and episodic illnesses independently or as part of a healthcare team, focusing on health promotion and disease prevention for employees.
The Nurse Practitioner will perform peer clinical reviews, concurrent and retrospective clinical chart reviews, and provide medical treatment and services consistent with basic healthcare services in conjunction with a physician.
Key Responsibilities:- Analyze and interpret patient histories, symptoms, physical findings, and diagnostic information to develop clinical assessments and treatment plans.
- Perform routine medical examinations under established guidelines.
- Provide medical treatment and services, consistent with basic healthcare services, in conjunction with a physician.
- Develop treatment plans based on scientific rationale, standards of care, and clinical practice guidelines, in collaboration with patients' personal physicians.
- Educate patients about self-management of acute or chronic illnesses, tailoring instructions to individual circumstances and recommending interventions to modify behavior associated with health risks.
- Prescribe medication dosages, routes, and frequencies based on patients' diagnoses, permitted under State and DEA licensure.
- Counsel patients on prescribed drug regimens and possible side effects or interactions with other drugs or substances.
- Schedule follow-up visits with clinic or private physicians to monitor patients or evaluate health or illness care.
- Document all healthcare services provided and include comprehensive records of healthcare plans and prognosis in patients' medical records.
- Consult with or refer patients to appropriate specialists when conditions exceed the scope of practice or expertise.
- Conduct prior authorization and peer-to-peer review for Facility Care, Rehabilitation, and Consultations, when requested.
- Perform concurrent reviews for Level of Care (LOC), Length of Stay (LOS) management.
- Determine if professionally recognized standards for quality care are met.
- Assist with denial management process.
- Conduct clinical reviews to meet regulatory requirements and quality patient care.
- Graduate from an accredited school of nursing required.
- Must have a current, unrestricted license to practice as a Registered Nurse and Nurse Practitioner in the state of Florida, as well as a current Florida Pharmacy license.
- Must maintain current copies of applicable licenses at the facility at all times.
- Two (2) years of direct Nurse Practitioner work experience preferred.
- Understanding of managed care guidelines and impact on services.
- Pre-authorization or Concurrent Review experience, preferred.
- Ability to perform complete physical appraisals of patients.
- Ability to identify and evaluate illnesses.
- Ability to initiate diagnostic laboratory tests and evaluate results.
- Ability to work with patients having a variety of physical problems.
- Ability to compile and evaluate medical histories and other clinical and laboratory data.
- Ability to plan, organize, and coordinate work assignments.
- Ability to communicate effectively.
- Ability to establish and maintain effective working relationships with others.
- Ability to work with computers and necessary software typically used by the department.
- Ability to analyze medical documentation and apply criteria to determine medical necessity, acuity of care, severity of illness, and intensity of service.
