Advanced Nurse Practitioner
1 week ago
STGi is seeking a PRN Nurse Practitioner (NP) or Physician Assistant (PA) to provide services at our Community Based Outpatient Clinic. The successful candidate will provide professional clinical services under the direction of the Community Based Outpatient Clinic (CBOC) Primary Care Provider (PCP).
Key Responsibilities:- Provide primary and preventive medical care to meet the needs of patients under a limited scope of Current Procedural Terminology (CPT) codes and within their skills and training.
- Function within the scope of practice of the state, the Joint Commission standards, and Officer of the Inspector General.
- Work closely with the Patient Aligned Care Team (PACT) and extended support staff, including daily huddles with the team.
- Emphasize wellness, prevention, and early detection.
- Supervise support staff in the delivery of care to patients.
- Maintain universal precautions and infection control practices.
- Provide smooth and timely flow of patients in accordance with the Veteran Administration's (VA) access standards and triage protocol.
- Perform cardiopulmonary resuscitation (CPR) and assist during respiratory and cardiac arrest procedures.
- Investigate health problems or health needs by gathering and assessing historical information.
- Perform a physical examination appropriate to the patient's history.
- Diagnose health problems based on the interpretation of the patient's history, physical exam findings, and diagnostic test results.
- Develop a treatment plan, tailored to the patient's needs, which includes health education, pharmacologic, and non-pharmacologic treatment.
- Prescribe medications, as appropriate.
- Evaluate the results of the treatment plan, modifying the plan as needed to achieve the treatment goals.
- Makes referrals for specialty evaluation or treatment.
- Direct and coordinate the provision of health care services for patients in primary care, i.e., walk-in patients.
- Provide a model for clinical practice within the clinic setting.
- Set up and operate therapeutic and emergency equipment, including monitors, electrocardiograms (EKGs), oxygen, automatic electronic defibrillators (AEDs), and portable suction.
- Obtain patient history on new and follow-up patients and record appropriate findings according to VA standards.
- Perform initial and periodic physical examinations within the limits of privileges and record findings.
- Order diagnostic tests according to the chief complaint, physical, and emotional/mental findings and symptoms.
- Demonstrate knowledge of pharmacology.
- Prescribe and administer medication within the limits of privileges and state and federal regulations.
- Recommend and follow up on laboratory tests and specialized diagnostic procedures, as deemed necessary.
- Document all pertinent patient information in the medical records and Veterans Health Information Systems and Technology Architecture (VISTA) to demonstrate quality care delivery and promote continuity of care.
- Keep the VISTA clinic reminder tracking system current for each enrolled patient.
- Closes patient charts within 24-72 hours of encounter and places Return to Clinic (RTC) orders promptly.
- Assists in scheduling patients for initial and follow-up appointments in accordance with the VA's access standards and the patient's medical necessity.
- Keeps patients informed of their plan of care, including lab and diagnostic test results as needed.
- Provides health educational materials, resources, and education to patients and their families for informational purposes and in accordance with their need and learning capacity.
- Assists the Registered Nurse to ensure all patient information on electronic encounter documentation is complete and accurate.
- Complies with all federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), Veteran Affairs, and Subcontractor safety and operational regulations, directives, and standards.
- Participates in the ongoing Performance Improvement Program between the VAMC and STGi Performance Excellence program, including regularly scheduled peer reviews.
- Ensures that all required reports and clinical information is completed in an accurate, timely, and complete fashion.
- Participates in staff development programs.
- Performs other clinical duties assigned within the limits of privileges.
- Maintains confidentiality of all information and supports patients' privacy, rights, and safety.
- Aids in management/coordination of the CBOC's day-to-day activity.
- Performs other work-related duties as assigned.
- A minimum of 2 years of clinical experience as an APRN/PA in outpatient care in a Family Medicine or Internal Medicine environment; 3-5 years is preferred.
- APRN/PA must have a current and unrestricted DEA License (APRN/PA will be required to obtain and maintain a Scope of Practice/Collaborative Agreement with a state-licensed physician prior to delivery of healthcare).
- Current and unrestricted state license. Must comply with all state requirements and regulations.
- Possess Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) certification prior to performing work from the American Heart Association (AHA) or the Military Training Network (MTN).
- Prescriptive authority in accordance with state rules and regulations.
- Ability to set realistic, measurable education goals for patients, taking into consideration patient/family needs, level of understanding, and available local resources.
- Ability to develop and provide individualized and group counseling, guidance, and health instruction with a focus on disease prevention and health maintenance.
- Experience with safe and reasonable practices regarding opioid medications for chronic musculoskeletal pain.
- Working knowledge of Microsoft Office Software and excellent computer maneuverability.
- Must have exceptional diplomatic communication skills and experience in handling difficult customer situations.
- Must be detailed-oriented and have the ability to multi-task.
- Competitive benefits package, including Medical, Dental, Vision, 401(k) with company match, and a generous PTO policy.
STGi is committed to hiring and retaining a diverse workforce. We are proud to be an Equal Opportunity/Affirmative Action Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.
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