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Advanced Practice Provider

2 months ago


Humble, Texas, United States Memorial Hermann Health System Full time
Job Summary

At Memorial Hermann Health System, we strive to deliver high-quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency.

Key Responsibilities
  • Provides comprehensive patient care congruent with role and approved population foci through systemic assessment, diagnosis, treatment, management, and follow-up affecting direct patient care.
  • Acts under the delegation of a supervising physician, maintaining an active Prescriptive Authority agreement in accordance with regulations and policy.
  • Practices within approved protocols, guidelines, and clinical pathways and evidence-based medicine.
  • Ability to float, round to multiple facilities and/or take call (first call).
  • Provides accurate billing, coding, and documentation.
  • Completes medical records and submits charges in a timely manner.
  • Responsible for overall unit performance in collaboration with physicians or other providers.
  • Obtains medical histories; performs physical examinations/reviews/orders/interprets diagnostic tests and radiographic results; formulates and manages patient treatment plan and outcomes; provides interventions and performs procedures within legal scope and authority that the APRN or PA is approved, delegated to, and credentialed to perform.
  • Collaborates in the development and evaluation of patient care. Updates clinical guidelines/protocols/pathways; works autonomously and accepts accountability for outcomes; signs orders in accordance with institution and state board requirements; collaborates in research and teaching projects and applies research to practice.
  • Attends and actively participates in hospital multidisciplinary rounds on all patients which the hospitalist service is the primary service and when appropriate or requested when the hospitalist service is in the co-management or consultative role.
  • Covers Code Blue and Rapid Responses in accordance with the campus code committee's recommendations.
  • Provides admission services for the Emergency Department, incoming transfer patients, and direct or emergent admissions in accordance with the hospital on-call schedule and patient assignment guidelines.
  • Provides co-management services for subspecialty services when such services are within the scope and designation of privileges for the hospitalist Provider.
  • Provides consultative services for members of the Medical Staff when such services are within the scope and designation of privileges for the hospital medicine provider.
  • Accepts transfers of care from other clinical service lines if the patient is deemed appropriate for the hospitalist service provided there is a physician-to-physician hand-off communication related to the patient's clinical course and the hospitalist attending accepts the patient in transfer.
  • Provides transfer center call for incoming non-critical care medical patients in accordance with the hospital's on-call schedule.
  • Provides timely evaluation of patients admitted to the hospital in accordance with Medical Executive Committee bylaws.
  • Abides and conforms to Hospital tenants, guidelines, and bylaws.
  • Provides internal sign-out at transitions of care consistent with standards of care.
  • Participates in nursing and staff education when solicited by CNO, CMO, or COO.
  • Responds to clinical queries in a timely fashion.
  • Documents History and Physicals within 12 hours.
  • Documents Discharge Summaries within 48 hours of discharge order.
  • Maintains current understanding of the regulatory environment related to status and status patients consistent with national guidelines.
  • Provides post-discharge coverage for appropriate home health orders for up to 2 weeks or until they have seen their primary care physicians.
  • Encourages in-network utilization of resources for continuity of care unless specified by the patient or expertise is not available in the system.
  • Responds in a timely manner to pages and call-backs from nursing staff unless doing so would impact patient safety or experience.
  • In case of emergencies or disasters, provides additional coverage per campus protocol.
  • Participates in continuing education activities to maintain or enhance knowledge and skills.
  • Maintains ACLS certification.
  • Directs patient care throughout the healthcare system via Consult Orders.
  • Provides consultation services in collaboration with attending or primary care provider.
  • Communicates with the attending physician, nurse, family, and other treatment team members when appropriate, in order to obtain the appropriate patient care plan.
  • Effectively communicates with treatment team in a timely and professional manner to provide quality psychiatric care to patients throughout the healthcare system.
  • Complies with best practices and other care directives.
  • Follows Performance Improvement initiatives.
  • Works with Memorial Hermann Physicians, Risk Managers, and Case Managers towards resolution of clinical, administrative, or technical problems.
  • Maintains patient confidentiality and adheres to MH compliance privacy policies.
  • Uses interpersonal and verbal communication skills to educate patient/family on care resources; participates in process improvement and multidisciplinary clinical outcome improvement activities utilizing advanced nursing expertise.
  • Ensures safe care to patients, staff, and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity, and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor, and resource to less experienced staff.
  • Other duties as assigned.