Advanced Registered Nurse Practitioner APRN Physician Assistant PA

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Job description

THIS IS FOR A FUTURE OPENING

nAdvanced Registered Nurse Practitioner (APRN)/ Physician Assistant (PA)

nSTGi is currently seeking a Nurse Practitioner (NP) or Physician Assistant (PA) to provide services at our Community Based Outpatient Clinic. The general duty of the Nurse Practitioner (NP) or Physician Assistant (PA) is to provide professional clinical services under the direction of the Community Based Outpatient Clinic (CBOC) Primary Care Provider (PCP). The NP or PA is an Advanced Practice Generalist who provides a wide range of health services, including urgent and emergent evaluation of episodic and chronic problems; and comprehensive, integrated primary health care which addresses a majority of the client's health care needs on an ongoing basis. The NP or PA is knowledgeable in the assessment, treatment and evaluation of a comprehensive range of health care problems; emergency measures; preventive health; prescribing medications and other treatments; ordering, conducting, interpreting laboratory, diagnostic studies and procedures; and patient and family education utilizing community, social, and health resources. The NP or PA maintains knowledge of current practice, acts as role model and mentor to others, acts as client advocate, and participates in professional activities at local and state level. These duties include:

nESSENTIAL FUNCTIONS:

nnProvides primary and preventive medical care to meet the needs (physical, mental, and emotional) of patients under a limited scope of Current Procedural Terminology (CPT) codes and within his/her skills and training.

nProvides medical patient care to the scope and standards of practice established by a nationally recognized credentialing organization representing Nurse Practitioners and/or Physician Assistants.

nFunctions within the scope of practice of the state), the Joint Commission standards and Officer of the Inspector General.

nWorks closely with the Patient Aliened Care Team (PACT) and extended support staff including daily huddles with the team.

nEmphasizes wellness, prevention, and early detection.

nSupervises support staff in delivery of care to patients.

nMaintains universal precautions and infection control practices.

nProvides smooth and timely flow of patients in accordance with the Veteran Administration's (VA) access standards and triage protocol.

nPerforms cardiopulmonary resuscitation (CPR) and assisting during respiratory and cardiac arrest procedures.

nInvestigates health problems or health needs by gathering and assessing historical information.

nPerforms a physical examination appropriate to the patient's history.

nDiagnoses health problems based on interpretation of the patient's history, physical exam findings, and diagnostic test results.

nDevelops a treatment plan, tailored to the patient's needs, which includes health education, pharmacologic and non-pharmacologic treatment.

nPrescribes medications, as appropriate.

nEvaluates the results of the treatment plan, modifying the plan as needed to achieve the treatment goals.

nMakes referrals for specialty evaluation or treatment.

nDirects and coordinates the provision of health care services for patients in primary care, i.e., walk in patients.

nProvides a model for clinical practice within the clinic setting.

nSets up and operates therapeutic and emergency equipment, including monitor, electrocardiogram (EKG), oxygen, automatic electronic defibrillator (AED) and portable suction.

nObtains patient history on new and follow-up and record appropriate findings according to VA standards.

nPerforms initial and periodic physical examinations within limits of privileges and record findings.

nOrders diagnostic tests according to the chief complaint, physical and emotional/mental findings and symptoms.

nDemonstrates the knowledge of pharmacology.

nPrescribes and administers medication within limits of privileges and state and federal regulations.

nRecommends and follows up on laboratory tests and specialized diagnostic procedures, as deemed necessary.

nDocuments 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.

nKeeps the VISTA clinic reminder tracking system current for each enrolled patient.

nCloses patient charts within 24-72 hours of encounter and places Return to Clinic (RTC) orders promptly.

nAssists in scheduling patients for initial and follow-up appointments in accordance with the VA's access standards and the patient's medical necessity.

nKeeps patients informed of their plan of care, including lab and diagnostic test results as needed.

nProvides health educational materials, resources and education to patients and their families for informational purposes and in accordance to their need and learning capacity.

nAssists the Registered Nurse to ensure all patient information on electronic encounter documentation is complete and accurate.

nComplies with all federal, state, local, Joint Commission, Occupational Safety and Health Administration (OSHA), Veteran Affairs, and Subcontractor safety and operational regulations, directives and standards.

nParticipates in the ongoing Performance Improvement Program between the VAMC and STGi Performance Excellence program including regularly scheduled peer reviews.

nEnsures that all required reports and clinical information is completed in an accurate, timely and complete fashion.

nParticipates in staff development programs.

nPerforms other clinical duties assigned within limits of privileges.

nMaintains confidentiality of all information and supporting patients' privacy, rights, and safety.

nAids in management/coordination of the CBOC's day-to-day activity.

nPerforms other work-related duties as assigned.

n nRequired Skills

nnA minimum of 2 years clinical experience as an APRN/ PA in outpatient care in a Family Medicine or Internal Medicine Environment; 3-5 years is preferred.

nAPRN/ 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 health care).

nCurrent and unrestricted state license. Must comply will all state requirements and regulations.

nPossess Basic Life Support (BLS)/Cardiopulmonary Resuscitation (CPR) certification prior to performing work from American Heart Association (AHA) or the Military Training Network (MTN).

nPrescriptive authority In accordance with state rules and regulations.

nAbility to set realistic, measurable education goals for patients, taking into consideration patient/family needs, level of understanding, and available local resources.

nAbility to develop and provide individualized and group counseling, guidance, and health instruction with a focus on disease prevention and health maintenance.

nExperience with safe and reasonable practices regarding opioid medications for chronic musculoskeletal pain.

nWorking knowledge of Microsoft Office Software and excellent computer maneuverability.

nMust have exceptional diplomatic communication skills and experience in handling difficult customer situations.

nMust be detailed oriented and have the ability to multi-task.

n nRequired Experience

nnMust possess a Master's Degree in Nursing with completion of a university-based program for Nurse Practitioner.

nMust possess relevant certification from American Nurses Association or another nationally recognized certifying body. Nurse practitioner must be licensed or otherwise recognized as a nurse practitioner in a State, possess a master's degree from a program accredited by the NLNAC or CCNE, and maintain full and current certification as a nurse practitioner from the American Nurses Association or another nationally recognized certifying body. (APRN's must be certified in Family Practice or Adult to qualify).

n nOR

nnA bachelor’s degree from a PA training program which is certified by the CAHEA; Or Graduation from a PA training program of at least twelve (12) months duration, which is certified by the CAHEA and a bachelor’s degree in a health care occupation or health related science;

nThe duration of approved academic training and health care experience must total at least five (5) years. Authorization for prescriptive authority is required.

nPAs must be certified by the NCCPA.

n nWORKING CONDITIONS/PHYSICAL REQUIREMENTS:

nnModerate physical activity. Requires handling of average-weight objects up to 25 pounds or standing and/or walking for more than four (4) hours per day.

nWork is normally performed in a typical interior/office work environment.

nRequired to respond to any medical emergency within the clinic, where a fast walk or jog may be necessary to provide assistance.

n nSTGi is a workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients. Our services and solutions help our clients sustain and enhance their operations to better accomplish their mission.

nSTGi offers a competitive benefits package which includes Medical, Dental, Vision, 401k with company match and a generous PTO policy.

nSTGi 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.

nMedical Corps - 60J, 60L, 61F, 61H, 61N, 61R,62B

nMedical Specialist Corps - 65B, 65C, 65D

nNurse Corps - 66B,66H, 66P

nMedical Service Corps – 67G, 67J

nMedical CMF – 68A, 68B, 68E, 68F, 68G, 68J, 68Q, 68R, 68S, 68T, 68W, 68X

nnQualifications: